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... for multiple departments, especially clinical management and utilization groups. Leverages clinical ... and deep knowledge of managed care to find the best solutions ... experience working in a managed..
... for multiple departments, especially utilization management and care management groups. Leverages clinical experience and ... and deep knowledge of managed care to find the best solutions ... Bachelor's degree..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Cincinnati Ohio Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... fraud, waste, and abuse...
Description The Director, Quality Improvement implements quality improvement ... plan, and annual evaluation. The Director, Quality Improvement requires an in-depth ... interrelate across departments. Responsibilities The Director, Quality Improvement provides..
Description The Associate Director, Utilization Management Nursing uses clinical knowledge, communication ... best and most appropriate treatment, care or services for members. Coordinates ... other parties to facilitate optimal care..
Description The Associate Director, Quality Improvement implements quality improvement ... plan, and annual evaluation. The Associate Director, Quality Improvement requires a solid ... interrelate across department(s). Responsibilities The Associate Director,..
Description The Associate Director, Care Management leads teams of nurses and ... behavior health professionals responsible for care management. The Associate Director, Care Management requires a solid understanding of .....
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations. The Associate Director, Utilization Management Nursing requires a solid understanding ... across department(s). Responsibilities..
Description The Risk Management Lead will help identify risks, ... audit readiness. Responsibilities The Risk Management Lead will design, deliver, and ... to substantial. The Medicare Risk Management Lead will:..
