Healthcare Quality Compliance Jobs in Illinois

Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..

... Information Humana Medicaid Associate Director, Compliance Nursing in Chicago Illinois Description ... Illinois Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..

Description The Behavioral Health Parity Compliance Lead will play an integral ... of our Mental Health Parity Compliance Program. Responsibilities This role is ... Healthy Horizons Mental Health Parity Compliance..

Job Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional ... action. Responsibilities As a HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional..

Details Department: Total Quality Management Schedule: 8:00am-4:30pm, 4 weekend ... week period Hospital: Alexian Brothers Healthcare System Location: Fully Remote Benefits ... and retrospective medical necessity and/or compliance with reimbursement..

... is the premier home based healthcare provider and medical services company. ... improve outcomes and reduce total healthcare costs. We are a group ... preventative care, and medication adherence..

Job Information Humana Bilingual Quality Auditor in Chicago Illinois Description ... Chicago Illinois Description The Bilingual Quality Auditor/ Professional 2 ensures that ... and Medicare Services standards of quality. Review..

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..

... ongoing development. n n n Quality Improvement/Regulatory Compliance n n n Collaborates with ... internal and external surveys, assuring compliance with policies, procedures, standards, Federal, ... experience. n Four..

Details Department: Rehabilitation Services Schedule: Full-time days Hospital: Ascension St. Alexius Location: Hoffman Estates, IL Benefits Paid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term ..

... additional expenses. n nQuality Improvement/Regulatory Compliance n n Monitors clinical records ... time in program relating to quality and service improvement. n Ensures ... patient/family satisfaction surveys, and implements..

Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are ... courses of action. Responsibilities The Quality Compliance Professional 2..

Job Description The Telepharmacy Technician is responsible for all daily operations of a Telepharmacy Remote Dispensing Pharmacy location, where the Pharmacist oversight occurs from a separate Supervising Pharmacy location. Telepharmacy Technicians ..

Description Compliance (UM) Letters Coordinator 2 conducts ... Coordinator 2 conducts and summarizes compliance audits. Compliance (UM) Letters Coordinator 2 performs ... - Saturday 9am-6pm CST The Compliance (UM) Letters..

Description The Compliance (UM) Coordinator 2 conducts and ... Coordinator 2 conducts and summarizes compliance audits. The Compliance (UM) Coordinator 2 performs varied ... on semi-routine assignments. Responsibilities The Compliance..

Description Responsibilities The Compliance Professional 2 has responsibilities for ... on medical record documentation for quality and clinical compliance with contract requirements as outlined ... CPT Codes. KEY ACCOUNTABILITIES 95%..

... Information Humana Senior Insurance Product Compliance Professional in Chicago Illinois Description ... Description The Senior Insurance Product Compliance Professional Performs consultation and research ... development. The Senior Insurance Product..

Job Information Humana Quality Improvement Coordinator in Chicago Illinois ... in Chicago Illinois Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..

Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are ... courses of action. Responsibilities The Quality Compliance Professional 2..

Details Department: Ascension Medical Group, OB/GYN Schedule: 40 Hours/week, Mon-Fri 8 am to 5 pm Location: Joliet, IL Benefits Paid time off (PTO)Various health insurance options & wellness plansRetirement benefits including ..

Description The Manager, Compliance Nursing reviews utilization management activities ... waste, and abuse. The Manager, Compliance Nursing works within specific guidelines ... and goals. Responsibilities The Manager, Compliance Nursing ensures..

... with other members of the healthcare team in accordance with the ... activities that promote patient safety, quality and regulatory compliance. Participates in professional development. Minimum ... Similar Jobs..

Job Information Humana Quality Improvement Coordinator in Peoria Illinois ... in Peoria Illinois Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..