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... Home Advantage (YHA) Market Clinical Manager (MCM) will lead a team ... Assessments (IHWA). The Market Clinical Manager provides leadership, clinical management and ... practice providers. The Market Clinical..
... Information Humana Medicaid Associate Director, Compliance Nursing in Atlanta Georgia Description ... Georgia Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed! The Manager, Utilization Management Nursing..
... an exciting opportunity for a Compliance Manager! Assists the Director, Compliance Services with overseeing and tracking ... procedures for HIPAA / HITRUST privacy/compliance programs. Develops compliance risk model and..
Airport Concessions Manager Airport Concessions Manager - Compliance General Description and Classification Standards ... and ensuring concessionaires comply with regulatory standards of the City, FDA, ... of the lease agreement...
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Atlanta Georgia Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Atlanta Georgia Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..
Description The Bilingual Manager, Learning Facilitation , plans, coordinates, ... Grievances and Appeals Learning Facilitation Manager Oversee a team of instructors ... Update as process change for compliance and oversight..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
... Kindred at Home RN Clinical Manager in Sandy Springs Georgia The ... Sandy Springs Georgia The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in..
Job Information Centerwell RN Clinical Manager in Decatur Georgia The Clinical ... in Decatur Georgia The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in compliance..
Senior Occupational Health ManagerAt Pilgrimu2019s, Safety Is A Condition, which means the safety of our team members comes first - always.We have implemented safety measures to prevent the spread of COVID-19. ..
Job Information Centerwell RN Clinical Manager Home Health Full Time in ... in Decatur Georgia The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in compliance..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
... dialysis therapies to patients in compliance with standards outlined in the ... activities such as patient admission, regulatory reporting, billing, physician orders, lab ... treatment related data into systems.Ensures..
**Company :**Highmark Inc.**Job Description :****JOB SUMMARY**This job has primary ownership and oversight over a specified panel of oncology members that range in health status/severity and clinical needs. The incumbent assesses health ..
... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure ... in accordance with all legal, compliance, and regulatory requirements and programs. Adheres..
Description The Manager, Compliance Nursing reviews utilization management activities ... fraud, waste, and abuse. The Manager, Compliance Nursing works within specific guidelines ... schedules and goals. Responsibilities The Manager, Compliance..
... Kindred at Home RN Clinical Manager- Offering $10,000 Sign-on bonus (M-F, ... in Stockbridge Georgia The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in..
