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Description The Principal Quality Leader will lead testing and ... Leader will lead testing and quality collaboration between Business and IT, ... tools and assure adherence to quality standards. Serves..
... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... policy requirements. Ensure provision of quality patient care while maintaining cost-effective ... in accordance with all legal,..
Description The Manager, Risk Adjustment oversees coding educators and ... Adjustment oversees coding educators and quality assurance audits of medical records ... and Medicaid Services (CMS). The Manager, Risk Adjustment..
Job Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in ... in Bethesda Maryland Description The Risk Management Professional 2 identifies and .....
Description The Senior Nursing Quality Outcomes Coordinator will partner with ... Coordinator will partner with Hospital Quality, Safety, Regulatory and Hospital Risk as well as all leaders ... Nursing to..
Job Information Humana Bilingual Quality Auditor in Washington District Of ... Of Columbia Description The Bilingual Quality Auditor/ Professional 2 ensures that ... and Medicare Services standards of quality. Review..
Full-Time/Regular REGISTERED NURSE - Risk Manager INTRODUCTION The ICE Health Services ... professionals working together to provide quality healthcare services. IHSC serves as ... DUTIES AND RESPONSIBILITIES 1. Enforce risk..
Site Name: USA - Maryland - Rockville Posted Date: Jan 19 2022 Our vaccines R&D efforts are centred around discovering and developing prophylactic and therapeutic vaccines to protect people against infectious ..
Job Information Humana Bilingual Quality Auditor in Bethesda Maryland Description ... Bethesda Maryland Description The Bilingual Quality Auditor/ Professional 2 ensures that ... and Medicare Services standards of quality. Review..
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 ..
... Information Humana AVP, Stars and Risk Adjustment National Medical Director in ... Of Columbia Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... national planning and operations for..
(This will open in a new window from which you will be automatically redirected to an external site after 5 seconds) Job Announcement This job opportunity is being re-announced. Applicants who ..
... assessments, ongoing visits for higher risk members, care coordination during transitions ... team. The Behavioral Health Case Manager is responsible for case management ... medical necessity, emergency status, and..
... Inform residents of any potential risk during any procedure. 10. Work ... currency. 16. Participate in the quality improvement process by responding appropriately ... regulatory requirements. 17. Act in..
... Information Humana AVP, Stars and Risk Adjustment National Medical Director in ... Bethesda Maryland Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... national planning and operations for..
... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... Of Columbia Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... that leads Humana's Stars and..
... Community Services Board. Experienced conducting risk assessments, making rapid differential diagnosis, ... to assure appropriateness of referral, quality of treatment, and suitability of ... and, when necessary, hospitalizes extremely..
Job Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in ... District Of Columbia Description The Risk Management Professional 2 identifies and .....
... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... Bethesda Maryland Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... that leads Humana's Stars and..
... Cox Communications Inc Job Level: Manager/Senior Manager Travel: Yes, 25 % of ... Number: 218685 Healthcare Technical Product Manager - Trapollo At Cox, we're ... SUMMARY The Healthcare Technical..
