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u003ch2u003eu003cspan style=u0022text-decoration: underline;u0022u003eu003cstrongu003eu003cspan style=u0022text-decoration: underline; color: #800080;u0022u003eProgram Supervisoru0026nbsp;u003c/spanu003eu003c/strongu003eu003c/spanu003eu003c/h2u003enu003ch2u003eu003cspan style=u0022text-decoration: underline;u0022u003eu003cstrongu003eu003cspan style=u0022text-decoration: underline; color: #800080;u0022u003eOfficial Job Title is Unlicensed Team Leadu0026nbsp;u003c/spanu003eu003c/strongu003eu003c/spanu003eu003c/h2u003enu003cpu003eu003cstrongu003eu003cspan style=u0022color: #800080;u0022u003e***Must haveu0026nbsp;Bachelors Degree, u003cemu003eMasters Preferredu003c/emu003e,u0026nbsp;in Behavioral Health Service Related Field***u0026nbsp;u003c/spanu003eu003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003eu003cspan ..
Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..
Description The Quality Assurance, Clinical Professional 2 consults ... to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work ... courses of action. Responsibilities The..
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..
... AND RESPONSIBILITIES1. Responsible for overall compliance with applicable laws, regulations and ... Oversees the implementation of the Quality Assessment and Performance Improvement program.17. ... hospice program19. Assures availability and..
Description The Principal Quality Leader will lead testing and ... Leader will lead testing and quality collaboration between Business and IT, ... tools and assure adherence to quality standards. Serves..
... Remote Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities ... fraud, waste, and abuse. The Compliance Nurse work assignments are varied ... schedule and overtime. Responsibilities The..
Job Description · This position is the overall business lead for NCQA Accreditation and creates the roadmap, project governance, and strategies for the continuous improvement of all department areas. · The ..
Job Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional ... action. Responsibilities As a HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional..
Description Responsibilities The Senior Quality Assurance (Home Health) Clinical Professional ... to ensure high accountability of compliance and quality and claims are being reviewed ... implements programs to establish high..
... Information Humana Medicaid Associate Director, Compliance Nursing in Phoenix Arizona Description ... Arizona Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
Job Information Humana Quality Improvement Coordinator in Phoenix Arizona ... in Phoenix Arizona Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..
OverviewnThe Director of Emergency Services provides leadership/management oversight responsibilities for the Emergency Department, Observation Unit, Safe Child Program, Trauma Services and Pre-Hospital Department to provide quality patient care in an emergent ..
... Enhancement of Medical Appropriateness and Quality of Care: -Uses a holistic ... optimal outcomes. Identifies and escalates quality of care issues through established ... meet the member's benefits and/or..
OverviewnThis position will provide professional hospitalist services to and coordinate care for hospital inpatients. The Hospitalist/Nocturnist will be expected to provide on-call coverage in accordance with requirements of NAH Medical Staff ..
... is a leading provider of healthcare services from short-term to long-term ... nursing center leadership to ensure compliance with Genesis Standard Operating Procedures ... touch through the delivery of..
Job Information Humana Quality Improvement Coordinator in Flagstaff Arizona ... in Flagstaff Arizona Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..
Description The Senior Quality Assurance, Clinical Professional requires being ... to ensure high accountability of compliance and quality and will work assignments involving ... Categories) coding documentation guidelines and compliance..
Inpatient Hospital Coding Compliance Auditor The Inpatient Hospital Coding ... Auditor The Inpatient Hospital Coding Compliance Auditor will provide expert auditing ... audits. Primary Responsibilities: Perform coding compliance and quality..
Job Information Humana Quality Improvement Coordinator in Tucson Arizona ... in Tucson Arizona Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..