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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 Information Centerwell RN Clinical Manager in FLINT Michigan The Clinical ... in FLINT Michigan The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the QA/PI..
Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Troy Michigan Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be responsible for the end ..
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 ..
... & 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, 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). ..
... Kindred at Home RN Clinical Manager in Kalamazoo Michigan The Clinical ... in Kalamazoo Michigan The Clinical Manager coordinates and oversees all direct ... documentation requirements. 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..
... to make a difference in healthcare? Landmark Health was created to ... was created to transform how healthcare is delivered to the most ... ill-equipped to navigate our overwhelming..
Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - Remote, US in Troy Michigan Description Humana Healthy Horizons is seeking a Senior Quality Program Delivery Professional who will manage and ..
Job Information Centerwell RN Clinical Manager in Grand Rapids Michigan The ... Grand Rapids Michigan The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the QA/PI..
Job Information Humana Bilingual Quality Auditor in Troy Michigan Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..
Job Information Humana Technical Product Manager - Remote in Troy Michigan ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
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 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 ..
Saint Joseph Mercy Health System (SJMHS) and Warde Medical Laboratory have an outstanding full-time employment opportunity for an experienced and Board Certified Pathology physician to serve as the Medical Director for ..