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Description The RN, Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The RN ..
Job Information Humana Clinical Vendor Management Lead - Remote, FL in Panama City Florida Description The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical Vendor ..
Job Information Humana Care Coach 1 - St Johns County - FL in Panama City Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or ..
Details Department: Cardiology Services Schedule: Full Time, Monday to Friday, Days Hospital: Ascension Sacred Heart Hospital - Bay Location: Panama City, FL Strongly prefer knowledge of both cath lab and interventional ..
Share Apply Duty Pharmacist Manager - Southport Southport Add to ... care. As a Duty Pharmacy Manager, you'll play a meaningful role ... and deliver the highest quality healthcare service..
Details Department: Imaging Administration Schedule: Full Time, Monday to Friday Hospital: Ascension Sacred Heart Hospital - Bay Location: Panama City, FL As Radiology Manager you will have 24/7 operational responsibility for ..
Description CarePlus is seeking a Clinical Business Lead who will lead teams of nurses and behavior health professionals responsible for Care Management and Utilization Management. The Clinical Business Lead works on ..
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 ..
Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..
... procedural and Florida Agency for Healthcare Administration (ACHA). Ensure adoption and ... (ACHA). Ensure adoption and consistent application of appropriate medical necessity criteria. ... compliance with Florida Agency for..
