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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 ... City Florida Description The Clinical Vendor Management Lead works as clinical ... vendors and organization. The Clinical Vendor Management..
Job Information Humana Care Coach 1 - St Johns County - FL in Panama City Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or ..
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 ..
... 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,..
... Qualifications Bachelor's degree in a healthcare field or equivalent experience. 5 ... years of experience in managed healthcare analysis, preferably as a Business ... done through an approved Humana..
Details Department: Imaging Administration Schedule: Full Time, Monday to Friday Hospital: Ascension Sacred Heart Hospital - Bay Location: Panama City, FL As Radiology Manager you will have 24/7 operational responsibility for ..
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 ..
