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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 ..
... 6 people supports the IBA project team on customer acceptance, training ... Responsibilities: As Product Application support manager, your responsibilities will be to: ... Operations/Service, especially the team of..
... Shall work closely with the Performance/Quality Improvement Coordinator, Behavioral Health Network ... Coordinator, Behavioral Health Network Director, Quality Management Coordinator, and Behavioral Health ... Management Coordinator, and Behavioral Health..
... region, division, and company. Implements quality goals and action plans to ... and action plans to achieve quality standards. Collaborates with operations leaders, ... leadership and patient education and..
Description Humana Healthy Horizons in Louisiana is seeking a RN, Clinical Educator (Nursing Educator 2) who will plan, direct, coordinate, evaluate, develop, and/or deliver trainings and education programs for professional nursing, ..
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). ..
