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... Evergreen in Henderson Nevada Description Healthcare isn’t just about health anymore. ... of our patients, and the healthcare industry as a whole. The ... based care provider focused on..
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... based care provider focused on quality of care for the patients ... Medical Assistants, Behavioral Health Specialists, Quality Based Coders, Referral Coordinators and ... is positioned to provide higher..
... center of everything we do. Healthcare isn't just about health anymore. ... of our patients, and the healthcare industry as a whole. Responsibilities ... based care provider focused on..
Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
... on medical record documentation for quality and clinical compliance with contract requirements as outlined ... for this position . 75% Quality Monitoring Audits. Review and assess ... ensure all..
... within a context of regulatory compliance, and work is assisted by ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..
... within a context of regulatory compliance, and work is assisted by ... whether services provided by other healthcare professionals are in agreement with ... meeting departmental expectations, and meets..
... Information Humana Medicaid Associate Director, Compliance Nursing in Las Vegas Nevada ... Nevada Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
... are committed to providing personalized, high-quality primary care combined with an ... environment for all. Responsibilities The Compliance Professional 2 develops and implements ... Professional 2 develops and implements..
... based care provider focused on quality of care for the patients ... Nurse, MA, Behavioral health specialist, quality based coder, referral coordinator and ... is positioned to provide higher..
... performing complex tasks related to compliance with accreditation standards across multiple ... performing complex tasks related to compliance with accreditation standards across multiple ... the development and implementation of..
... is committed to providing personalized, high-quality primary care combined with an ... based care provider focused on quality of care for the patients ... Nurse, MA, Behavioral health specialist,..
... is committed to providing personalized, high-quality primary care combined with an ... level of medical care and quality for patients and monitors care ... timely manner working with a..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
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 ..
... physicians, physician groups, and integrated healthcare delivery systems throughout the country. ... delivery systems throughout the country. Healthcare isn't just about health anymore. ... of our members, and the..
... Member Plan (EFMP), auditing for quality and clinical compliance, and case management. Serve as ... ABA treatment plans for policy compliance. Assist with analysis of necessary ... Review outcome..
Description The Principal Quality Leader will lead testing and ... Leader will lead testing and quality collaboration between Business and IT, ... tools and assure adherence to quality standards. Serves..
... is committed to providing personalized, high-quality primary care combined with an ... based care provider focused on quality of care for the patients ... nurses, MAs, behavioral health specialists,..
... is committed to providing personalized, high-quality primary care combined with an ... based care provider focused on quality of care for the patients ... Medical Assistants, Behavioral Health Specialists,..
