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... Humana Medicaid Associate Director, Compliance Nursing in Albany New York Description ... Description The Associate Director, Compliance Nursing reviews utilization management activities and ... abuse. The Associate Director, Compliance..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Title: Clinical QA Analyst Location: Albany, NY will be ... ASAP through 12/31/2022 As a Clinical Quality Assurance (QA) Analyst, you will collaborate with team ... recommendations to project management...
... The Nurse Auditor 2 performs clinical audit/validation processes to ensure that ... for appropriate change management. Applies clinical and coding experience to conduct ... Nurse (RN) license 3 years..
... group of patients using the nursing process of assessment, diagnosis, outcome ... procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care ... health status; elicits perception of..
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 ..
POSITION FEATURES:* Sign-On Bonus Available* Schedule / Hours - Rotating 3-4 days a week, Monday - Saturday* Shift Start Time: 8:00 AM* On Call Shifts a week: 2-3* Sundays: On CallPURPOSE ..
... patient care while maintaining cost-effective clinical operations in accordance with all ... and administrative policies as the clinical leader, has the authority to ... and regulations. Ensures all FMS..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for ... appropriate stakeholder. The Supervisor, Pre-Authorization Nursing works within thorough, prescribed guidelines ... approach. Responsibilities The Supervisor, Pre-Authorization Nursing: Completes..
... group of patients using the nursing process of assessment, diagnosis, outcome ... procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care ... health status Elicits perception of..
... RN, you will enter our Clinical Advancement Program (CAP) to grow ... in CAP, you will develop clinical leadership skills, derive greater career ... for your experience, knowledge, and..
... group of patients using the nursing process of assessment, diagnosis, outcome ... procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care ... r r Elicits perception of..
12401Job SummaryProvides overall clinical and quality support to the Department of Quality/Performance Improvement, including workflow, quality review entries, analysis and report generation. Responsibilities: Gathers and submits quality management information data to ..