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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 ..
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Description The Director, Health Services utilizes clinical nursing skills to support the coordination, ... and/or benefit administration determinations. The Director, Health Services requires an in-depth ... function or segment. Responsibilities..
Description The Director of Health Services for National Medicaid Clinical Operations utilizes clinical skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Director, Health ..
... EMTC reports to the Chief Nursing Officer, Vice President of Nursing and operates within a multidisciplinary ... at both locations. A Medical Director for each campus oversees day .....
Description JOB SUMMARY Responsible for providing effective clinical record reviews inclusive of medical necessity request/ denials, complaints, external medical records request, mortality and morbidity reviews. Monthly complaint log audits services. Participate ..
Mercy Clinic, a regional and national recognized leader in healthcare, is actively recruiting a Neonatal Nurse Practitioner, Pediatric Nurse Practitioner or Family Nurse Practitioner to join our established and expanding group ..
... and research. ED / ER Nursing Director - Trauma Emergency Room (Full ... continually improve the profession of nursing and patient care within the ... Hospitals Service Excellence Standards...
Palliative Care Advanced Practitioner Opportunity in Washington, MO! This group is powered by Physicians, Advanced Practitioners, and an engaged support staff focused on quality patient care. This Opportunity Offers:Part time position ..
Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. The National Medicaid Director of ..
Description The Director, Health Services Nursing serves as the strategic leader ... building out clinical capabilities. The Director will be responsible for driving ... and financial stewardship Responsibilities The Director,..
... accountability for the management of nursing and home health aide functions ... care. Promotes positive relationships between nursing, home health aide employees, physicians ... a fully accredited school of..
... accountability for the management of nursing and home health aide functions ... care. Promotes positive relationships between nursing, home health aide employees, physicians ... to Two years of pediatric..
Pediatric Advanced Practitioner Opportunity in Washington, MO! This group is powered by 4 Physicians, 1 Advanced Practitioner, and an engaged support staff focused on quality patient care. This Opportunity Offers:Providing on-site ..
... evaluate performance of mental health, nursing and clerical personnel. Final approvals ... hiring must be received from Director of Human Resources prior to ... physician assistants, nurse practitioners and..
Critical Care Advanced Practitioner Opportunity in Washington, MO! This group is powered by three Physicians, three Advanced Practitioners, and an engaged support staff focused on quality patient care. Acute Care Nurse ..
Description The Senior Nursing Quality Outcomes Coordinator will partner ... leaders within the Division of Nursing to oversee or lead quality ... will work in collaboration with nursing leadership teams..
Mercy Clinic is seeking a full-time Psychiatric Mental Health Nurse Practitioner to join a practice delivering adult outpatient services on-campus of Mercy Hospital Washington. This Position Offers:Great location on Mercy Hospital ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Washington District Of Columbia ... Of Columbia Description The Associate Director, Compliance Nursing reviews utilization management activities and ... waste, and..
Description Healthcare is rapidly changing, and our members are living longer, often with more chronic conditions. Consumers expect more personalized and holistic experiences from their health partners. Humana's Enterprise Clinical Operating ..
Psychiatry Advanced Practitioner Opportunity in Washington, MO! This group is powered by two Physicians, and an engaged support staff focused on quality patient care. This Opportunity Offers:Full time position, Monday through ..
Director - Ambulatory Transformation (EVERGREEN)','2300016R','!*!The Director of Ambulatory Transformation (AT) reports ... reports directly to the Executive Director, Ambulatory Services, CNH and collaborates ... roadmap of Ambulatory Transformation. The Director..
Job Information Humana Director, Behavioral Health Strategy in Washington District Of Columbia Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality ..