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Description The Clinical Strategy & Practice Lead will ... oversee our behavioral health (BH) clinical program for Oklahoma's Medicaid plan ... services, including utilization management (UM), quality improvement, and value-based..
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..
... 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 Quality Management Director provides strategic leadership ... leadership for Humana's Oklahoma Medicaid Quality Program, in alignment with organizational ... Program, in alignment with organizational quality and population health..
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 RN, Field Care Manager Nurse 2 - Tulsa, OK & Surrounding Areas in Tulsa Oklahoma Description The RN, Field Care Manager Nurse 2 (Care Manager, Physical Health) assesses ..
... 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..
... 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..
PURPOSE AND SCOPE:The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision ..
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...
... 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..
... 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,..
... 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..
Job ID 21000G1FAvailable 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 ..
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 ..
... member is progressing towards desired outcomes by continuously monitoring care through ... and community services to promote quality and cost-effective outcomes. Required Qualifications: Licensed Registered Nurse ... Minimum one..
Job Information Humana Director, Informatics in Tulsa Oklahoma Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..
PURPOSE AND SCOPE: Promotes quality patient care, ongoing customer support ... nutrition services, social work services, quality and operations, obtaining feedback and ... related issues and create positive outcomes. Adheres..
... Humana Nationwide Medicaid Behavioral Health Quality Lead in Tulsa Oklahoma Description ... Oklahoma Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..
