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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Job ID 21000JAWAvailable Openings 1 PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of ..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
... direction of a RN in compliance with the state's Nurse Practice ... any applicable licensure/certification requirement, applicable healthcare standards, governmental laws and regulations, ... manager(s), other members of the..
Details Department: Orthopedics Schedule: Monday through Friday 8-5pm Hospital: Ascension Borgess Location: Kalamazoo, MI Benefits Paid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term & ..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..
Job Information Kindred at Home Physical Therapist Assistant Home Health Full Time in Kalamazoo Michigan As a Home Health Physical Therapist Assistant , you will: Administer the physical therapy treatment plan ..
Job Information Humana Quality Improvement Coordinator in Kalamazoo Michigan Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. The ..
DescriptionProvide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient's future-as well as your own. Connect with your goals and change ..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Kalamazoo Michigan Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they ... Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities The Senior Compliance..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Description The Behavioral Health Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group product implementation, operations, contract compliance, and federal contract application submissions. The ..
... to ensure documentation is in compliance with regulatory agencies and requirements ... are completed timely and in compliance with Medicare regulations. Coordinates communication ... policies and procedures to ensure..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
POSITION FEATURES:Patient Care, Patient Care Technician, Nurse Assistant, Certified Nurse Assistant, CNA, PCTSchedule: MWF & TTS. Staff rotates Saturdays. No nights. No Sundays. Most major holidays offPURPOSE AND SCOPE:Supports FMCNA’s mission, ..
POSITION FEATURES:Dialysis experience not required. Paid training provided.PURPOSE AND SCOPE:Supports FMCNA's mission vision core values and customer service philosophy. Adheres to the FMCNA Compliance Program including following all regulatory and FMS ..