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Humana
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Richmond, Virginia
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, care, or services for members.
The Manager is responsible for ensuring high quality, cost-effective ... .
Effectively manages attendance, schedules, assignments, and compliance expectations to ensure adequate
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Humana
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Richmond, Virginia
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strategy, education, and Quality Improvement activities for the clinical team.
Develops, implements, measures, analyzes, and reports on LTSS programs and initiatives designed to improve the health and quality
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Humana
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Richmond, Virginia
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services and support compliance with contractual requirements and industry best practices.
The Manager ... ensure compliance with state and federal requirements and incorporate industry best practices
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Humana
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Richmond, Virginia
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compliance with mandated and corporate policies regarding other departmental areas such as medical management, utilization management, population health and quality.
May require cross functional departmental/market
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Humana
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Richmond, Virginia
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service coordination policies and procedures to ensure compliance with state and federal requirements and ... Management certification (CCM).
Active, unrestricted, Registered Nurse (RN) license or Licensed Mental
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Humana
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Richmond, Virginia
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development of utilization management policies and procedures to ensure compliance with state and federal ... , and community partners to support the delivery of high-quality utilization management services
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