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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 Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Troy Michigan Description Humana ... Healthy Horizons is seeking a Quality Improvement Program..
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 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..
Job Information Humana Bilingual Quality Auditor in Troy Michigan Description ... Troy Michigan Description The Bilingual Quality Auditor/ Professional 2 ensures that ... and Medicare Services standards of quality. Review..
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..
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 Centerwell RN Clinical Manager in Grand Rapids Michigan The ... Grand Rapids Michigan The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of quality..
... Kindred at Home RN Clinical Manager in Kalamazoo Michigan The Clinical ... in Kalamazoo Michigan The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of..
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..
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..
... in Troy Michigan Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) relies ... guidance to ensure..
... in Troy Michigan Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... guidance to ensure physician and healthcare provider plans, education, reporting and ... regional strategies for physician..
Job Information Centerwell RN Clinical Manager in FLINT Michigan The Clinical ... in FLINT Michigan The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of quality..
... 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..
