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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 ..
Contact Agency Mental Health, Office of Title Business Officer 1/Trainee, Hutchings Psychiatric Center, P22472 Occupational Category Administrative or General Management Salary Grade NS Bargaining Unit PS&T - Professional, Scientific, and Technical ..
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 ..
Job Description Health is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we're ..
... direction of a RN in compliance with the state's Nurse Practice ... any applicable licensure/certification requirement, applicable healthcare standards, governmental laws and regulations, ... contact with patients, physicians, clinical..
Job Information Kindred at Home Home Health Admissions RN in Liverpool New York The Clinical Assessment Advisor directly completes and oversees development/ of the plan of treatment as approved by physician, ..
... Kindred at Home RN Clinical Manager Home Health Full Time in ... Liverpool New York The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in..
... to support diagnosis and home healthcare orders. Provide input to care ... Specialist, Director Clinical Management, and/or Manager Clinical Practice) of patient’s acceptance, ... deliverables. Abide by all operational..
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). ..
... quality of patient care, regulatory compliance, support of business development & ... and support to the Clinical Manager(s). Works in conjunction with the ... and supervision to the Clinical..
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..
