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... core quality measures, COP and regulatory and all other accrediting and ... and all other accrediting and regulatory agencies. Ensures compliance with JCAHO, ... with JCAHO, and all legal,..
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Description The RN, Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The RN ..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires ..
Description CarePlus is seeking a Clinical Business Lead who will lead teams of nurses and behavior health professionals responsible for Care Management and Utilization Management. The Clinical Business Lead works on ..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management who will lead teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care ..
... Specific Information ***This clinic will manager between 50-125 patients***PURPOSE AND SCOPE: ... Compliance Program, including following all regulatory and FMS policy requirements. Ensure ... with all legal, compliance, and..