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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..
... procedures, and training and in compliance with regulations set forth by ... PCT’s. Collaborates with the Clinical Manager and Education Coordinator in driving ... are incorporated into training, including..
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 Centerwell RN Clinical Manager in Kingsport Tennessee The Clinical ... in Kingsport Tennessee The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in compliance..
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 ..
... company-specific policy and procedures, applicable healthcare standards, governmental laws, and regulations. ... to treatment to the Clinical Manager and the Participates in the ... are provided to patients in..
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). ..
Job Description Health is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we're ..
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..
