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... HOS Able to articulate relevant healthcare quality standards and provide educational support ... and target providers with low quality scores Determine causation of low ... low scores, i.e., documentation,..
... Information Humana Medicaid Associate Director, Compliance Nursing in Overland Park Kansas ... Kansas Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
... are committed to providing personalized, high-quality primary care combined with an ... environment for all. Responsibilities The Compliance Professional 2 develops and implements ... Professional 2 develops and implements..
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 ..
... procedures, and training and in compliance with regulations set forth by ... the organization commitment to the Quality Enhancement Program (QEP) and CQI ... patients will achieve the organization..
... 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 Aetna Better Health of Kansas is looking for an LTSS (long-term services and supports) clinical officer / medical director to join our team. This physician directs healthcare services for ..
... tissue and body structure, providing quality images for interpretation. Sets up ... safety standards and performs appropriate quality control procedures. Perform routine and ... Ensure to prompt submission of..
Job Information Humana Quality Improvement Coordinator in Overland Park ... Overland Park Kansas Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..
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 Senior Insurance Product Compliance Professional in Overland Park Kansas ... Description The Senior Insurance Product Compliance Professional Performs consultation and research ... development. The Senior Insurance Product..
... resume to your application Clinical quality assurance (QA) is paramount to ... needs and expectations; ensures department compliance with medical billing coding standards ... billing coding standards and CMS..
... at Home Licensing and Regulatory Compliance Specialist in Overland Park Kansas ... As a Licensing and Regulatory Compliance Specialist , you will: Prepare ... on behalf of the company’s..
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 Kansas City ... Kansas City Kansas Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..
Job Description - Implements quality management strategy that meets internal ... and external expectations for demonstrating quality outcomes. - Using innovation, integration, ... integration, and information links the quality management..
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..
... Overland Park Kansas Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... guidance to ensure physician and healthcare provider plans, education, reporting and ... regional strategies for physician..
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..
... to our core values of quality, compassion and community! Providence Medical ... Center, a member of Prime Healthcare, offers incredible opportunities to expand ... is a member of Prime..