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... Health Parity, Clinical compliance, and quality performance and staffing management. Detailed ... Audit team to assure high quality and compliant care is delivered ... business related field; *Active clinical..
Description Responsibilities The Telephonic Care Manager will be part of the ... of the condition/disease. The care manager will assess, plan, coordinate, implement, ... capacity for self-care to enhance quality..
... for inpatient cases. Participate in Quality Operations including Quality Management Committee, monitor initial peer ... monitor initial peer review on quality of care complaints Participate in ... of Humana..
Job Information Humana Care Manager, Telephonic Nurse 2 Certified Diabetes ... to behavior change and improved quality of life across the lifespan. ... advocates for members to optimize quality care...
... on medical record documentation for quality and clinical compliance with contract ... CPT Codes. KEY ACCOUNTABILITIES 95% Quality Monitoring Audits Review and assess ... (LPC), Psychologist (PhD), Registered Nurse..
Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance with accreditation standards across multiple operational areas within Humana. Responsibilities ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Billings Montana ... in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be ... Stars Program...
... (CCM) organization is seeking a Manager, Fraud & Waste to join ... As the Fraud & Waste Manager at Humana, you will support ... so that our members receive..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... and other military healthcare programs. High-quality service, cost-effective platforms, and progressive ... Government. Responsibilities The Telephonic Care Manager will..
... and other military healthcare programs. High-quality service, cost-effective platforms, and progressive ... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary. The PDC Care..
Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - ... Horizons is seeking a Senior Quality Program Delivery Professional who will ... who will manage and support quality improvement..
... Under general supervision of the, Manager, Clinical Coordinator, Director and/or as ... national standards and which support quality outcomes. Works collaboratively with the ... physiological status. * Utilizes performance..
... Humana Nationwide Medicaid Behavioral Health Quality Lead in Billings Montana Description ... Montana Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..
... nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice ... an account or branch for quality assessment, education and clinical training, ... and clinical training, and process..
Description The Quality Compliance Professional 2 completes annual ... Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments ... courses of action. Responsibilities..
... Healthy Horizons have access to quality care for their behavioral health ... as a key leader in quality improvement oversight and activities. Represent the ... Marriage and Family Therapist..
