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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..
... 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..
Job Functions, Duties, Responsibilities and Position Qualifications: Quality is in our DNA -- is it in yours? You are made of leadership material. You have proven people skills, an eye for ..
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 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 Summary: This position is responsible for the design, development, implementation, and evaluation of all clinical standards, such as clinical guidelines and protocols, for each level of care across the continuum ..
JOB SUMMARY Assesses, plans, implements and evaluates the needs of patients for discharge planning and utilization review. This includes those who may have Medicare, Medicaid, HMO or private insurance to cover ..
Administrative Supervisor PRN (as needed) Work location: Texas Health Flower Mound 4400 Long Prairie Rd, Flower Mound, Texas 75028 Work hours: PRN (As Needed), nights Department Highlights: Oversee admin duties at ..
... passion to help others? Transforming healthcare and millions of lives as ... transformational change. As a Case Manager, you’ll help provide a holistic, ... prior to employment to ensure..
What does an Associate Client Services Manager do? The Associate Client Services Manager will develop, and build relationships with new clients and expand market presence with inactive clients to increase top ..
Description Summary: Responsible for creating and facilitation training strategies/programs to support an operational team responsible for abstraction and pursuit of HEDIS® measures to ensure they reach operational milestones, gap closures, rates, ..
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..
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). ..
... the global leader in dialysis healthcare we know what it takes ... to succeed with a premier healthcare organization. As a key member ... all requirements of the FMCNA..
... is recruiting a Field Training Manager supporting the Oncology Solid Team. ... on disability.The Oncology Field Trainer Manager will report to the Sr. ... will report to the Sr...
Posted: 27-Feb-22 Location: Sunnyvale, Texas Salary: Open Categories: General Nursing Nursing Internal Number: 2205008317 JOB SUMMARY Provides leadership and oversight to the Medical/Surgical Unit. Ensures the delivery of optimal patient care ..