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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 ..
Job Description Summary: Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we help people on ..
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 ..
... Kindred at Home RN Clinical Manager Home Health Full Time in ... Overland Park Kansas 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 Humana Senior Quality Program Delivery Professional (Medicaid) - Remote, US in Overland Park Kansas Description Humana Healthy Horizons is seeking a Senior Quality Program Delivery Professional who will manage ..
... Overland Park Kansas Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... regional strategies for physician and..
Job Information Humana UM Medical Director - Conviva in Overland Park Kansas Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
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). ..
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 Description Johnson County Mental Health Department is looking for a qualified candidate to fill the position of TeamLeader for their Adult Services program. The team leader will provide administrative and ..
Description This position is for Enclara Pharmacia, a Humana company. Enclara, is a wholly owned hospice and palliative care pharmacy business acquired by Humana in 2021. Enclara is the nation's largest ..
Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Overland Park Kansas Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be responsible for the ..
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 Overland Park ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
Job Information Humana Associate Director, Site Reliability Engineering in Overland Park Kansas Description The Associate Director, Site Reliability Engineering maintains, integrates and implements software applications within the organization. The Associate Director, ..
... Overland Park Kansas Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
Location: 813 Maiden Choice Lane by Erickson Senior Living Annu2019s Choice is a beautiful 103-acre continuing care retirement community in Bucks County, Pennsylvania. Weu2019re part of a growing network of communities ..
Job Description - Implements quality management strategy that meets internal and external expectations for demonstrating quality outcomes. - Using innovation, integration, and information links the quality management activities to business goals. ..