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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 ..
... Information Humana Medicaid Associate Director, Compliance Nursing in Lancaster South Carolina Description ... Carolina Description The Associate Director, Compliance Nursing reviews utilization management activities and ... and abuse. The..
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... 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..
Job Information Centerwell RN Clinical Manager in Myrtle Beach South Carolina ... Beach South Carolina The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in compliance..
... Nationwide Associate Director, Utilization Management Nursing in Lancaster South Carolina Description ... The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... The Associate..
Program Manager II Program ManagementThis role is ... and sales channels while ensuring compliance with statutes and underwriting guidelines. ... awareness to new generations of nursing professionalsSubject matter expert status..
... Kindred at Home RN Clinical Manager in Aiken South Carolina The ... Aiken South Carolina The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in..
... Information Kindred at Home Market Manager Sales Home Health in Rock ... Carolina As a Sales Market Manager, you will: Direct the activities ... of established sales targets and..
... Kindred at Home RN Clinical Manager Home Health Full Time in ... Columbia South Carolina The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in..
Description The Director, Health Services utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Director, Health Services requires an in-depth understanding ..
Job Information Centerwell RN Clinical Manager Home Health Full Time in ... Orangeburg South Carolina The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in compliance..
... Kindred at Home RN Clinical Manager - Beaufort, SC in Bluffton ... Bluffton South Carolina The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in..
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 ..
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 ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... South Carolina Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
... and analyzing customer feedback.OperationsUpholds the compliance and state licensure requirements as ... members and collaborates with store manager to proactively manage career progression. ... regularly with team members. Ensures..
... Kindred at Home RN Clinical Manager Home Health Full Time in ... Greenville South Carolina The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in..
Description Social Work Care Manager MSW AdventHealth Ocala Location Address: ... Summary: The Social Work Care Manager intervenes with patients who have ... team). The Social Work Care Manager, in..
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 ..
Job Information Centerwell RN Clinical Manager in Columbia South Carolina The ... Columbia South Carolina The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in compliance..
Job Information Humana Process Improvement Lead South Carolina Medicaid (Utilization and Case Management) in Lancaster South Carolina Description The Process Improvement Lead analyzes, and measures the effectiveness of existing business processes ..
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..
... Kindred at Home RN Clinical Manager in Rock Hill South Carolina ... Hill South Carolina The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in..
