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Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..
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Description The Senior Risk Management Professional will be responsible for managing third party risk management (TPRM) work streams to support Humana's overall TPRM Program. Responsibilities include risk identification, data analysis, process ..
... Information Humana Medicaid Associate Director, Compliance Nursing in Green Bay Wisconsin ... Wisconsin Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
Description Responsibilities The Associate Director for ACD Audit , at the director of the Director of Payment Integrity, will create and implement process improvement plans focused on the beneficiary and provider ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g. CPT) to patient records. The Medical Coding Auditor ..
Description The Behavioral Health Parity Compliance Lead will play an integral ... of our Mental Health Parity Compliance Program. Responsibilities This role is ... Healthy Horizons Mental Health Parity Compliance..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
RN - Case Manager - Home Care Oak Creek (Full Time 1st shift) Location: Oak Creek, WI(53154) Horizon Home Care and Hospice is seeking experienced nurses to join our top-notch Home ..
RN - Case Manager - Home Care Kenosha (Full Time 1st shift) Location: Racine, WI (53403), Kenosha, WI (53140) Horizon Home Care and Hospice is seeking experienced nurses to join our ..
Description Responsibilities The Compliance Professional 2 has responsibilities for ... documentation for quality and clinical compliance with contract requirements as outlined ... ensure all providers are in compliance based on..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities Seeking Senior..
RN Case Manager - Home Care Kenosha (Full Time 1st shift) Location: Kenosha, WI (53140) You became a nurse to help people. You desire to see that the attentive care you ..
