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Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..
Description The Associate Director, Quality Assurance for Humana/Your Home Advantage (YHA) develops and implements programs to establish and maintain quality standards of existing products and services pertaining to In Home Wellness ..
Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..
Job Information Humana Bilingual Quality Auditor in Atlanta Georgia Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..
... Kindred at Home RN Clinical Manager Home Health Full Time in ... in Augusta Georgia The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the..
... Kindred at Home RN Clinical Manager- Offering $10,000 Sign-on bonus (M-F, ... in Stockbridge Georgia The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the..
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 ..
Job Information Centerwell RN Clinical Manager Home Health Full Time in ... in Decatur Georgia The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the QA/PI..
Description The Manager, Software Engineering codes software applications ... based on business requirements. The Manager, Software Engineering works within specific ... schedules and goals. Responsibilities The Manager, Software Engineering standardizes..
Job Information Humana Technical Product Manager - Remote in Atlanta Georgia ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
PURPOSE AND SCOPE:Responsible for the day-to-day program operations and supporting the growth of the assigned single site Home Therapies program in coordination with the Business Unit management, in-center staff and other ..
... Kindred at Home RN Clinical Manager in Sandy Springs Georgia The ... Sandy Springs Georgia The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the..
Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - Remote, US in Atlanta Georgia Description Humana Healthy Horizons is seeking a Senior Quality Program Delivery Professional who will manage and ..
Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..
Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Atlanta Georgia Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be responsible for the end ..
... Kindred at Home RN Clinical Manager in Savannah Georgia The Clinical ... in Savannah Georgia The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the..
... & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US ... & Risk Management Quality Audit (QA) Risk Management Professional 2, you ... for executing the Compliance Oversight..
Job Information Kindred at Home Director Clinical Quality Analytics - Remote position in Atlanta Georgia The Director, Clinical Quality Analytics manages across multiple cross-functional teams of applications, infrastructure, and business resources ..
... Kindred at Home RN Clinical Manager Home Health Full Time in ... in Bainbridge Georgia The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the..
... Kindred at Home RN Clinical Manager Home Health- Offering 10k Sign-on ... in Griffin Georgia The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the..
Job Information Centerwell RN Clinical Manager in Decatur Georgia The Clinical ... in Decatur Georgia The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the QA/PI..