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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 ..
Description The Vendor Quality Medical Director will manage clinical ... Director will manage clinical vendor quality outcomes for Humana Clinical Operations ... Director to manage clinical vendor quality outcomes for..
... Charlotte North Carolina Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) relies ... guidance to ensure..
DIRECTOR OF NURSING Salary: $110,000-$120,000/year, based on experience Position Details: Hours: Full Time, 8a - 4p Monday - Friday Location: Plymouth, NC Responsibilities: Provide oversight to the daily operations Ensures standards ..
... and other members of the healthcare team to interpret, adjust, and ... Recommend disciplinary action to Clinical Manager and initiate as appropriate. Ensure ... the absence on the Clinical..
Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Charlotte North Carolina Description ... Healthy Horizons is seeking a Quality Improvement Program..
Job Information Humana Technical Product Manager - Remote in Charlotte North ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
... whether services provided by other healthcare professionals are in agreement with ... training in transitions of care, quality assurance, utilization management and care coordination ... focusing on transitions of..
Location : US Type : Full-Time Salary : $19.00 - $23.00 / Hourly / DOE This is a full-time position that will be based from your home office, reporting to 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 Bilingual Quality Auditor in Charlotte North Carolina ... North Carolina Description The Bilingual Quality Auditor/ Professional 2 ensures that ... and Medicare Services standards of quality. Review..
... nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice ... an account or branch for quality assessment, education and clinical training, ... with the goal of ongoing..
... Kindred at Home RN Clinical Manager Home Health Full Time in ... Greenville North Carolina The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of..
Description The Manager, Risk Adjustment oversees coding educators ... Adjustment oversees coding educators and quality assurance audits of medical records and ... and Medicaid Services (CMS). The Manager, Risk Adjustment..
Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - ... Horizons is seeking a Senior Quality Program Delivery Professional who will ... who will manage and support quality improvement..
Description The Manager, Compliance Nursing reviews utilization management ... fraud, waste, and abuse. The Manager, Compliance Nursing works within specific ... schedules and goals. Responsibilities The Manager, Compliance Nursing ensures..
Job Information Humana Associate Director, Site Reliability Engineering in Charlotte North Carolina Description The Associate Director, Site Reliability Engineering maintains, integrates and implements software applications within the organization. The Associate Director, ..
... Charlotte North Carolina Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... guidance to ensure physician and healthcare provider plans, education, reporting and ... regional strategies for physician..
... HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional ... HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional ... guidelines/procedures. Primary responsibilities for the..
... situations or conditions to Center Manager. #NorthCarolinaJobs #NorthCarolinajobs #NorthCarolinacountyjobs #NorthCarolinacountycareers Quality Associate https://bit.ly/3JEEZFq Primary responsibilities ● ... file review. ● Perform equipment quality control review - daily, weekly, .....
... Kindred at Home RN Clinical Manager - Gastonia, NC in Gastonia ... Gastonia North Carolina The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of..
... Kindred at Home RN Clinical Manager in Gastonia North Carolina The ... Gastonia North Carolina The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of..