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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 Winchester Virginia ... in Winchester Virginia 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..
... education sessions. Participate in the quality improvement process by responding appropriately ... programs and services of Heritage Healthcare through formal and informal interactions ... with the community. Act in..
... 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..
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). ..
