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Description The RN, Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The RN ..
... to support diagnosis and home healthcare orders. Provide input to care ... Specialist, Director Clinical Management, and/or Manager Clinical Practice) of patient’s acceptance, ... care coordination skills required. Previous..
Job Information Humana Provider Contracting Professional 2 - Work at Home in Florida in Saint Petersburg Florida Description Positions is responsible for the education of Managed Long Term Care (MLTC) Medicaid ..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management who will lead teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care ..
Job Information Humana Clinical Vendor Management Lead - Remote, FL in Sarasota Florida Description The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical Vendor Management ..
... clinical competency.16. Participate in the quality improvement process.17. Promote the programs ... programs and services of Heritage Healthcare through formal and informal interactions ... Act in compliance with Heritage..
Job Information Humana Clinical Vendor Management Lead - Remote, FL in Sun City Center Florida Description The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical ..
... clinical currency.16. Participate in the quality improvement process by responding appropriately ... Act in compliance with Heritage Healthcare's regulatory and professional standards and ... Provide input to the Rehabilitation..
Job Information Humana Clinical Vendor Management Lead - Remote, FL in Saint Petersburg Florida Description The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical Vendor ..
Job Information Humana Clinical Vendor Management Lead - Remote, FL in Bradenton Florida Description The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical Vendor Management ..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires ..
... resources. Maintains focus on all healthcare quality and affordability initiatives (HCQAI’s). Established ... raise the bar on home healthcare CenterWell™ Home Health (formerly Kindred ... of compassionate clinicians who..
