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... Information Humana Medicaid Associate Director, Compliance Nursing in Boston Massachusetts Description ... Massachusetts 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 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..
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 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..
... Kindred at Home RN Clinical Manager $25,000 Sign on Bonus in ... in Sandwich, MA The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Boston Massachusetts 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. The ... of Clinical Educators, Regional MSW Manager, facility master social work and .....
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..
... of Pharmacy Operations, this Pharmacy Manager - Sterile Products role is ... and managing operations, practices, and regulatory compliance across BIDMC’s multiple pharmacy sterile ... process improvement skills, the..
... well-organized, dynamic, highly motivated project manager to help us deliver on ... Anderson and the Sr. Lab Manager, the clinical research project manager will have responsibility for day-to-day .....
General Summary / Overview Statement Directs daily operations of ambulatory pharmacy services. Works closely with the Director of Ambulatory Pharmacy to grow the ambulatory service line Provides oversight of collaborative drug ..
... the direction of the Pharmacy Manager or pharmacist, prepares, and files ... exercises independent judgment to ensure compliance and execution of all business ... equipment. In collaboration with Pharmacy..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Boston Massachusetts Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Job Information Centerwell RN Clinical Manager Home Health $25,000 Sign On ... Sign-On Bonus Available The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in compliance..
... objectives, sound research principles and regulatory requirements under the direction of ... the BIDMC. The Senior Project Manager will oversee research study protocols ... IPCAVD program. The Senior Project..
Patient Care Services n n Directs all patient care services for the team, including volunteer and bereavement, and ensures that services are rendered as integrated components of the interdisciplinary plan of ..
... collaboratively with the center’s Practice Manager, Medical Director, and Pharmacist on ... appropriately according to practice and regulatory requirements Collects patient health data ... ensure goals are achieved Ensures..
