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... Humana Medicaid Associate Director, Compliance Nursing in Cincinnati Ohio Description The ... 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 ..
... entry level designation into the Clinical Advancement Program for Registered Nurses. ... service policy, procedures, standards of nursing practice, state and federal regulations. ... interdisciplinary team to update the..
... 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..
... entry level designation into the Clinical Advancement Program (CAP) for new ... Care policy procedures standards of nursing practice state and federal regulations.Performs ... and with guidance from the..
... 2 will work on the clinical research and development team with ... to develop, implement and maintain clinical lab audit concepts. The Nurse ... Nurse Auditor 2 will perform..
... 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..
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 ..
... 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..
Description The Senior Quality Compliance Nurse Professional is an integral part of the Ohio Quality Improvement Department. This role will collaborate with internal and external customers to complete fast-paced and time ..
... will be responsible for performing clinical audits on medical record documentation ... record documentation for quality and clinical compliance with contract requirements as ... of three (3) years of..
... Humana RN, Senior Stars Improvement, Clinical Professional in Cincinnati Ohio Description ... a RN, Senior Stars Improvement, Clinical Professional who will be responsible ... Program. The Senior Stars Improvement,..
... Summary: Provides primary and/or specialty nursing and/or medical care in a ... adopted by the Board of Nursing for Advanced Practice Nurses, the ... tests and studies to assess..
POSITION FEATURES:Monday, Wednesday, and FridayOn call 4 days every 4-6 weeks.PURPOSE AND SCOPE:The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program ..
... entry level designation into the Clinical Advancement Program for Registered Nurses. ... Care policy, procedures, standards of nursing practice, state and federal regulations. ... under the direction of the..
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..
