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... advocate environment focused on high quality outcomes versus activities. Our department primarily ... of their care. We value quality work as every action taken ... the member and avoid..
... is committed to providing personalized, high-quality primary care combined with an ... based care provider focused on quality of care for the patients ... nurses, MAs, behavioral health specialists,..
... Health Medical Director will provide clinical oversight to Behavioral Health (BH) ... Behavioral Health (BH) administrative and clinical programs for TRICARE beneficiaries. They ... population health management, contract compliance,..
... is committed to providing personalized, high-quality primary care combined with an ... based care provider focused on quality of care for the patients ... Nurse, MA, Behavioral health specialist,..
... interaction with beneficiaries to address clinical conditions identified through Predictive Analytics ... capacity for self-care to enhance quality of medical care and achieve ... medical care and achieve desired..
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 ..
... Member Plan (EFMP), auditing for quality and clinical compliance, and case management. Serve ... documentation. Complete required audits of clinical records. Assist in entry and ... compliance with ACD...
... is committed to providing personalized, high-quality primary care combined with an ... Care, is seeking a Care Coordinator who contributes to administration of ... Ancillary Care team. The Care..
... strived to create better health outcomes and simplified experiences for millions ... and other military healthcare programs. High-quality service, cost-effective platforms, and progressive ... capacity for self-care to enhance..
... strived to create better health outcomes and simplified experiences for millions ... and other military healthcare programs. High-quality service, cost-effective platforms, and progressive ... interaction with beneficiaries to address..
... self-care, to cost-effectively achieve desired clinical outcomes and to enhance quality of medical care. The case ... will serve as the primary coordinator and point of contact for .....
... Humana Nationwide Medicaid Behavioral Health Quality Lead in Brentwood Tennessee Description ... Tennessee Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..
Description The Senior Clinical Business Professional assists in the ... Organization is seeking a Sr. Clinical Practice Strategy Consultant to be ... improve and support program production, quality and financial..
Description Responsibilities The Care Management Support Assistant 3 assists in ensuring TRICARE beneficiaries receive the highest quality health care for Autism Spectrum Disorder (ASD) related services in accordance with the Autism ..
... program in meeting optimal member outcomes, assuring that medically necessary and ... Medical Director serves as a clinical resource for the LTC program ... innovative approaches for improving the..
... accordance with accepted standards of clinical practice to facilitate problem resolution ... achieve individualized patient goals and outcomes. Confer with the RN Supervisor ... Maintain contact with patients, physicians,..
... with questions and mentoring of clinical staff Reviews and resolves escalated ... Makes recommendations regarding training, improving outcomes, and process efficiencies. Completes medical ... reviews for requested services using..
... for self-care to enhance their quality of life and achieve desired ... of life and achieve desired clinical outcomes. As part of the Case ... primary point of contact..
Job Information Humana Director, Informatics in Brentwood Tennessee Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..
... directly to the National Medicaid Quality Director, and be responsible for ... operating model for Behavioral Health Quality, and its integration with Physical ... its integration with Physical Health..
