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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
... projects; analyzing and summarizing quality data related to Health and Wellness ... to develop, execute, and monitor healthcare quality initiatives. Work in collaboration ... Bachelor's Degree in business or..
... the global leader in dialysis healthcare, we know what it takes ... to succeed with a premier healthcare organization. As a key member ... and other members of the..
... Coordination of Care studies. Analyzes data and implement corrective actions as ... Reviews medical records for supplemental data and enter data in supplemental data base. Understands department, segment, and..
PURPOSE 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. Responsible for maintaining the ..
... Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... the analysis of situations or data requires an in-depth evaluation of ... a Bachelor's degree in Business,..
... the global leader in dialysis healthcare: Fresenius Medical Care North America. ... we advance careers and the healthcare of countless individuals. Why Join ... a promising career with a..
... the global leader in dialysis healthcare we know what it takes ... to succeed with a premier healthcare organization. As a key member ... and other members of the..
PURPOSE AND SCOPE:The professional registered nurse Inpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 ..
Medical Director Opportunity - Medicare Risk Adjustment HCC Review - Puerto Rico (Option to be Florida Based)!!rnOption to either live in Puerto Rico or Florida...rnFull-Time Opportunity, M-F 8am - 5pm type ..
Job Information Humana UM Medical Director - Conviva in San Juan Puerto Rico Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve ..
Description The UM Administration Coordinator 2 contributes to administration of ... utilization management. The UM Administration Coordinator 2 performs varied activities and ... The Utilization Management (UM) Administration Coordinator 2..