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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 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..
... participates in the collection of performance/quality improvement data. Assists Clinical Manager ... CMS, CHAP standards that promotes compliance with regulatory guidelines. Participates on ... committees such as CLAS, Safety,..
Description The Behavioral Health Parity Compliance Lead will play an integral ... of our Mental Health Parity Compliance Program. Responsibilities This role is ... Healthy Horizons Mental Health Parity Compliance..
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 The Senior Nursing Quality Outcomes Coordinator will partner with ... Coordinator will partner with Hospital Quality, Safety, Regulatory and Hospital Risk ... Nursing to oversee or lead quality improvement..
... Information Humana Senior Insurance Product Compliance Professional in Washington District Of ... Description The Senior Insurance Product Compliance Professional Performs consultation and research ... development. The Senior Insurance Product..
... initiative, developing measures and monitoring compliance while challenging team members to ... Degree Preferred education discipline in healthcare, business or nursing management. (Required) ... • 5-7 years of recent..
Job Information Humana Bilingual Quality Auditor in Washington District Of ... Of Columbia Description The Bilingual Quality Auditor/ Professional 2 ensures that ... and Medicare Services standards of quality. Review..
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..
Job Information Humana Quality Improvement Coordinator in Washington District ... District Of Columbia Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..
... participates in the collection of performance/quality improvement data. 35. Assists management ... CMS, CHAP standards that promotes compliance with regulatory guidelines. 44. Participates ... committees such as CLAS, Safety,..
Description The Manager, Compliance Nursing reviews utilization management activities ... waste, and abuse. The Manager, Compliance Nursing works within specific guidelines ... and goals. Responsibilities The Manager, Compliance Nursing ensures..
... nursing practices and irregularities in compliance with established standards of care, ... with suggestions to improve the Quality and safety committee objectives. 38. ... Excellence • Demonstrates understanding 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..
... Information Humana Medicaid Associate Director, Compliance Nursing in Washington District Of ... Columbia Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
... Plus Get With The Guidelines(r)-Stroke Quality Achievement Award for our commitment ... this recognition, hospitals must meet quality measures developed to reduce the ... this recognition, hospitals must meet..
HSCPC Housekeeping Aide (Day Shift 7:00a-3:30p) - Pipeline','230001DE','!*!The HSC Health Care System is a nonprofit organization combining the resources of a care coordination plan; (Health Services for Children with Special Needs, ..
Senior Patient Access Representative (PRN | As Needed)','2300014V','!*!The Senior Patient Access Rep will report to the Patient Access Supervisor or Manager and provide patient services and administrative support in ancillary operations. ..
INTRODUCTION Under the supervision of the Nurse Manager and following clinical guidance from the treatment team, the Clinical Nurse, RN assists in the care coordination and management of the complex healthcare ..
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 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..
