Healthcare Quality Compliance Jobs in Columbus

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 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 ..

... is responsible for delivering highest quality health care within The Little ... FUNCTIONS: * Provide the highest quality of medical care to our ... Participates in peer review, staff,..

Description The Senior Quality Compliance Nurse Professional is an integral ... integral part of the Ohio Quality Improvement Department. This role will ... sensitive projects. Responsibilities The Senior Quality Compliance..

Medical Director Opportunity - Medicare Risk Adjustment HCC Review - Columbus, Ohio!!rnrnFull-Time Opportunity, M-F 8am - 5pm type hoursrnrnSeeking Board Certified Internal Medicine or Family Medicine PhysicianrnrnThe physician will perform chart ..

... care, services, and supports in compliance with Ohio Department of Medicaid ... policies and procedures to ensure compliance with state and federal requirements ... to support the delivery of..

... care, services, and supports in compliance with Ohio Department of Medicaid ... policies and procedures to ensure compliance with state and federal requirements ... to support the delivery of..

... care, services, and supports in compliance with Ohio Department of Medicaid ... policies and procedures to ensure compliance with state and federal requirements ... to support the delivery of..

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..

... care, services, and supports in compliance with Ohio Department of Medicaid ... policies and procedures to ensure compliance with state and federal requirements ... to support the delivery of..

Columbus, OH, USA Full-Time Email Me This Job The Encourage Regional Director recruits and supports foster families in the Columbus and Central Ohio region, developing relationships with local children's service agencies ..

Job Description Health is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we're ..

Oncology Account Specialist – (MEL/CRC) – Columbus, OHThe Oncology Account Specialist (OAS) will have a variety of responsibilities, ranging from promoting Pfizer’s product portfolio to health care providers and specialists, to ..

Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..

Job Information Humana Care Manager, Registered Nurse, RN - Maternity, L&D, Mother Baby in Columbus Ohio Description The Field Care Manager assesses and evaluates member's needs and requirements to achieve and/or ..

Job ID 21000M3UAvailable Openings 1DescriptionProvide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient’s future—as well as your own. Connect with ..

... on a mission to make healthcare simpler and more effective. We ... thatu2019s why we call ourselves Healthcare Warriorsu2122. Weu2019re committed to building ... refine strategy as needed Ensure..

Job Information Humana Care Manager, Licensed Behavioral Health Professional or Registered Nurse in Columbus Ohio Description The Field Care Manager, Behavioral Health 2 (Care Manager, Behavioral Health) assesses and evaluates member's ..

... journey to change the way healthcare is delivered today. We are ... journey to change the way healthcare is delivered today. We are ... tools, and resources. • Promotes/supports..

Job Information Humana Quality Improvement Coordinator in Columbus Ohio ... in Columbus Ohio Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..