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... Home Advantage (YHA) Market Clinical Manager (MCM) will lead a team ... Assessments (IHWA). The Market Clinical Manager provides leadership, clinical management and ... practice providers. The Market Clinical..
Description The Senior Product Manager - Fully Insured supports strategy ... business. Responsibilities The Senior Product Manager supports all phases of the ... desired outcomes. The Senior Product Manager will..
... Information Humana Medicaid Associate Director, Compliance Nursing in Charlotte North Carolina ... Carolina Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
Job Information Humana Manager, Credentialing in Charlotte North Carolina ... North Carolina Description Responsibilities The Manager, Certifications Operations reviews the applicant's ... and recommends changes that assure compliance with contract..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... North Carolina Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Job Information Humana Lead Product Manager - Ancillary Products in Charlotte ... Carolina Description The Lead Product Manager Leads all phases of the ... needed. Responsibilities The Lead Product Manager..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Charlotte ... Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... auditing for quality and clinical compliance,..
Description The Care Manager, Telephonic Nurse 2 employs a ... skills. This is a very compliance driven and highly visible program ... the auto dialer process and compliance needs of..
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 Information Humana Lead Product Manager - Group Dental, Vision and ... Carolina Description The Lead Product Manager Leads all phases of the ... needed. Responsibilities The Lead Product Manager..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
... Kindred at Home RN Clinical Manager Home Health Full Time in ... Greenville North Carolina The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in..
Job Information Humana HCS Compliance & Risk Management Quality Audit ... action. Responsibilities As a HCS Compliance & Risk Management Quality Audit ... be responsible for executing the Compliance Oversight..
Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..
Job Information Humana Manager of Fraud and Abuse Data ... North Carolina Description Responsibilities The Manager of Fraud and Abuse Data ... TRICARE Policy Manuals and ensures compliance with applicable..
Description The Lead Product Manager for Specialty products leads all ... Position Overview The Lead Product Manager Leads all phases of the ... Key Responsibilities The Lead Product Manager works..
Description The Manager, Compliance Nursing reviews utilization management activities ... fraud, waste, and abuse. The Manager, Compliance Nursing works within specific guidelines ... schedules and goals. Responsibilities The Manager, Compliance..
... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... in accordance with all legal, compliance, and regulatory requirements and programs. ... all requirements of the FMCNA..
... Kindred at Home RN Clinical Manager - Gastonia, NC in Gastonia ... Gastonia North Carolina The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in..
... Kindred at Home RN Clinical Manager in Gastonia North Carolina The ... Gastonia North Carolina The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in..
Description The Care Manager, Telephonic Behavioral Health 2, in ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... Humana is seeking a Care Manager, Telephonic Behavioral..
Description The Bilingual Manager, Learning Facilitation , plans, coordinates, ... Grievances and Appeals Learning Facilitation Manager Oversee a team of instructors ... Update as process change for compliance and oversight..
Job Information Humana Senior Quality Compliance Professional in Charlotte North Carolina ... Carolina Description The Senior Quality Compliance Professional completes annual quality reviews ... and research. The Senior Quality Compliance..
