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... patient safety improvement to reduce healthcare errors and healthcare incidents. The role functions as ... the core components of the Healthcare Performance Improvement (HPI) Safety First ... identifies methods..
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Respiratory Therapist- Registered, Pulmonary Rehab, Days, PRN','Part-time','Respiratory','1','1','0','0','Occasional','Occasional','KENTUCKY-LOUISVILLE-FRAZIER REHAB INSTITUTE','','!*!This position is responsible for assessing, coordinating, implementing and evaluating the rehabilitative care for patients with pulmonary related diagnosis. The respiratory therapist collaborates ..
82001 NURSE PRACT-GASTROENTEROLOGY','Full-time','Advanced Practice Clinician','8a','8a','80','80','None','None','KENTUCKY-LOUISVILLE-JH MED CTR EAST 3920 DUTCHMANS LN','','!*!ARNP will practice in collaboration with the physicians and healthcare professionals to diagnose, treat and manage patient health problems according to ..
Description Responsibilities The Senior Clinical Insights Professional delivers clinical policy insight and information to both internal and external customers for Humana Government Business (HGB). The Senior Clinical Insights Professional will draft ..
Description The Quality Compliance Nurse (RN) Professional uses quality improvement methodology to analyze data and works collaboratively with teams to improve quality for KY Medicaid members. How We Value You Benefits ..
... physicians, physician groups, and integrated healthcare delivery systems throughout the country. ... delivery systems throughout the country. Healthcare isn't just about health anymore. ... of our members, and the..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Description The Senior Medical/Financial Risk Evaluation Professional is responsible for supporting the development, implementation and monitoring of medical/financial risk. The Senior Medical/Financial Risk Evaluation Professional work assignments involve moderately complex to ..
Description The Senior Risk Management Professional identifies and analyzes potential sources of loss to minimize risk. The Senior Risk Management Professional work assignments involve moderately complex to complex issues where the ..
Description The Care Management Support Professional 1 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..
Description The Senior Quality Improvement Professional will focus organizational efforts on improving behavioral health (BH)/Substance Use Disorder (SUD) clinical quality performance measures to achieve optimal performance and quality for the Humana ..
Description Responsibilities The SIU and PPI Lab review team is seeking a Medical Coding Auditor with a special set of skills. This person will focus on coding and clinical review of ..
Description The Care Management Support Assistant 2 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..
... Pharmacist, Registered Nurse, other licensed healthcare professional 3 years of experience ... years of experience working on healthcare quality and performance measure improvement ... Qualifications Bachelor's degree in Business,..
... Evaluation of clinical criteria or research of available literature available to ... recommendation on services based on research/analysis Review/recommend categorization of codes for ... experience Behavioral health Medicaid experience..
Description The Senior Nursing Educator plans, directs, coordinates, evaluates, develops, and/or delivers training and education programs for professional nursing personnel. The Senior Nursing Educator work assignments involve moderately complex to complex ..
Description The Pre-Authorization Nurse 2 reviews Genetic testing prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The ..
RN-Navigator, Transplant Administration','Full-time','Recruiter Select Job Field','1','1','80','80','Occasional','Occasional','KENTUCKY-LOUISVILLE-JH MED CNTR NORTHEAST 2401 TERRA CROSSING BLVD','','!*!Days, Full TimeYour time at work should be fulfilling. Rewarding. Inspiring. That’s what you’ll find when you join one ..
Description This role has responsibility for the oversight and monitoring of the Autism Care Demonstration (ACD) team performance to ensure compliance with contract and complex ACD policy requirements as defined by ..
... development through internal and external research and interviews, and process development ... development through internal and external research and interviews, and process development ... development through internal and external..