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Description The Senior Product Manager - Fully Insured supports strategy ... business. Responsibilities The Senior Product Manager supports all phases of the ... desired outcomes. The Senior Product Manager will..
... Information Humana Medicaid Associate Director, Compliance Nursing in Las Vegas Nevada ... Nevada Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
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 Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
Job Information Centerwell RN Clinical Manager Home Health Full Time in ... Las Vegas Nevada The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in compliance..
MEDICAL DIRECTOR / 100% ADMINISTRATIVErnrnrnDescriptionrnrnrnrnMedical DirectorrnOverall Purpose:rnThe Medical Director is responsible for medical oversight of the Medical Management Program Description of organization regarding medical necessity decisions; utilization review, inclusive of prior ..
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 ..
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). ..
Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed! The Manager, Utilization Management Nursing..
Description The Care Manager, Telephonic Behavioral Health 2, in ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... Humana is seeking a Care Manager, Telephonic Behavioral..
Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..
... in an assigned area ensuring compliance with established company and regulatory ... growth of area while ensuring compliance with all pertinent company policies ... policies and procedures including ongoing..
Job Information Humana Lead Product Manager - Ancillary Products in Las ... Nevada Description The Lead Product Manager Leads all phases of the ... needed. Responsibilities The Lead Product Manager..
... supplies and equipment requisites. Ensures compliance with quality assurance, safety, infection ... of patients, labor budget and compliance. Participates within the department of ... one (1) year in Behavioral..
... of the MRA team, the Manager will work closely with market ... based on advanced knowledge/experience. The Manager, Risk Adjustment works within specific ... approach, resources, schedules and goals.The..
Job Information Humana Lead Product Manager - Group Dental, Vision and ... Nevada Description The Lead Product Manager Leads all phases of the ... needed. Responsibilities The Lead Product Manager..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Vegas Nevada Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Job Description Position Summary EMPLOYER PAID PENSION PLAN OF 29.75% OF YOUR ANNUAL SALARY! GENEROUS BENEFITS PACKAGE! **OPEN TO CURRENT UMC EMPLOYEES ONLY** This position is considered AT-WILL and will serve ..
Job Information Humana HCS Compliance & Risk Management Quality Audit ... action. Responsibilities As a HCS Compliance & Risk Management Quality Audit ... be responsible for executing the Compliance Oversight..
... of the Associate Director and Manager, the Senior RN Case Manager provides professional nursing care services ... care is provided. The Case Manager assesses, plans, implements, coordinates, monitors, .....
Description Responsibilities Senior Care Manager, Behavioral Health (BCBA) This is ... for assigned areas. Ensures full compliance with contract requirements, policies and ... Review ABA TPs for policy compliance o..
