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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,..
... administration of care management. Provides non-clinical support to the assessment and ... benchmarks, identify opportunities for process improvement, and develop recommendations for leadership ... recommendations for leadership Coordinate with..
... 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..
... in the role as office coordinator when requested by the Manager/Supervisor/Director. ... the absence of the office coordinator.n Ensures timely, accurate, and complete ... and objectives intended to enhance..
... 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..
... that patient charges and corresponding clinical documentation are in compliance with ... participates in program development, performance improvement activities, and community events sponsored ... and regulatory standardsu2022 Leadership for..
... 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..
... is committed to providing personalized, high-quality primary care combined with an ... accurately assigned and supported by clinical documentation. Identify and review Claims. ... Review Off-Shore actions notes Assist..
... Louisville Kentucky Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a ... and 3) contribute as a clinical industry representative. As a leader, ... background, business..
Job Information Centerwell RN Clinical Manager Home Health Full Time ... Time in Louisville Kentucky The Clinical Manager coordinates and oversees all ... care patient services provided by clinical personnel...
... entry level designation into the Clinical Advancement Program (CAP) for new ... decision-making teaching leadership functions and quality improvement activities that enhance patient care ... and with guidance from..
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..
... 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..
... MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Louisville ... Louisville Kentucky 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 ... capacity for self-care to enhance quality of behavioral health care and ... health care and achieve desired..
