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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 ..
Job ID 21000J5BAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
... who will lead teams of healthcare professionals responsible for care management ... Model approved by leadership and regulatory agencies. Ensure teams are validating ... performance compliant with all applicable..
Job ID 21000MT2Available Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they ... Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities The Senior Compliance..
... who will lead teams of healthcare professionals responsible for care management. ... care plans are reflective of regulatory requirements and member goals. Ensure ... Model approved by leadership and..
Job ID 21000MD4Available Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
... all company, state and federal compliance. PRINCIPAL DUTIES AND RESPONSIBILITIES: QUALITY:Responsible ... driving quality standards through meeting regulatory requirements and the practice of ... according to policy; ensure ongoing..
