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... and geriatric patients. 4. ASSURES QUALITY OF CARE By adhering to ... state board of nursing, State Nurse Practice Act, and other governing ... controlled substance regulations. By maintaining..
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... Information Humana Medicaid Associate Director, Compliance Nursing in Jersey City New ... Jersey Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
... 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..
... 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,..
... is committed to providing personalized, high-quality primary care combined with an ... and more productive in their professional and personal lives. We promote ... environment for all. Responsibilities The..
Description The Senior Clinical Business Professional is a clinical partner to ... team. The Senior Clinical Business Professional work assignments involve moderately complex ... business reviews in accordance with compliance..
... is committed to providing personalized, high-quality primary care combined with an ... and more productive in their professional and personal lives. We promote ... based care provider focused on..
... 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..
Job Information Humana Senior Accreditation Professional in Jersey City New Jersey ... Jersey Description The Senior Accreditation Professional works in a team environment ... performing complex tasks related to compliance..
... 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..
... 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 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..