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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 ..
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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 ..
... or outpatient facility to provide quality care to the patient and ... concerns to the Inpatient Program Manager, appropriately credentialed physician, patient hospital ... in accordance with the Variance..
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 ..
An experienced Case Manager (RN) is needed for one ... percent of hospitals for patient quality and satisfaction. This non-profit hospital ... in the Case Management department. Reporting to the..
... the organization commitment to the Quality Enhancement Program (QEP) and CQI ... patients will achieve the organization Quality Enhancement Goals (QEP).PRINCIPAL DUTIES AND ... a nurse.Collaborates with the Clinical..