THE LARGEST COLLECTION OF JOBS ON EARTH
healthcare
Supports PDF, DOC, DOCX, TXT, XLS, WPD, HTM, HTML files up to 5 MB
... Information Humana Medicaid Associate Director, Compliance Nursing in Minneapolis Minnesota Description ... Minnesota 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 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..
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..
... state to cover as Clinical Manager as needed. PURPOSE AND SCOPE: ... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure .....
... 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 ... Minneapolis Minnesota Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Job Information Centerwell RN Clinical Manager Home Health Full Time in ... in Edina Minnesota The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in compliance..
**SENIOR REGULATORY AFFAIRS SPECIALIST - CARDIAC SURGERY** ... that Change Lives** The **Senior Regulatory Affairs Specialist** is responsible for ... Specialist** is responsible for developing regulatory strategies, preparing U.S. and..
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'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 ..
... behalf of the customer. Ensures compliance with hospital regulations and participates ... Confer routinely with Technical Program Manager and Technical Operations Manager to ensure preventative maintenance program ... policies..
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 ..
... the Sr Privacy Technology Program Manager, Global Data Protection & Privacy ... Record of Processing Activities (RoPA) Compliance Specialist will be responsible for ... resolutions to information requests, including..
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 AVP, Stars and Risk Adjustment National Medical Director in Minneapolis Minnesota Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..
Description Compliance (UM) Letters Coordinator 2 conducts ... Coordinator 2 conducts and summarizes compliance audits. Compliance (UM) Letters Coordinator 2 performs ... - Saturday 9am-6pm CST The Compliance (UM) Letters..
