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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..
Job Information Centerwell RN Clinical Manager Home Health Full Time in ... Orangeburg South Carolina The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of quality..
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 in Rock Hill South Carolina ... Hill South Carolina The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of..
Job Information Centerwell RN Clinical Manager in Myrtle Beach South Carolina ... Beach South Carolina The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of quality..
... Kindred at Home RN Clinical Manager Home Health Full Time in ... Greenville South Carolina The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of..
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 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, 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..
... 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..
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 Centerwell RN Clinical Manager in Columbia South Carolina The ... Columbia South Carolina The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of quality..
... Kindred at Home RN Clinical Manager in Aiken South Carolina The ... Aiken South Carolina The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of..
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..
Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Lancaster South Carolina Description ... Healthy Horizons is seeking a Quality Improvement Program..
... SIGN ON BONUS RN Nurse Manager CV/TELE Full Time Days The ... Full Time Days The Nurse Manager is responsible for the continuous ... care, budgeting oversight, staffing and..
... Kindred at Home RN Clinical Manager Home Health Full Time in ... Columbia South Carolina The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of..
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..
... Kindred at Home RN Clinical Manager - Beaufort, SC in Bluffton ... Bluffton South Carolina The Clinical Manager coordinates and oversees all direct ... effective performance and delivery of..
Job Information Humana Bilingual Quality Auditor in Lancaster South Carolina ... South Carolina Description The Bilingual Quality Auditor/ Professional 2 ensures that ... and Medicare Services standards of quality. Review..