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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 ..
... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... procedures, and training and in compliance with regulations set forth by ... the FMCNA commitment to the..
... 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..
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 ..
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). ..
... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... policy requirements. Ensure provision of quality patient care while maintaining cost-effective ... in accordance with all legal,..
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..
... philosophy. Adheres to the FVC/FMCNA Compliance Program, including following all regulatory ... procedures. PRINCIPAL DUTIES AND RESPONSIBILITIES: QUALITY:Responsible for supporting and driving FVC ... for supporting and driving FVC..
Job Information Humana Care Manager, Licensed Behavioral Health Professional or Registered Nurse in Springfield Ohio Description The Field Care Manager, Behavioral Health 2 (Care Manager, Behavioral Health) assesses and evaluates member's ..
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..
Job Information Humana Care Manager, Registered Nurse, RN - Maternity, L&D, Mother Baby in Springfield Ohio Description The Field Care Manager assesses and evaluates member's needs and requirements to achieve and/or ..
... in an assigned area ensuring compliance with established company and regulatory ... in order to provide high quality dialysis services and outstanding patient ... growth of area while ensuring..
Job Information Humana Quality Improvement Coordinator in Springfield Ohio ... in Springfield Ohio Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..
Job ID 21000H7SAvailable 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 ..
$5,000.00 Sign on Bonus for external candidates. Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading ..
... manager. Assumes the provision of quality patient care to all hospitalized ... policies and procedures, and in compliance, with all applicable regulatory requirement. ... on a daily basis ACES..