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Description The RN, Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The RN ..
Description The Compliance (UM) Professional 2 conducts and summarizes compliance audits. The Compliance (UM) Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses ..
Job Information Humana Grievances & Appeals Representative ... & Appeals Representative 3 (FULLY BILINGUAL English/Spanish) Work at Home Florida ... Key West Florida Description The Bilingual Grievances & Appeals Representative..
Description The Bilingual Spanish/English Provider Contracting Professional 2 ... courses of action. Responsibilities The Bilingual Provider Contracting Professional 2 communicates ... MS Office applications Must be Bilingual Spanish/English with the..
