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Description Reports directly to the Vice President, Medical Management Operations and serves as a member of the HGB Executive Committee. Leads functions related to HGB's Care Management programs to include predictive ..
... The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... The Associate Director, Utilization Management Nursing requires a solid understanding of ... The Associate..
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... Information Humana Medicaid Associate Director, Compliance Nursing in San Antonio Texas Description ... Texas Description The Associate Director, Compliance Nursing reviews utilization management activities and ... and abuse. The..
Description The Risk Adjustment Integrity Unit (RAIU) Associate Director works collaboratively across the enterprise, communicating both the story and impacts of the highly specialized and critical investigations the unit conducts. This ..
Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..
... in accordance with all legal, compliance, and regulatory requirements and programs. ... completion of Initial and Annual Nursing assessment, and ongoing evaluation and ... policies and procedures and in..
Job Information Humana Associate VP, Health Plan Quality Improvement and Performance in San Antonio Texas Description The Associate VP, strategically identifies, develops, and implements programs that influence providers, members or market ..
Job Information Humana Associate VP, Quality Improvement in San Antonio Texas Description The AVP, Quality Improvement and Performance will develop, maintain, own and execute strategies to improve performance of the TRICARE ..
... Nationwide Associate Director, Utilization Management Nursing in San Antonio Texas Description ... The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... The Associate..
... work.(sm) The Home Health Team Manager performs management functions of coordination ... all clinical disciplines including: skilled nursing, home health aide, physical therapy, ... supervised health care staff maintains..
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..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Antonio Texas Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..