Director Quality Improvement Utilization Management Jobs in Las Vegas

... to the Vice President, Medical Management Operations and serves as a ... functions related to HGB's Care Management programs to include predictive models, ... and corresponding support. Also leads..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Las Vegas ... Vegas Nevada Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... waste,..

... is responsible for client cost management and satisfaction. The CAM is ... an account or branch for quality assessment and process improvement to positively impact overall financial ... related..

Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director will provide..

... executing the clinical strategythrough the management of their own patient panel ... directly to the Regional Medical Director and is directly responsible for ... Working collaboratively with Regional Medical..

... as preventive care, chronic disease management, and other domains of health. ... nationally, supporting a national medical director of clinical education and the ... excellence, supporting a national medical..

Description The Behavioral Health Medical Director responsible for behavioral health care ... operations. The Behavioral Health Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director..

Description The Associate Director, Vendor Management works as liaison between vendors ... vendors and organization. The Associate Director, Vendor Management requires a solid understanding of ... across department(s). Responsibilities The..

... effective performance and delivery of quality home care services, and is ... in conjunction with the Branch Director and Company Finance Department to ... Resources Department and the Executive..

... train primary care providers in quality-based, senior-focused medicine for existing and ... and procedure, coding and documentation, quality, utilization, customer service standards, team communication ... guidance to ensure that..

... The Lead Behavioral Health Medical Director oversees the work of 2 ... The Lead Behavioral Health Medical Director may also lead specific functional ... Directors. Responsibilities The Lead Medical..

Description The Associate Director, Consumer Engagement oversees the enrollment, ... product where warranted. The Associate Director, Consumer Engagement requires a solid ... across department(s). Responsibilities The Associate Director, Consumer Engagement..

Job Information Humana Director, Behavioral Health Strategy in Las ... Las Vegas Nevada Description The Director, Behavioral Health (DBH) will ensure ... Healthy Horizons have access to quality care for..

... our nation's health systems for quality, cost, and innovation, Intermountain Healthcare ... is looking for a Medical Director for Utilization Management to join our team in ... for yielding..

National Medical Director Utilization Management – Quality Management *Employed*Can work remote*Growing organization*Excellent compensation ... activities that impact health care quality cost and outcomes.rnIdentifies and develops ... innovation to increase effectiveness..

Description The Associate VP, Product Management will lead, manage and direct ... of sophistication, will offer product management disciplines to the business that ... that will continuously transform patient management..

... business. Work with local market utilization management and case management teams for inpatient cases. Participate ... for inpatient cases. Participate in Quality Operations including Quality Management Committee, monitor initial..

... facilitate the delivery of high quality, appropriate, and cost-effective behavioral healthcare ... the highest yield opportunities for improvement. You much also be passionate ... with Clinical Operations, Markets, Care..

MEDICAL DIRECTOR / 100% ADMINISTRATIVErnrnrnDescriptionrnrnrnrnMedical DirectorrnOverall Purpose:rnThe ... 100% ADMINISTRATIVErnrnrnDescriptionrnrnrnrnMedical DirectorrnOverall Purpose:rnThe Medical Director is responsible for medical oversight ... medical oversight of the Medical Management Program Description of organization..

... facilitate the delivery of high quality, appropriate, and cost-effective behavioral healthcare ... the highest yield opportunities for improvement. You much also be passionate ... with Clinical Operations, Markets, Care..