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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..
... 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..
... 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..
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 ..
... 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..
... with 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..
... of services provided by other healthcare professionals in compliance with review policies, procedures, and ... experience leading teams focusing on quality management, utilization management, discharge planning ... working with..
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..
... (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..
... whether services provided by other healthcare professionals are in agreement with ... whether services provided by other healthcare professionals are in agreement with ... meeting departmental expectations, and meets..
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 ..
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 ..
... of services provided by other healthcare professionals in compliance with review policies, procedures, and ... participating in teams focusing on quality management, utilization management, case management, ... Delivery Systems,..
... 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..
