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... Governance is the combination of Compliance processes established and executed that ... 5 years experience with accrediting compliance for medicare advantage programs. Medicare, ... Advanced degree Experience in Project..
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... Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. ... of care concerns Potential for under/over-utilization Perform clinical and system audits, ... Associates degree in Nursing Registered..
Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses ... members. The Care Manager, Telephonic Nurse 2 work assignments are varied and ... The Transplant Care Manager,..
... not be limited to, Care Management, Utilization Management, and/or Compliance. RN licensure is required. Begins ... of clinical experience Licensed Registered Nurse (RN) in the (appropriate state) ... PowerPoint..
Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure ... fraud, waste, and abuse. The Compliance Nurse 2 work assignments are varied and ... courses of..
... The Transplant Care Manager, Telephonic Nurse 2 , in a telephonic environment, ... The Transplant Care Manager, Telephonic Nurse 2 work assignments are varied and ... The Transplant Care..
... Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, assesses ... Care Manager, Telephonic Behavioral Health 2 work assignments are varied and ... Care Manager, Telephonic Behavioral Health..
... Information Humana Medicaid Associate Director, Compliance Nursing in Louisville Kentucky Description The Associate Director, ... Kentucky Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... and goals. Responsibilities The Manager, Utilization..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... succeed, we succeed! The Manager, Utilization..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The Associate Director, Utilization Management Nursing requires a solid understanding ... delivery process. The Associate Director,..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing ... documentation for quality and clinical compliance with contract requirements as outlined ... ensure all providers are in..
Description The Compliance Nurse 2 reviews care management activities and documentation to ensure ... fraud, waste, and abuse. The Compliance Nurse 2 work assignments are varied and ... appropriate courses..
