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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..
... Our expanding organization wants compassionate healthcare professionals like you to help ... Summa Health System and Vibra Healthcare, is a state of the ... We are looking for dedicated..
... fraud, waste, and abuse (FWA) compliance program to prevent and detect ... out the provisions of the compliance plan, including FWA policies and ... Oversee internal investigations of FWA..
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 ..
Job Information Humana Care Manager, Licensed Behavioral Health Professional or ... Ohio Description The Field Care Manager, Behavioral Health 2 (Care Manager, Behavioral Health) assesses and evaluates ... members. Responsibilities..
... care, services, and supports in compliance with Ohio Department of Medicaid ... policies and procedures to ensure compliance with state and federal requirements ... years' experience working in the..
... looking for a Licensedu00a0Assistant Eyeglass Manager to join our growing team. ... team. The Licensed Assistant Eyeglass Manager assists the General Manager with store operations and ensures ... department..
Job Information Centerwell RN Clinical Manager Home Health Full Time in ... in Akron Ohio The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in compliance..
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). ..
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..
Job Information Humana Manager, Care Management(Behavioral Health) - Ohio ... care, services, and supports in compliance with Ohio Department of Medicaid ... policies and procedures to ensure compliance with state..
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 ..
Job Information Humana Care Manager, Registered Nurse, RN - Maternity, ... Ohio Description The Field Care Manager assesses and evaluates member's needs ... members. Responsibilities The Field Care Manager Nurse..
