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... Information Humana Medicaid Associate Director, Compliance Nursing in Lancaster South Carolina ... Carolina Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
... are 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..
... multiple managers or highly specialized professional associates. The role requires experience ... team as necessary to ensure compliance with all local policies and ... and clinical claims reviews Assure..
... 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 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..
... 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 Lancaster South Carolina Description ... Carolina 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..