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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..
Job Information Humana Quality Improvement Coordinator in Bakersville North ... Bakersville North Carolina Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..
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 ..
... effective performance and delivery of quality home care services, and is ... to ensure documentation is in compliance with regulatory agencies and requirements ... are completed timely and in..
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..
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). ..
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..
... company-specific policy and procedures, applicable healthcare standards, governmental laws, and regulations. ... are provided to patients in compliance with Company, government, and professional ... raise the bar on home..
... procedures, and training and in compliance with regulations set forth by ... the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI ... patients will achieve the FMC..