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Description The Manager, Care Management leads teams of nurses and ... health professionals responsible for care management. The Manager, Care Management works within specific guidelines and ... you succeed, we..
Description The Director, QOCA Strategy - serves as the strategic leader in resource utilization; budget and MER oversight; vendor oversight; and for clinician and non-clinician flex associates and off-shore vendor associates ..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... you succeed, we succeed! The..
... vision and values—as we deliver top-quality healthcare. From our extensive facilities ... implementation of strategies that improve quality and patient safety throughout the ... with Medical Staff, improving overall..
... and other military healthcare programs. High-quality service, cost-effective platforms, and progressive ... Discharge Call (PDC) Telephonic Care Manager will be part of the ... of the Humana Military Care..
... range of housing focused case management and behavioral health interventions through ... mobile triage and field-based case management approach. Staff will be deployed ... and housing stabilization focused case..
Manager, Clinical Quality Review','21003CI',' At Blue Shield of ... all Californians have access to high-quality health care at a sustainably ... recognition for � LGBT diversity, quality improvement, most influential..
Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Torrance California Description Humana ... Healthy Horizons is seeking a Quality Improvement Program..
Description The Vendor Quality Medical Director will manage clinical ... Director will manage clinical vendor quality outcomes for Humana Clinical Operations ... Director to manage clinical vendor quality outcomes for..
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid ... in Torrance California Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... and/or benefit administration determinations...
Description Responsibilities Senior Care Manager, Behavioral Health (BCBA) This is ... position with responsibility for utilization management and clinical decision-making as outlined ... clinical information in various medical management systems...
Description The Associate Director, Quality Assurance for Humana/Your Home Advantage ... programs to establish and maintain quality standards of existing products and ... Wellness Assessments. The Associate Director, Quality Assurance..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... and other military healthcare programs. High-quality service, cost-effective platforms, and progressive ... Government. Responsibilities The Telephonic Care Manager will..
**Providence is calling a Manager Risk Management South Bay Community (Full-Time/Day Shift) ... experience.** **We are seeking a Manager Risk Management South Bay Community** who will ... day operational leadership..
Job Information Humana Manager, Care Management Social Services-WAH Nationwide in Torrance ... Description Job Description Summary The Manager, Care Management leads teams of social work ... contributing to the multi-disciplinary..
... implementation of strategies that improve quality and patient safety throughout the ... Medical Staff, improving the overall quality and safety of patient care. ... with hospital Accreditation to ensure..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is ... Member Plan (EFMP), auditing for quality and clinical compliance, and case ... and clinical compliance, and case management. Serve..
... and possible participation in care management. The clinical scenarios predominantly arise ... health, or disease or care management. Medical Directors support Humana values, ... participating in teams focusing on..
... and cancer patients. The hospital�s quality indicators reflect the hard work ... key member of the hospital management team. The DCQI provides effective ... following functions: Performance Improvement, Risk..