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... to enhance the clinical delivery process. The Director of Health Services ... leads Medicaid shared services operational process and teams responsible for supporting ... and leading the Centralized Outpatient..
... Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... to enhance the clinical delivery process. The Associate Director, Compliance Nursing ... problems within department(s), and..
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... Understand and engage in risk management procedures such as identifying, coordinating, ... standards; Participate in all quality improvement procedures and adhere to quality ... procedures and adhere to quality..
... to feedback and recommendations by Utilization Review staff. Upon completion of ... courses of action through the utilization of Performance Improvement principles. Responsible for review of ... the QA/PI..
... Banner Health organization. Previous Case Management experience is preferred, however we ... implements, monitors and documents the utilization of resources and progress of ... in a leadership function with..
... Associate RN Director, you will lead a team that works in ... depth and breadth of clinical management knowledge to ensure the provision ... of clinical, financial, and personnel..
... practice that is achieved through process improvement teams and committees. We offer ... excellent experience, and effective resource utilization. The role actively participates in ... depth and breadth of..
... depth and breadth of clinical management knowledge to ensure the provision ... of clinical, financial, and personnel management of the assigned areas. CORE ... smooth and efficient patient care..
Description Account Management Lead defines the account management strategy for Humana Pharmacy's commercial ... Pharmacy's commercial accounts. The Account Management Lead works on problems of diverse ... are developed. Leads..
Description The Lead Behavioral Health Medical Director oversees ... doing case reviews themselves. The Lead Behavioral Health Medical Director may ... Health Medical Director may also lead specific functional area..
... care model, where our physicians lead a multi-disciplinary care team supporting ... motivating, and retaining organizational talent Lead medical center operations consistent with ... initiatives, Hedis/Star gap closure and..
... quality outcomes, and effective resource utilization. Your pay and benefits are ... depth and breadth of clinical management knowledge to ensure the provision ... of clinical, financial, and personnel..
... Coordinates oversight of quality, risk management, safety and nursing standards and ... in the oversight of resource utilization for the department, including human, ... resources. 5. Participates in evaluation..
... of the Clinical Drug Policy Management team which ensures synchronization of ... which ensures synchronization of formulary utilization management policies across multiple systems. Humana ... Active, unrestricted pharmacy licensure..
... performance support, mobile learning and process documents. Plans, organizes, and collaborates ... proficiency testing, and job performance improvement. Makes decisions on moderately complex ... any field Minimum 1 year..
... Evening Job Category: Nursing Help lead health care into the future. ... efficient patient care and resource utilization. You will have approximately 50 ... depth and breadth of clinical..
... possess a strong knowledge of process improvement methodology, human resource development, and ... through promotion of rational, cost-effective utilization of medication therapy. 3. Assists ... collaboration. Plans efficient and..
... of clinical, financial, and personnel management of the assigned areas. Serves ... depth and breadth of clinical management knowledge to ensure the provision ... of clinical, financial, and personnel..
