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... commitment to the Quality Enhancement Program (QEP) and CQI Activities, including ... PCT’s. Collaborates with the Clinical Manager and Education Coordinator in driving ... Clearance Monitoring (OLC), Adequacy Monitoring..
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Job Description Summary: Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we help people on ..
Jobs Rated 122nd The Case Manager is responsible for assuring the ... RN. BSN from an accredited program for nursing education. Certified Case ... for nursing education. Certified Case Manager...
... Investigator will serve as Humana's Program Integrity Officer, who will oversee ... waste, and abuse (FWA) compliance program to prevent and detect potential ... in Louisiana to increase Medicaid..
... in Louisiana is seeking a Manager, Utilization Management (Behavioral Health) who ... and/or benefit administration determinations. The Manager, Utilization Management Behavioral Health applies ... utilization management. Monitor and maintain..
Description Humana Healthy Horizons in Louisiana is seeking a Manager, Utilization Management Nursing who will utilize clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit ..
... individual needs. Monitor and maintain staffing levels to meet care and ... years' experience working in the healthcare setting. Minimum two (2) years ... of Humana's Tuberculosis (TB) screening..
Description The Behavioral Health Strategy Lead (Behavioral Health Coordinator) shall have responsibility for clinical program development and oversight of staff and services related to the delivery of covered mental health and ..
Description Humana Health Horizons in Louisiana is seeking a Behavioral Health (BH) Children's System Administrator (Care Management Behavioral Health Lead) who will advise on program features to reach members and drive ..
PURPOSE AND SCOPE:The student intern supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. The student ..
... commitment to the Quality Enhancement Program (QEP) and CQI Activities, including ... Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), ... a nurse.Collaborates with the Clinical..
