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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 ..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..
Description The Care Management Support Assistant 2 contributes to administration of Care Management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Job ID 21000MCBAvailable 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. ..
Company Name: The Little Clinic Position Type: Employee FLSA Status: Exempt POSITION SUMMARY: Oversee the day to day operations of a retail clinic. Assist with new associate orientation, training and quality ..
... and documents in the patient medical record, adjusts or modifies the ... approved algorithm(s), and documents appropriate medical justification and effectiveness. Ensures correct ... entered and acknowledged in the..
Company Name: The Little Clinic Position Type: Employee FLSA Status: Non-Exempt POSITION SUMMARY: Under the day to day direction of the on-duty Nurse Practitioner/Physician Assistant, the general purpose of the Patient ..
