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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 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 ..
... leader in medical technology and healthcare solutions were a market leader ... success. Together, we can transform healthcare. Join us for a career ... procedures to ensure quality system..
... the global leader in dialysis healthcare, we offer exceptional opportunities to ... the success of a leading healthcare organization. The professional we select ... duties for our Regional AR..
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). ..
... procedures, and training and in compliance with regulations set forth by ... other PCT’s.Collaborates with the Clinical Manager and Education Coordinator in driving ... systems incorporated into training, including..
Seeking Medical Director/Primary Nephrologist – Kidney Transplant Program - Northern INDIANA!!Health Network is seeking a visionary and dynamic Medical Director for its kidney transplant program in Fort Wayne, Indiana. This represents ..
Job Information Humana Bilingual Quality Auditor in Fort Wayne Indiana Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. ..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
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 Indiana is seeking a Provider Services Advisor (Market Development Advisor) who will be responsible for the strategic and tactical support of the Provider Services team. They ..
