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Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..
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Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed! The Manager, Utilization Management Nursing..
... Compliance Program, including following all regulatory and FMS policy requirements. PRINCIPAL ... programs which require the case manager to meet the patient, the ... case management program. Participates in..
Position Objective: The Project Manager (PM) is responsible for the ... execution of an assigned capital project or series of projects for ... and oversight all facets of project execution..
... Compliance Program, including following all regulatory and FMS policy requirements. Ensure ... with all legal, compliance, and regulatory requirements and programs. Adheres to ... standards through meeting all ESRD..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
... minimal supervision from the Senior Manager, the Clinical Documentation Manager is responsible for overseeing the ... healthcare data. The Clinical Documentation Manager is guided by the Association ... Documentation..
... provider experience, as well as project manage the market rollout end-to-end. ... Medicaid markets Create and manage project plans to ensure effective and ... and timelines for provider services..
Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..
... and Epidemiology Research & Development Project Lead (CEPL), you will have ... and Epidemiology Research & Development Project Lead in representing GSK Vaccines ... team across departments (clinical, safety,..
Assistant Medical Center Manager Capitol Heights, MD Location US-MD-Capitol Heights Job ID 191400 Pos. Category Medical Center - Leadership Pos. Type Full Time Regular Overview Do you want to use your ..
Job Information Humana Senior Project Manager -- Remote in Washington District ... Of Columbia Description The Senior Project Manager manages all aspects of a ... manages all aspects of a..
Ambulatory Svcs OPS & PI Manager (EVERGREEN) ','230001JY','!*!The Operations and Process ... ','230001JY','!*!The Operations and Process Improvement Manager for Ambulatory Services will facilitate, ... Transformation, the Operations and PI Manager..
PURPOSE AND SCOPE:The student intern supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. The student ..
Job Summary: The Clinical Research manager is a key position at ... all phases of clinical trials (2) support the regulatory filing of pipeline products; (3) ... and drafting of..
Job Information Humana Senior Project Manager -- Remote in Bethesda Maryland ... Bethesda Maryland Description The Senior Project Manager manages all aspects of a ... manages all aspects of a..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..