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... Member Plan (EFMP). Auditing for quality and clinical compliance, and case management. Serve as ... Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Psychologist (PhD), Registered ... Counselor (LPC),..
... and processes necessary to maintain compliance with NCQA and MMOC standards ... leadership to achieve and maintain compliance. Collect and analyze data daily, ... of SCM nurses queues for..
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Description Responsibilities The Compliance Professional 2 has responsibilities for performing ... on medical record documentation for quality and clinical compliance with contract requirements as outlined ... CPT Codes. KEY ACCOUNTABILITIES..
... they are receiving the best quality of care possible. You will ... communication with members Adhere to compliance standards, state and federal regulations ... individual licensing boards Participate in..
... Information Humana Medicaid Associate Director, Compliance Nursing in Anchorage Alaska Description ... Alaska Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..