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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 The Quality Assurance, Clinical Professional 2 consults and collaborates with ... to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work assignments are varied..
... your personal attention and kindness, professional insight, and a generosity of ... the best possible outcomes and professional satisfaction. While our extensive organization ... of camaraderie, emphasizing friendly collaboration,..
Description The Senior Quality Assurance, Clinical Professional requires being both a nurse/RN and a certified Coder nurse as this position will be ... to ensure high accountability of compliance and..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied ... courses of action. Responsibilities The Quality Compliance Professional..
Job Information Humana Senior Accreditation Professional in Dover Delaware Description The ... Delaware Description The Senior Accreditation Professional works in a team environment ... performing complex tasks related to compliance..
Description The Senior Accreditation Professional works in a team environment ... performing complex tasks related to compliance with accreditation standards across multiple ... Home Anywhere The Senior Accreditation Professional works..
... 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..
Description Responsibilities The Senior Quality Assurance (Home Health) Clinical Professional consults and collaborates with clinicians/nurses ... to ensure high accountability of compliance and quality and claims are being reviewed .....
... Information Humana Medicaid Associate Director, Compliance Nursing in Dover Delaware Description ... Delaware Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... policy requirements. Ensure provision of quality patient care while maintaining cost-effective ... in accordance with all legal,..
Job Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in Dover Delaware ... Delaware Description The Risk Management Professional 2 identifies and analyzes..
... and more productive in their professional and personal lives. We encourage ... is committed to providing personalized, high-quality primary care combined with an ... and more productive in their..
... of camaraderie emphasizing friendly collaboration professional support and career development. Superior ... career development. Superior training UltraCare® quality control and certification procedures ensure ... succeed and advance as a..
... per physician orders that ensures quality, proper discharge planning and achieves ... of practice to deliver high quality care and achieve excellent patient ... caseload. Remains knowledgeable of organization's..
... for the position of Assistant Nurse Manager. 5C (40 bed) Teaching ... in both units with the Nurse Manager and the other ANMs. ... THIS ROLE WILL SUPPORT THE..
