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... and actively participates in process improvement activities that enhance the likelihood ... competency evaluations/audits to ensure ongoing performance of other PCT’s. Collaborates with ... PCT’s. Collaborates with the Clinical..
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Jobs Rated 122nd The Case Manager is responsible for assuring the ... by the Employee Standards of Performance, hospital and department policies and ... clear understanding of continuous quality improvement..
... Medical Director. Regularly reviews integration performance, network adequacy, performance improvement projects, and surveys related to ... Shall work closely with the Performance/Quality Improvement Coordinator, Behavioral Health Network Director, .....
... in Louisiana is seeking a Manager, Utilization Management Nursing who will ... and/or benefit administration determinations. The Manager, Utilization Management Nursing applies a ... management programs. Collect and analyze..
PURPOSE AND SCOPE:The student intern supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. The student ..
... in Louisiana is seeking a Manager, Utilization Management (Behavioral Health) who ... and/or benefit administration determinations. The Manager, Utilization Management Behavioral Health applies ... management programs. Collect and analyze..
Description Humana Healthy Horizons in Louisiana is seeking a RN, Clinical Educator (Nursing Educator 2) who will plan, direct, coordinate, evaluate, develop, and/or deliver trainings and education programs for professional nursing, ..
Description The Medicaid Housing Specialist (Care Management Support Professional 1)contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or ..
Description Humana Healthy Horizons in Louisiana is seeking RN Managers of Care Management who will lead our physical health/behavioral health care management operations and staff to ensure timely and culturally-competent delivery ..