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Description The Senior Stars Improvement, Clinical Professional responsible for the development, ... Program. The Senior Stars Improvement, Clinical Professional work assignments involve moderately ... Responsibilities The Senior Stars Improvement, Clinical..
... 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 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 ..
... 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..
... 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,..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
... 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,..
Job Information Humana Director, Informatics in Davenport Iowa Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..
... 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...
... 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 .....
Job ID 21000MYUAvailable Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..
... 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..
... 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..
... 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 ... improve and support program production, quality and financial targets Assist in ... to obtain desired productivity and..
... 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..
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 ..
... Humana Nationwide Medicaid Behavioral Health Quality Lead in Davenport Iowa Description ... Iowa Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..
... and available resources to promote quality, cost-effective outcomes. Coordinate medical, behavioral and other ... unrestricted license to include: Licensed Clinical Social Worker (LCSW), Licensed Masters ... Licensed Masters Social..
