- Humana (Indianapolis, IN)
- …a part of our caring community and help us put health first** The Quality Assurance Professional reviews LTSS contractor documentation and performance to ... scope of work, and state and federal regulations. The Quality Assurance Professional ensures adherence to policies,...(unlicensed)** + A minimum of 2 years' experience in LTSS . + Proficient with Microsoft Office products including Word,… more
- Humana (Lansing, MI)
- …caring community and help us put health first** Humana is seeking a Manager, Quality Assurance ( External LTSS Oversight Team Manager) who will lead a ... LTSS ) eligibility determination and service authorization. The Manger, Quality Assurance collaborates with external ...schedules, and goals. + Oversee the External Oversight Team ( Quality Assurance professionals… more
- Highmark Health (Dover, DE)
- …Conduct frequent ride-alongs and shadowing of Case Managers for hands on support, quality assurance , and to identify training opportunities. + Apply clinical ... manages a team of Case Managers charged with promoting quality member outcomes to optimize member benefits and to...use of resources for members enrolled in DSHP Plus LTSS . Provides direct oversight to Case Managers,… more