Rn Quality Improvement Manager Jobs in Glen Allen

... Senior Provider Engagement Dedicated Care Manager develops and grows positive, long-term ... support and improve financial and quality performance within the contracted working ... Senior Provider Engagement Dedicated Care..

Job Information Humana RN- Field Care Manager (Home Care) Part-Time -Richmond, VA ... Senior Bridge/Humana is seeking passionate, RN Home Care Nurse professional and ... dedicated to delivering the highest..

... Health Parity, Clinical compliance, and quality performance and staffing management. Detailed ... Audit team to assure high quality and compliant care is delivered ... business related field; *Active clinical..

Job Information Humana Process Improvement Lead South Carolina Medicaid (Utilization ... Allen Virginia Description The Process Improvement Lead analyzes, and measures the ... business process improvements. The Process Improvement Lead..

... Healthy Horizons have access to quality care for their behavioral health ... as a key leader in quality improvement oversight and activities. Represent the ... Marriage and Family Therapist..

... and other military healthcare programs. High-quality service, cost-effective platforms, and progressive ... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary. The PDC Care..

Description Responsibilities The Telephonic Care Manager will be part of the ... of the condition/disease. The care manager will assess, plan, coordinate, implement, ... capacity for self-care to enhance quality..

Description SeniorBridge/Humana is seeking passionate, RN Home Care Nurse professional and ... dedicated to delivering the highest quality in-home care management programs to ... programs. Responsibilities Assignment Capsule As RN..

Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance with accreditation standards across multiple operational areas within Humana. Responsibilities ..

Job Information Humana Care Manager, Telephonic Nurse 2 Certified Diabetes ... to behavior change and improved quality of life across the lifespan. ... advocates for members to optimize quality care...

... new associate orientation, training and quality assurance/quality improvement activities. Provide clinical support in ... related to scope of services, quality, etc. *Complete CLIA lab proficiencies ... patient care technicians..

... new associate orientation, training and quality assurance/quality improvement activities. Provide clinical support in ... related to scope of services, quality, etc. *Complete CLIA lab proficiencies ... patient care technicians..

Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..

... Humana Nationwide Medicaid Behavioral Health Quality Lead in Glen Allen Virginia ... Virginia Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..

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 ..

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..

Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - ... Horizons is seeking a Senior Quality Program Delivery Professional who will ... who will manage and support quality improvement..

... nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice ... customer service. The Clinical Account Manager (CAM) is directly responsible for ... assigned client(s). The Clinical Account..

... (CCM) organization is seeking a Manager, Fraud & Waste to join ... As the Fraud & Waste Manager at Humana, you will support ... so that our members receive..

Description The Quality Compliance Professional 2 completes annual ... Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments ... courses of action. Responsibilities..

Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Glen Allen ... in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be ... Stars Program...

... for inpatient cases. Participate in Quality Operations including Quality Management Committee, monitor initial peer ... monitor initial peer review on quality of care complaints Participate in ... of Humana..

Description The Learning Facilitation Professional 2 (LFP2) plans, coordinates, conducts or facilitates learning experiences for Humana Military associates and/or external audiences. The LFP2 creates an environment that is conducive to learning ..