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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 ..
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 ..
... to support diagnosis and home healthcare orders. Provide input to care ... Specialist, Director Clinical Management, and/or Manager Clinical Practice) of patient’s acceptance, ... care coordination skills required. Previous..
... This position reports to the Manager of Risk Adjustment Coding. As ... and encounter coding information as it pertains to risk adjustment Ensure ... Minimum Education: Associate degree in..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires ..
Job Information Humana Clinical Vendor Management Lead - Remote, FL in New Port Richey Florida Description The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical ..
... Specific Information ***This clinic will manager between 50-125 patients***PURPOSE AND SCOPE: ... individual contributor will have significant project/process responsibilities. Program or project responsibility generally within the function. ... effort..
Job Information Humana Clinical Vendor Management Lead - Remote, FL in Largo Florida Description The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical Vendor Management ..
Job Information Humana Clinical Vendor Management Lead - Remote, FL in Clearwater Florida Description The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical Vendor Management ..
Job Information Humana Provider Contracting Professional 2 - Work at Home in Florida in Clearwater Florida Description Positions is responsible for the education of Managed Long Term Care (MLTC) Medicaid providers ..
