Clinical Quality Outcomes Coordinator Jobs

... 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..

... 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..

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 ..

Job Information Humana CMO - Regional VP, Health Services - Intermountain Region in Salem Oregon Description The Regional VP, Health Services relies on medical background and reviews health claims. The Regional ..

... Humana Nationwide Medicaid Behavioral Health Quality Lead in Salem Oregon Description ... Oregon Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..

... 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 .....

... 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,..

... 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,..

... 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...

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 ..

Job ID 21000CC3Available 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 ..

... 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,..

... 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,..

... 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,..

... 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..

... entry level designation into the Clinical Advancement Program for Registered Nurses. ... decision-making, teaching, leadership functions, and quality improvement activities that enhance patient ... activities that enhance patient care..

... 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,..

... responsibility for utilization management and clinical decision-making as outlined in the ... 4. This associate will conduct clinical necessity reviews for requested ABA ... tools to assist in guiding..

... 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..

... 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,..

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 Salem Oregon Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..