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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..
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..
Job Information Humana Director Medicaid Provider Services (State of OH) in Cincinnati Ohio Description The Director Medicaid Provider Services oversees the plan's strategic provider services, provider engagement and network development. They ..
... Humana Nationwide Medicaid Behavioral Health Quality Lead in Cincinnati Ohio Description ... Ohio Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..
... 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 .....
Description The UM Administration Coordinator 1 contributes to administration of ... utilization management. The UM Administration Coordinator 1 performs basic administrative/clerical/operational/customer support/computational ... Responsibilities Job Title: UM Administration Coordinator/Pharmacy Technician..
... member is progressing towards desired outcomes by continuously monitoring care through ... through assessments and/or evaluations. Perform clinical intervention through the development of ... to each member based on..
Description The Director, Quality Improvement implements quality improvement programs for all lines ... and annual evaluation. The Director, Quality Improvement requires an in-depth understanding ... across departments. Responsibilities The Director,..
... 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..
... 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...
... member is progressing towards desired outcomes by continuously monitoring care through ... and community services to promote quality and cost-effective outcomes. Ensures the delivery of needed ... no disciplinary..
... strategies for development, engagement, best clinical practices and processes for clinical community within the enterprise. The ... within the enterprise. The Director, Clinical Strategy and Practice requires an .....
... has responsibilities for the administration, clinical and operational management and compliance ... (CM), Care Coordination (CC) and Quality Management (QM) for TRICARE East; ... East; maintaining contractual standards, improving..
... that improves the health and clinical care of patients. The University ... Research Associate) with expertise in clinical oncology trial design and outcomes analyses for a growing research .....
Description The Associate Director, Quality Improvement implements quality improvement programs for all lines ... annual evaluation. The Associate Director, Quality Improvement requires a solid understanding ... department(s). Responsibilities The Associate..
Job Information Humana Director, Informatics in Cincinnati Ohio Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..
POSITION FEATURES:Monday, Wednesday, and FridayOn call 4 days every 4-6 weeks.PURPOSE AND SCOPE:The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program ..
... 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..
