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Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management works within specific ... you succeed, we succeed! The Manager, Care Management oversees..
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..
... Information Humana Medicaid Associate Director, Compliance Nursing in Washington District Of ... Columbia Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
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 AVP, Stars and Risk Adjustment National Medical Director in Washington District Of Columbia Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive ..
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..
... as their Hospital Infection Prevention Manager CIC.The Hospital Infection Prevention Manager CIC will work at a ... of the Hospital Infection Prevention Manager CIC include identifying, tracking and .....
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 In collaboration with the Director of Ambulatory Services and other members of the management team, provide administrative and business leadership for the Children's National ambulatory facility(s). Qualifications Minimum Education Bachelor's ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Bethesda Maryland Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Description Responsibilities The Compliance Professional 2 has responsibilities for ... documentation for quality and clinical compliance with contract requirements as outlined ... ensure all providers are in compliance based on..
... of appropriate reimbursement, research and compliance with federal and state regulations ... purpose of reimbursement, research and compliance with federal and state regulations. ... of ethical coding and coding..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Of Columbia Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
... philosophy. Adheres to the FMS Compliance Program, including following all regulatory and FMS policy requirements. PRINCIPAL ... programs which require the case manager to meet the patient, the .....
Ambulatory Svcs OPS & PI Manager (EVERGREEN) ','230001JY','!*!The Operations and Process ... ','230001JY','!*!The Operations and Process Improvement Manager for Ambulatory Services will facilitate, ... Transformation, the Operations and PI Manager..
... Information Humana Medicaid Associate Director, Compliance Nursing in Bethesda Maryland Description ... Maryland Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Bethesda Maryland Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..
... 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..
