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... Information Humana Medicaid Associate Director, Compliance Nursing in Pittsburgh Pennsylvania Description ... Pennsylvania 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..
... Kindred at Home RN Clinical Manager in Wilkes Barre Pennsylvania The ... Wilkes Barre Pennsylvania The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in..
... Kindred at Home RN Clinical Manager Home Health Full Time in ... in Lancaster Pennsylvania The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Pittsburgh Pennsylvania Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
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..
... 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..
... SUMMARY OF POSITION The Nurse Manager will be responsible for daily ... quality and safety, patient/staff/physician satisfaction, compliance with regulatory agencies and policy and procedure ... and procedure development...
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..
... applicable state, federal laws and regulatory compliance. Implementu00a0all care management reviews according ... SKILLS Working knowledge of pertinent regulatory and compliance guidelines and medical policies Ability ... employees to..
... Humana Automated Dispensing System (ADS) Compliance Technician in Pittsburgh Pennsylvania Description ... nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice ... monitoring and promoting operational and..
... records to ensure continuity and compliance across the company. Coordinate monthly ... and Corporate level. Maintain HIPPA compliance and educate on privacy rights. ... reduce loss. Collaborate with HR..
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 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 Humana Compliance Lead - Illinois Medicaid in ... in Pittsburgh Pennsylvania Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of .....
... 21000NJPAvailable Openings 1PURPOSE AND SCOPE:The Manager, Revenue Cycle provides direction and ... to ensure operations are in compliance with all applicable local, state, ... applicable local, state, federal and..
