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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 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 ..
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 ..
988 Clinical Supervisor (Overnights/Evenings) – 4-Day Work ... in person by an experienced clinical team that provides comprehensive assessment ... Crisis Counselors while effectively establishing clinical rapport with service recipients..
... Humana Nationwide Medicaid Behavioral Health Quality Lead in Newport Rhode Island ... Island Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..
... 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...
988 Clinical Supervisor (Full Time) Location: East ... in person by an experienced clinical team that provides comprehensive assessment ... Crisis Counselors while effectively establishing clinical rapport with service recipients..
... 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 .....
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 ..
Job Information Humana Director, Informatics in Newport Rhode Island Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights ..
... with the delivery of high quality care while achieving positive clinical outcomes, and patient/resident, family and employee ... to ensure the best possible outcomes for patients on assigned nursing..
... 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..
... 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..
... 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,..
... of living options and professional clinical services. We are changing how ... nursing care while achieving positive clinical outcomes, and patient/family and employee satisfaction.Position ... NursingLead, guide and direct..
... 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..