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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
... travel. Accountable for health care quality projects and initiatives through direction ... Assimilates information to proactively develop quality activities aligned with company strategies ... strategies and values. Links the..
Job Information Humana Bilingual Quality Auditor in New York New ... New York Description The Bilingual Quality Auditor/ Professional 2 ensures that ... and Medicare Services standards of quality. Review..
Description The Manager, Risk Adjustment oversees coding educators ... Adjustment oversees coding educators and quality assurance audits of medical records and ... and Medicaid Services (CMS). The Manager, Risk Adjustment..
... access, lowering costs and improving quality of care. Millions of times ... addition to supporting the Pharmacy Manager in leading and directing your ... Practice • Regulatory Requirements •..
