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Description The Quality Assurance, Clinical Professional 2 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work assignments are varied and ..
Description The Senior Quality Assurance, Clinical Professional requires being both a nurse/RN and a certified Coder nurse as this position will be cross trained to review DRG (Diagnosis Related Group) audits ..
Description Responsibilities The Senior Quality Assurance (Home Health) Clinical Professional consults and collaborates with clinicians/nurses to ensure high accountability of compliance and quality and claims are being reviewed correctly. This position ..
Description Humana/iCare is seeking a Long Term Care Functional Screener to join the growing Milwaukee County team in the Family Care Partnership (FCP) program. The Functional Screener is responsible for completing ..
Description iCare is seeking a Family Care Partnership (FCP) RN Care Manager who provides case management and support to adults in the community, assures quality services are provided which are cost ..
... & 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..
Description iCare is seeking a Long Term Care Functional Screener that is responsible for completing the LTCFS (Long Term Care Functional Screens) for iCare's Family Care Partnership members, as required and ..
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 Humana/iCare is seeking a Nurse Care Manager to join the ... Partnership (FCP) program. The FCP Nurse Care Manager provides case management ... of others. Responsibilities The FCP Nurse..
Details Department: Oncology Schedule: Day-time Hospital: All Saints Spring Campus Location: Racine, WI As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being ..
PURPOSE AND SCOPE: Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. Provides day to day direction and supervision to assigned direct patient care staff. ..
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 ..
u003cpu003eu003cstrongu003eWho We Areu003c/strongu003eu003c/pu003enu003cpu003eu003ca href=u0022https://www.wpshealthsolutions.com/about/index.shtmlu0022 target=u0022_blanku0022 rel=u0022noopeneru0022u003eWPS Health Solutionsu003c/au003e is a leading not-for-profit health insurer in Wisconsin. Our services offer health insurance plans for individuals, families, seniors, and group plans for small ..
