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healthcare
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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..
... 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..
... interaction with beneficiaries to address clinical conditions identified through Predictive Analytics ... capacity for self-care to enhance quality of medical care and achieve ... medical care and achieve desired..
... with questions and mentoring of clinical staff Reviews and resolves escalated ... departments Leads implementation of process improvement initiatives based on data analysis ... reviews for requested services using..
... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Lancaster ... South Carolina Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an ... The Associate..
... 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..
... 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,..
... South Carolina Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a ... and 3) contribute as a clinical industry representative. As a leader, ... background, business..
... Case Management - including all clinical Physical and Behavioral Health (outpatient, ... thought partner in building out clinical capabilities. The Supervisor, Health Services ... for following established policies. uses..
... 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..
... 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..
... 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..
... 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..
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..
