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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..
... home office, reporting to the Manager, Facility Remote Coding Services within ... Coding Auditor ensures that coding compliance initiatives are met for our ... following the client’s Corporate Coding..
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 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). ..
Posted: 26-Feb-22 Location: Wilmington, North Carolina Salary: Unpaid Categories: General Nursing Internal Number: 21005938_19 Description Registered Nurse Progressive Care Unit AdventHealth Waterman Location Address: 1000 Waterman Way Tavares, Florida 32778 Top ..
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 ..
... direction of a RN in compliance with the state's Nurse Practice ... any applicable licensure/certification requirement, applicable healthcare standards, governmental laws and regulations, ... contact with patients, physicians, clinical..
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 Centerwell RN Clinical Manager in Delco North Carolina The ... Delco North Carolina The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in compliance..