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Description The RN, Compliance Nurse 2 reviews utilization management ... waste, and abuse. The RN Compliance Nurse 2 work assignments are ... of action. Responsibilities The RN Compliance Nurse 2..
... behalf of the customer. Ensures compliance with hospital regulations and participates ... Confer routinely with Technical Program Manager and Technical Operations Manager to ensure preventative maintenance program ... policies..
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 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..
... part of the future of healthcare, apply today. PRINCIPAL RESPONSIBILITIES AND ... departments.Collaborates with the Home Therapies Manager to oversee the facility’s Home ... process for physician privileges and..
Jacksonville, Florida, PM&R Medical Director OpeningnnntClinical Role:nntnttDo you know someone that might be a good fit for this position? Please ask about our generous referral fees! nttSeeking a board certified or ..
Job Information Kindred at Home Home Health Admissions RN in Orange Park Florida The Clinical Assessment Advisor directly completes and oversees development/ of the plan of treatment as approved by physician, ..
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 ..
... 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..
... procedures, and training and in compliance with regulations set forth by ... other PCT’s.Collaborates with the Clinical Manager and Education Coordinator in driving ... systems incorporated into training, including..
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 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 ..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires ..
... all requirements of the FMCNA Compliance Program and FMS patient care ... hemodialysis therapy to patients in compliance with standards outlined in the ... related to diet/fluid and medication..
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..
Description The Community Health Worker contributes to the administration of Care Management and Utilization Management. The individual in this role provides non-clinical support to the assessment and evaluation of member's needs ..
... 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..
... Kindred at Home RN Clinical Manager in Jacksonville Florida The Clinical ... in Jacksonville Florida The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in..
... all utilization reviews are in compliance with the terms of the ... procedural and Florida Agency for Healthcare Administration (ACHA). Ensure adoption and ... contract changes and/or updates. Maintain..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management who will lead teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care ..
