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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 ..
Job Information Humana Clinical Vendor Management Lead - Remote, FL in Homestead Florida Description The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical Vendor Management ..
The Graduate School has an exciting opportunity for a full-time Senior Program Coordinator to work in Coral Gables, FL. The Senior Program Coordinator reports to the Senior Manager of Programs and ..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management who will lead teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care ..
... Electronic Medical Record (EMR)/Informatics and IT Leadership, Quality and Risk Management ... maximize operational efficiency. Serves as Project Manager for special projects as assigned. ... MINIMUM QUALIFICATIONS Bachelor's degree..
The Customer Service Rep - Facilities Operations Control serves as a liaison to faculty, staff, and facility managers to ensure the safety of facility occupants and guarantee the smooth operations of ..
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 ..
... University's Office of Academic Enhancement. It promotes scholarship, ethical citizenship, and ... nomination of candidates. The Program Manager for Prestigious Awards and Fellowships ... of the PAF office as..