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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..
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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 ..
Job ID 21000LP5Available Openings 1PURPOSE AND SCOPE: Develops, implements, maintains and evaluates an effective, data-driven, quality assessment and performance improvement program(s) with participation by other members of the interdisciplinary team. Serves ..
... 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..
Job Overview Type of role: Clinical Manager - Heart & Vascular Contract: Full-time, permanent Location: Cork The client I am delighted to assist my client, a leading Private Hospital based in ..
Health Center Manager Apply Job ID 25542 Date ... is seeking a Health Center Manager for our Saratoga Springs, NY ... management Works closely with Operations Manager, other internal departments..
Job Information Humana Senior Project Manager -- Remote in Albany New ... New York Description The Senior Project Manager manages all aspects of a ... manages all aspects of a..
... Compliance Program, including following all regulatory and FVC/FMS policy requirements. Provides ... the direction of the Facility Manager and/or Charge Registered Nurse, utilizing ... FVC quality standards through meeting..
To supervise and monitor the operation of the division of Cytology in compliance with appropriate regulatory agencies (City, State, Federal, accrediting bodies) to ensure accurate and timely quality cytology services to ..
Title: SADC QA Analyst Location: Albany, NY Will be hybrid with remote and in-office work. Candidates should be local to the area or willing to relocate. Duration: through 12/31/2022 As a ..
Job Description This is a fully remote role. Applicants can reside anywhere in the county but must be comfortable working EST hours Monday-Friday. Potential for future travel. Accountable for health care ..
Title: QA Analyst Duration: 12 months Location: Albany Remote for now, due to COVID As a Quality Assurance (QA) Analyst, you will collaborate with team members to support our clients through ..
... structure aligned with BU strategies, 2) manage projects related to key ... the organizations you support.Direct small project and cross-functional teams of colleagues ... development, market access & pricing,..
The Center for Disability Services offers hope, innovation, and achievement to the people we support. For 80 years, we have been one of upstate New Yorku2019s largest providers of programs and ..
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 ..
The Center for Disability Services offers hope, innovation and achievement to the people we support.For 80 years, we have been one of upstate New Yorku2019s largest providers of programs and services ..
... 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..
