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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 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 ..
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 Metairie Louisiana Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be responsible for the end ..
Job Description 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 their ..
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 Information Humana Senior Quality Program Delivery Professional (Medicaid) - Remote, US in Metairie Louisiana Description Humana Healthy Horizons is seeking a Senior Quality Program Delivery Professional who will manage and ..
Job Information Humana Technical Product Manager - Remote in Metairie Louisiana ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
... by the National Association of HealthCare Quality (NAHQ) or a Certified ... (NAHQ) or a Certified in HealthCare Quality and Management (CHCQM) by ... Quality Improvement/Quality Assurance in the..
... Kindred at Home RN Clinical Manager in Marksville Louisiana The Clinical ... in Marksville Louisiana The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the..
PURPOSE AND SCOPE:Manages patient care in home therapies programs while maintaining cost-effective clinical operations. Provides direction and guidance to the interdisciplinary team providing care to the Home Therapies patients to ensure ..
... & 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..
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..
... Kindred at Home RN Clinical Manager Home Health Full Time in ... Sign-On Bonus Available! The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the..
Apply Now Share this job Send yourself a reminder Alert me to jobs like this one Acadiana CARES, in conjunction with the Louisiana Office of Public Health-STD/HIV/Hepatitis Program, is currently recruiting ..