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Description The RN, Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The RN ..
Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..
Job ID 21000HUWAvailable Openings 2PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
... procedural and Florida Agency for Healthcare Administration (ACHA). Ensure adoption and ... compliance with Florida Agency for Healthcare Administration (ACHA), NCQA, Department of ... Bachelor's Degree in health services,..
PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision ..
Job Information Humana Care Coach - Marion, Citrus, Levy Counties - FL in Inverness Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain ..
Job Information Humana Care Coach - Marion/Citrus County - FL in Citrus Springs Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal ..
Job Information Humana Clinical Vendor Management Lead - Remote, FL in Brooksville Florida Description The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical Vendor Management ..
Job Information Centerwell Medical Records Specialist in Lecanto Florida The primary function of the Medical Records Specialist is to provide clerical support for the Medical Records department. Prepare patient assessment packets, ..
Job Information Humana Care Coach 1 - Brooksville (Hernando County) - Florida in Brooksville Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain ..
Job Information Humana Clinical Vendor Management Lead - Remote, FL in Citrus Springs Florida Description The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical Vendor ..
Job Information Humana Care Coach 1 - Hernando/Sumter County, FL in Brooksville Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness ..
Description CarePlus is seeking a Clinical Business Lead who will lead teams of nurses and behavior health professionals responsible for Care Management and Utilization Management. The Clinical Business Lead works on ..
Job Information Humana Care Coach - Marion/Citrus County - FL in Inverness Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness ..
Job Information Humana Clinical Vendor Management Lead - Remote, FL in Inverness Florida Description The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical Vendor Management ..