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... Information Humana Medicaid Associate Director, Compliance Nursing in Salem Oregon Description ... Oregon 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..
... 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..
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 Information Humana AVP, Stars and Risk Adjustment National Medical Director in Salem Oregon Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..
... is seeking a highly skilled Manager of Patient Access to oversee ... Access Services department. As the Manager of Patient Access, you will ... provision of high-quality customer services,..
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..
Job Information Centerwell RN Clinical Manager in Lake Oswego Oregon The ... Lake Oswego Oregon 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 ..
**Providence is calling a Clinical Case Manager (LCSW) - Utilization Review Quality Management (1.0 FTE, Day) to Providence Office Park Portland in Portland, OR** **$5,000 Sign-on Bonus for external candidates and ..
... is calling a Safety/Environmental Health Manager - Risk Compliance And Safety (1.0 FTE, Days) ... are seeking a Safety/Environmental Health Manager - Risk Compliance And Safety that will be..
Are you an experienced Radiology Manager with a passion for delivering ... are seeking an Outpatient Imaging Manager to oversee a team of ... and Ultrasound. The Outpatient Imaging Manager..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Salem Oregon Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Are you a nurse leader looking for an opportunity to advance in your career within a small community setting? A critical access hospital in central Oregon is looking for a Nurse ..
... beresponsible for safety quality and compliance activities. The Manager/Sr. Manager, Safety Quality and Compliance will be responsible for supporting ... readiness, internal audits and global regulatory inspections, assist with..
