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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Description The Associate Director, Utilization Management Nursing uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, ..
Description The Director, Quality Improvement implements quality improvement programs for all lines of business including annual program description, work plan, and annual evaluation. The Director, Quality Improvement requires an in-depth understanding ..
Job Information Humana Senior Quality Improvement Professional - EPSDT - Office / Remote KY, IN, OH in Cincinnati Ohio Description The Senior Quality Improvement Professional-EPSDT (Early Periodic Screening Diagnosis and Treatment) ..
... in Nursing (MSN) as Family Nurse Practitioner. * Active license, AANP ... Required Required Certifications/Licenses: American Academy Nurse Practitioner (AANP); American Nurses Credentialing ... locations are staffed by board-certified..
Company Name: The Little Clinic Position Type: Employee FLSA Status: Non-Exempt POSITION SUMMARY: This position is responsible for delivering highest quality health care within The Little Clinic's scope of services while ..
Description The Manager, Quality Improvement implements quality improvement programs for the Kentucky Medicaid line of business. This includes quality compliance and quality improvement activities such as the annual Quality Improvement program ..
Current UC employees must apply internally via SuccessFactors > http://bit.ly/UCEMPL Founded in 1819, the University of Cincinnati embarks upon its third century - building on the past and defining the future ..
Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..
Description The Associate Director, Quality Improvement implements quality improvement programs for all lines of business including annual program description, work plan, and annual evaluation. The Associate Director, Quality Improvement requires a ..
... & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US ... & Risk Management Quality Audit (QA) Risk Management Professional 2, you ... for executing the Compliance Oversight..
PURPOSE AND SCOPE:Manages patient care in home therapies programs while maintaining cost-effective clinical operations. Provides direction and guidance to the interdisciplinary team providing care to the Home Therapies patients to ensure ..
