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... Information Humana Medicaid Associate Director, Compliance Nursing in Anchorage Alaska Description ... Alaska Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
Description Responsibilities The Compliance Professional 2 has responsibilities for ... on medical record documentation for quality and clinical compliance with contract requirements as outlined ... CPT Codes. KEY ACCOUNTABILITIES 95%..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are ... courses of action. Responsibilities The Quality Compliance Professional 2..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... within a context of regulatory compliance, and work is assisted by ... whether services provided by other healthcare professionals are in agreement with ... meeting departmental expectations, and meets..
Overview Assesses, plans, implements, evaluates, and documents nursing care of patients in a non-acute environment. Provides care in accordance with organizational policies, and in accordance with standards of professional nursing practice, ..
... Understands and adheres to all compliance related procedures. Accurately assesses physician ... specimens for shipping as needed. QUALITY CONTROL/QUALITY IMPROVEMENT: Performs quality control, quality improvement, specimen tracking, and maintenance..
... (DM), population health management, contract compliance, quality improvement, and pilot/value-based payment programs. ... and Responsibilities Lead clinical and quality management components of HGB's Integrated ... with effective implementation of..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Anchorage Alaska Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
... in support of NFP. CONTINUOUS QUALITY IMPROVEMENT: Initiate activities, which promote ... support department, region and System Quality Improvement plans in compliance with State, Federal, and other ... built..
Job Information Humana Quality Improvement Coordinator in Anchorage Alaska ... in Anchorage Alaska Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..
... Send Out personnel to assure quality of specimens for reference laboratory ... Understand and adhere to all compliance related procedures. Accurately enters patient ... needed by the department. Perform..
Your adventure starts here! On the 2 South Medical Surgical Team at Fairbanks Memorial Hospital we do work that matters. While often getting a front row seat to people's worse days, ..
... patient care is delivered in compliance to standards utilizing cost-effective methods. ... multi-disciplinary care of the patient QUALITY OF PRACTICE: Systematically enhance the ... OF PRACTICE: Systematically enhance the..
... within a context of regulatory compliance, and work is assisted by ... of services provided by other healthcare professionals in compliance with review policies, procedures, and ... whether services..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
... Services policies and procedures in compliance with state, federal and other ... and satisfaction to be in compliance with nutritional guidelines. Completes diet ... for maintaining high standards of..
