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Description The RN, Compliance Nurse 2 reviews utilization management ... waste, and abuse. The RN Compliance Nurse 2 work assignments are ... of action. Responsibilities The RN Compliance Nurse 2..
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 ..
... efficiencies, quality of patient care, regulatory compliance, support of business development & ... fire and safety regulations in compliance with the company policies. Conducts ... Minimum of 2 years..
... to ensure documentation is in compliance with regulatory agencies and requirements of third-party ... are completed timely and in compliance with Medicare regulations. Coordinates communication ... policies and procedures..
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..
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 ..
Description The Learning Facilitation Professional 1 conducts or facilitates training courses for organization employees or external audiences. We are hiring in multiple locations: 2) Region 8 Sarasota, De-Soto, Charlotte, Glade, Lee, ..
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 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 ..
