Healthcare Qa Manager Jobs in South Carolina

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, 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 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 ..

... Kindred at Home RN Clinical Manager - Beaufort, SC in Bluffton ... Bluffton South Carolina The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the..

Job Information Centerwell RN Clinical Manager Home Health Full Time in ... Orangeburg South Carolina The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the QA/PI..

Job Information Centerwell RN Clinical Manager in Myrtle Beach South Carolina ... Beach South Carolina The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the QA/PI..

... Kindred at Home RN Clinical Manager in Aiken South Carolina The ... Aiken South Carolina The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the..

... Kindred at Home RN Clinical Manager Home Health Full Time in ... Greenville South Carolina The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the..

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 ..

... SIGN ON BONUS RN Nurse Manager CV/TELE Full Time Days The ... Full Time Days The Nurse Manager is responsible for the continuous ... and quality assurance. The Nurse..

... & 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..

General Description: The Associate Client Services Manager will develop, and build relationships with new clients and expand market presence with inactive clients to increase top line revenue and bottom line results ..

Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Lancaster South Carolina Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be responsible for the ..

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 Rock Hill South Carolina ... Hill South Carolina The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the..

SC-10712-1 Specific duties include: Performs systems analysis activities for the Production MMRP systems. Gathers and develops business requirements and acceptance criteria for Production defects and enhancements Develops DDI artifacts compliant with ..

Job Information Humana Bilingual Quality Auditor in Lancaster South Carolina Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. ..

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). ..

Job Information Centerwell RN Clinical Manager in Columbia South Carolina The ... Columbia South Carolina The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the QA/PI..

... Kindred at Home RN Clinical Manager Home Health Full Time in ... Columbia South Carolina 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 Lancaster South Carolina Description Humana Healthy Horizons is seeking a Senior Quality Program Delivery Professional who will manage ..

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 Lancaster South ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..