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Nurse Manager Surgical Services','03166-67671','United States-Colorado-Denver-Presbyterian/St. Luke's Medical ... the public.The Operating Room Nurse Manager of the Main OR provides ... other resources, development of personnel, compliance with regulatory and professional..
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..
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 ..
**Medical Affairs Program Manager Patient Monitoring Remote within the ... U.S.** This Medical Affairs Program Manager (MAPM) position has three main ... backgrounds or knowledge. Ensure all regulatory and compliance..
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 ..
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 ..
Welcome to Centura Health:At Centura Health, we're on a mission to heal individuals and uplift communities. We have locations throughout Colorado, Utah, and western Kansas, giving you opportunity to grow your ..
... exciting opportunity for a Nurse Manager Medical Surgical Renal position is ... unparalleled patient satisfaction. The Nurse Manager Surgical Renal will be an ... care and safety. The Nurse..
... looking for a skilled Nurse Manager Labor and Delivery to join ... rocky mountain communities. The Nurse Manager Labor and Delivery will be ... rocky mountain region. The Nurse..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
Job Description Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and ..
... looking for a skilled Nurse Manager Medical Surgical to join their ... rocky mountain communities. The Nurse Manager Medical Surgical will be joining ... in the world. The Nurse..
... Regional Office Technical Assistance and Compliance Program Manager Washington Department of Health Tumwater ... the implementation of the regional compliance program. Function as the regional ... as the regional..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Colorado Springs Colorado Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to ..
... healthcare needs are met in compliance with state and federal regulations ... and guidance for communities with regulatory deficiencies.Audits community clinical compliance and partners with other leaders ... include:..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Colorado Springs Colorado Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Springs Colorado Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
... Information Humana Medicaid Associate Director, Compliance Nursing in Colorado Springs Colorado ... Colorado Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
... full-time Registered Nurse Trauma Program Manager in Sterling, Colorado. In this ... referral facilities. Oversees and ensures compliance with local, state, or national ... current knowledge of national accreditation/state..