Director Nursing Jobs

Description The Director, QOCA Strategy - serves as the strategic leader in resource utilization; budget and MER oversight; vendor oversight; and for clinician and non-clinician flex associates and off-shore vendor associates ..

Description The Director, Health Services utilizes clinical nursing skills to support the coordination, ... and/or benefit administration determinations. The Director, Health Services requires an in-depth ... function or segment. Responsibilities..

Description The Director of Health Services for National Medicaid Clinical Operations utilizes clinical skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Director, Health ..

Psychiatry Advanced Practitioner Opportunity in Washington, MO! This group is powered by two Physicians, and an engaged support staff focused on quality patient care.  This Opportunity Offers:Full time position, Monday through ..

... accountability for the management of nursing and home health aide functions ... care. Promotes positive relationships between nursing, home health aide employees, physicians ... a fully accredited school of..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Washington District Of Columbia ... Of Columbia Description The Associate Director, Compliance Nursing reviews utilization management activities and ... waste, and..

... EMTC reports to the Chief Nursing Officer, Vice President of Nursing and operates within a multidisciplinary ... at both locations. A Medical Director for each campus oversees day .....

... accountability for the management of nursing and home health aide functions ... care. Promotes positive relationships between nursing, home health aide employees, physicians ... to Two years of pediatric..

Critical Care Advanced Practitioner Opportunity in Washington, MO! This group is powered by three Physicians, three Advanced Practitioners, and an engaged support staff focused on quality patient care. Acute Care Nurse ..

Pediatric Advanced Practitioner Opportunity in Washington, MO! This group is powered by 4 Physicians, 1 Advanced Practitioner, and an engaged support staff focused on quality patient care. This Opportunity Offers:Providing on-site ..

Description Healthcare is rapidly changing, and our members are living longer, often with more chronic conditions. Consumers expect more personalized and holistic experiences from their health partners. Humana's Enterprise Clinical Operating ..

Critical Care Advanced Practitioner Opportunity in Washington, MO! This group is powered by three Physicians, three Advanced Practitioners, and an engaged support staff focused on quality patient care. Acute Care Nurse ..

... and research. ED / ER Nursing Director - Trauma Emergency Room (Full ... continually improve the profession of nursing and patient care within the ... Hospitals Service Excellence Standards...

Description The Director, Health Services Nursing serves as the strategic leader ... building out clinical capabilities. The Director will be responsible for driving ... and financial stewardship Responsibilities The Director,..

Mercy Clinic is seeking a full-time Psychiatric Mental Health Nurse Practitioner to join a practice delivering adult outpatient services on-campus of Mercy Hospital Washington. This Position Offers:Great location on Mercy Hospital ..

Mercy Clinic, a regional and national recognized leader in healthcare, is actively recruiting a Neonatal Nurse Practitioner, Pediatric Nurse Practitioner or Family Nurse Practitioner to join our established and expanding group ..

Description JOB SUMMARY Responsible for providing effective clinical record reviews inclusive of medical necessity request/ denials, complaints, external medical records request, mortality and morbidity reviews. Monthly complaint log audits services. Participate ..

... evaluate performance of mental health, nursing and clerical personnel. Final approvals ... hiring must be received from Director of Human Resources prior to ... physician assistants, nurse practitioners and..

Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. The National Medicaid Director of ..

Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Washington District Of Columbia ... Of Columbia Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support..

Description The Senior Nursing Quality Outcomes Coordinator will partner ... leaders within the Division of Nursing to oversee or lead quality ... will work in collaboration with nursing leadership teams..

Palliative Care Advanced Practitioner Opportunity in Washington, MO! This group is powered by Physicians, Advanced Practitioners, and an engaged support staff focused on quality patient care.  This Opportunity Offers:Part time position ..

Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..