Manager Regulatory Compliance Jobs in Kansas

... Information Humana Medicaid Associate Director, Compliance Nursing in Overland Park Kansas ... Kansas 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..

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 relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Overland Park Kansas Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that ..

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 ..

Details Department: Nursing Administration - Pediatrics Schedule: 40 Hours, Full Time, Day Shift, Mon-Fri Hospital: Ascension Via Christi St Francis Location: 929 St Francis St Wichita, KS. 67214 Benefits Paid time ..

... Kindred at Home RN Clinical Manager Home Health Full Time in ... Overland Park Kansas The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in..

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 ..

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 ..

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 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..

Details Department: Nursing Administration - Med/Surg Schedule: 40 Hours, Full Time, Day Shift, Mon-Fri Hospital: Ascension Via Christi St Francis Location: 929 St Francis St Wichita, KS. 67214 Benefits Paid time ..

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 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 ..

Job Description - Implements quality management strategy that meets internal and external expectations for demonstrating quality outcomes. - Using innovation, integration, and information links the quality management activities to business goals. ..

Description Senior Compliance Professional ensures compliance with governmental requirements as they ... Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities The Senior Compliance..

Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Park Kansas Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..

... an Acute Rehab Unit Nurse Manager position is now available at ... The Acute Rehab Unit Nurse Manager will report to the ARU ... for the fiscal management, the..

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..

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 ..

Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Overland Park Kansas Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to ..

**_Sunrise Senior Living was again named as one of the Best Workplaces in Aging Services by Fortune and certified as a Great Place to Work by Activated Insights. This is the ..