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... 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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... is committed to providing personalized, high-quality primary care combined with an ... and more productive in their professional and personal lives. We promote ... for all. JOB SUMMARY: The..
... in Louisiana is seeking Medicaid Quality Audit Professionals - Behavior Health ... with BH community resources. Each Quality Audit Professional 2 will be assigned to ... a preliminary overview..
... all utilization reviews are in compliance with the terms of the ... multiple managers and highly specialized professional associates. Oversee inpatient utilization management ... contract changes and/or updates. Maintain..
... trainings and education programs for professional nursing, social work, and nonclinical ... associate orientation, ongoing training, and professional development in virtual and in ... Care Management, Utilization Management, and/or..
... care, services, and supports in compliance with our Louisiana Department of ... policies and procedures to ensure compliance with state and federal requirements ... to support the delivery of..
... policies and procedures to ensure compliance with state and federal requirements ... to support the delivery of high-quality utilization management services, including introducing ... to meet care and service..
... care, services, and supports in compliance with Louisiana Department of Health ... policies and procedures to ensure compliance with state and federal requirements ... to support the delivery of..
... 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 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..
