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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,..
... provided and to the nurse manager for totality of work performance. ... based on facility minimum requirements. Service/Quality: 1. Understands and contributes to ... outcomes associated with National Hospital..
... general supervision, oversees and coordinates quality reporting and outcomes management of ... patients. Responsible for coordinating departmental quality improvement activities to ensure consistency ... to maintain and improve the..
... testing results. Improves patient appointment compliance by providing reminder phone calls ... scheduled visit. Alerts Patient Care Manager, staff and practitioners of schedule ... necessary. Other duties as assigned...
What You Will Do: Manager - Kidney and Pancreas Transplant ... Under general administrative direction, the Manager of the Kidney and Pancreas ... achieves clinical, financial and service quality objectives..
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..
... minimal supervision from the Senior Manager, the Clinical Documentation Manager is responsible for overseeing the ... support coding and reporting of high-quality healthcare data. The Clinical Documentation ... healthcare..
... facilitates achievement of the highest quality patient care, as measured by ... in their profession. Monitors the quality and safety of the education ... unit based audits and continuous..
Job Information Humana Bilingual Quality Auditor in Baltimore Maryland Description ... Baltimore 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 ..
... the organization's business plans in compliance with the Health Services Cost ... ensure accurate revenue recognition and compliance. These reports include, but are ... and accurate data capture in..
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 ..
... 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..
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..
... Will Do: Population Health Program Manager Full Time, M-F Linthicum, MD ... MD The Population Health Program Manager will work with payer contract ... the performance of UMMS on..
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 .....
... 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..
... SCOPE: Works with the Facility Manager, facility staff and physician to ... procedures to ensure provision of quality patient care on a daily ... all company, state and federal..
... 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..