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Description Healthcare isn't just about health anymore. ... of our patients, and the healthcare industry as a whole. As ... a whole. As a senior-focused healthcare provider, and subsidiary of..
Description The Record Retrieval Specialist Representative 2 conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and ..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities Seeking Senior..
Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
**_Sunrise Senior Living was again named as one of the Best Workplaces in Aging Services by Fortune and certified as a Great Place to Work by Activated Insights. This is the ..
OverviewnJoin an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Providence Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your ..
For Employers Senior Healthcare Recruiter Next Move, Inc Kansas ... sourcing specialists, account managers, and compliance team to place the most ... candidates in clinical environments where healthcare providers can..
... whether services provided by other healthcare professionals are in agreement with ... of services provided by other healthcare professionals in compliance with review policies, procedures, and ... with a..
... Information Humana Actuary, Risk and Compliance in Overland Park Kansas Description ... within the Senior Products Actuarial Compliance team focused on special Medicare ... special programs, this role supports..
Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..
... is looking for an experienced Healthcare Investigator to join its industry ... a thorough investigation to maintain compliance with Humana and governmental requirements ... external partners (Law Enforcement, Legal,..
... at Home Licensing and Regulatory Compliance Specialist in Overland Park Kansas As ... As a Licensing and Regulatory Compliance Specialist , you will: Prepare and ... on behalf of..
Description The Supervisor, Compliance Nursing reviews utilization management activities ... waste, and abuse. The Supervisor, Compliance Nursing works within thorough, prescribed ... analytical approach. Responsibilities The Supervisor, Compliance Nursing ensures..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..
... and analytical approach. Must support compliance related functions under the UMAC ... manages attendance, schedules, assignments, and compliance expectations to ensure adequate coverage ... the business need and maintain..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Job Information Humana CenterWell Kansas City - Physician in Kansas City Missouri Description Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers ..