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... Member Plan (EFMP), auditing for quality and clinical compliance, and case management. Serve ... documentation. Complete required audits of clinical records. Assist in entry and ... Ensure audits are..
... Responsibilities The ACD Referral Authorization Coordinator Lead role will assist the ... Care Demonstration (ACD). Under direct clinical supervision, process referrals from Military ... require evaluation or interpretation of..
... is committed to providing personalized, high-quality primary care combined with an ... of operational development and performance improvement in existing programs related to, ... practices and tools Identify process..
... 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,..
... Birmingham Alabama Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a ... and 3) contribute as a clinical industry representative. As a leader, ... background, business..
... (80) Operations (255) Physicians/Surgeons (1359) Quality/Risk Management (18) Type Contract (1) ... Killeen, Texas NEW! NEW! Authorization Coordinator Days FT Detroit Medical Center ... Tampa, Florida NEW! NEW! Payroll..
... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Birmingham ... Birmingham Alabama Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an ... The Associate..
... directly to the National Medicaid Quality Director, and be responsible for ... of Humana Healthy Horizon's National Improvement strategy and operating model for ... operating model for Behavioral Health..
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 RN 1 is accountable and ..
Description The Senior Clinical Business Professional assists in the ... of operational development and performance improvement in existing programs related to, ... Organization is seeking a Sr. Clinical Practice Strategy..
... and other military healthcare programs. High-quality service, cost-effective platforms, and progressive ... interaction with beneficiaries to address clinical conditions identified through Predictive Analytics ... program requirements and is high..
... Medical Director serves as a clinical resource for the LTC program as ... innovative approaches for improving the quality, efficiency, and appropriateness of care ... care team rounds and..
... entry level designation into the Clinical Advancement Program for Registered Nurses. ... decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care ... under the direction of..
... and other military healthcare programs. High-quality service, cost-effective platforms, and progressive ... capacity for self-care to enhance quality of behavioral health care and ... health care and achieve desired..
Job Information Centerwell RN Clinical Manager in Hoover Alabama The ... Manager in Hoover Alabama The Clinical Manager coordinates and oversees all ... care patient services provided by clinical personnel...
