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... Information Humana Medicaid Associate Director, Compliance Nursing in Cincinnati Ohio Description The ... Ohio Description The Associate Director, Compliance Nursing reviews utilization management activities and ... and abuse. The..
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Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Cincinnati Ohio Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Job Information Humana Care Manager, Registered Nurse, RN - Maternity, ... Ohio Description The Field Care Manager assesses and evaluates member's needs ... members. Responsibilities The Field Care Manager Nurse..
Location: This position is located at our Dublin, OH campus with hybrid flexibility.u00A0Weu2019re on a mission to make healthcare simpler and more effective. We fight to ensure our members get the ..
Description The Manager, Compliance Nursing reviews utilization management activities and ... fraud, waste, and abuse. The Manager, Compliance Nursing works within specific guidelines and ... schedules and goals. Responsibilities The..
... related data into systems.Ensures regulatory, compliance, and audit activities are accomplished ... and provides ongoing education, ensuring compliance with all risk management initiatives, ... of an accredited School of..
... care, services, and supports in compliance with Ohio Department of Medicaid ... policies and procedures to ensure compliance with state and federal requirements ... management. For Behavioral Health, C.M...
... SCOPE: Works with the Facility Manager, facility staff and physician to ... policies, procedures and training. Provides nursing support to patients and staff. ... all company, state and federal..
Description The Manager, Quality Improvement implements quality improvement ... of business. This includes quality compliance and quality improvement activities such ... Diagnosis and Testing (EPSDT). The Manager, Quality Improvement works..
... behalf of the customer. Ensures compliance with hospital regulations and participates ... Confer routinely with Technical Program Manager and Technical Operations Manager to ensure preventative maintenance program ... policies..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... in accordance with all legal, compliance, and regulatory requirements and programs. ... all requirements of the FMCNA..
Job Title: Assistant Director of Nursing Position Summary: This position works ... agency clinical operations, quality assurance, compliance and health care policy development ... hiring, training, supervising and evaluating nursing..