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... coordination, documentation and communication of medical services and/or benefit administration determinations. ... maintain all activities and processes necessary to maintain compliance with NCQA ... providers throughout the region. Weekly..
... - one (1) year of experience in long term care, hospital ... care, hospital and/or Medicare/Medicaid Program experience, plus a minimum of two ... of two (2) years of..
... Worker (LSW) Unrestricted Licensed Practical Nurse (LPN) in the state of ... Illinois with one (1) year experience in conducting comprehensive assessments and ... of four (4) years relevant..
... direct supervision of a licensed nurse in accordance with FMCNA policies, ... complaints or observations to the nurse supervisor. Evaluate vascular access for ... report any unusual findings to..
... Quality Compliance Professional 2 completes medical records reviews for Coordination of ... corrective actions as needed. Reviews medical records for supplemental data and ... Required Qualifications Associate Degree Registered..
... day of employment. Benefits include: Medical Benefits Dental Benefits Vision Benefits ... within the first 90 days. Review additional Information to learn more ... - one (1) year of..
Job Information Humana Nurse Auditor 2-Remote/Virtual in US in ... in Peoria Illinois Description The Nurse Auditor 2 performs clinical audit/validation ... audit/validation processes to ensure that medical record documentation..