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... as a Senior Enhanced Care Management Advisor (RN) in the Community ... Reporting to the Enhanced Care Management Manager, you will act as ... liaison between the Enhanced Care..
... of Care, and disease state management Perform drug utilization review (DUR) ... to prescription medications and therapeutic management WHAT YOU'LL NEED TO BE ... drug billings Windows based PC..
... Officer, you will provide strategic management oversight in implementing, directing and ... the use of Alliance data systems. You will also oversee the ... Analytics Services Director has strategic..
We have an opportunity to join the Alliance as a Health Educator on the Quality and Health Programs team in our Merced office. WHAT YOU'LL BE RESPONSIBLE FOR In this role, ..
ABOUT THIS TEMP POSITION This is a temporary position and the length of assignment is estimated to go from 9/27/2022 to 12/31/2022. The length of the assignment is always dependent on ..
... principles and practices of managed healthcare, healthcare coverage and benefit structures, principles ... 22 and Title 28 utilization management and grievance regulations The diverse ... learn and competently navigate..
... will develop ongoing Enhanced Care Management (ECM) provider lists per individual ... You will utilize Alliance data systems to generate, work with and ... report design Windows based PC..
... the Alliance as a Utilization Management Supervisor - Concurrent Review (RN) ... Review (RN) in the Utilization Management and Complex Case Management Department. WHAT YOU'LL BE RESPONSIBLE ... FOR..
... Services Officer will: Provide executive management, leadership, and accountability for the ... Health Services Departments of Utilization Management (UM), Quality Improvement/Population Heath (QI/PH), ... integrate Health Services departmental operations,..
... Alliance as a Complex Case Management Supervisor - Pediatric (RN) in ... Pediatric (RN) in the Utilization Management and Complex Case Management Department. WHAT YOU'LL BE RESPONSIBLE ... Reporting..
... Alliance as the Complex Case Management Manager - Pediatric leading in ... Pediatric leading in the Utilization Management Department. WHAT YOU'LL BE RESPONSIBLE ... FOR Reporting to the Utilization..
We have an opportunity to join the Alliance as the Quality and Performance Improvement Manager in the Quality Improvement and Population Health Department. WHAT YOU'LL BE RESPONSIBLE FOR Reporting to the ..
... practices of managed care, utilization management and/or case management Relevant healthcare regulatory and accreditation requirements, such ... guidelines in the evaluation and management of vendor performance for utilization .....
... both Pediatric and Enhanced Care Management (Adult) Care Coordinators. The Pediatric ... clinical documentation The Enhanced Care Management (Adult) Care Coordinators would be ... the Alliance, particularly the Utilization..
... care coordination for members, disease management,and/or health education Recommend and implement ... support in prevention and disease management. WHAT YOU'LL NEED TO BE ... health care and health care..
... outcomes related to population health management, clinical data management and retrieval, reporting standards and ... requirements click here Knowledge of: Healthcare industry and the principles of ... industry and..
... but not limited to: Utilization Management, Quality Improvement, Pharmacy, and Care ... Quality Improvement, Pharmacy, and Care Management Develop and improve relationships with ... are responsible for the overall..
... members referred into the Case Management program with the goal of ... conjunction with the interdisciplinary Case Management team to facilitate quality outcomes ... to continually evaluate the Case..
... Officer, you will: Provide strategic management oversight in implementing, directing and ... and pain points in current systems and develop processes to solve ... improvement and population health The..
... and lead the Provider Data Management Unit, acting as a subject ... including integrations with our core systems throughout the organization Manage and ... programs, and managed care concepts..
ABOUT THIS TEMP POSITION This is a temporary position and the length of assignment is estimated to go from June 2023 to September 2023. The length of the assignment is always ..
... in the Pediatric Complex Case Management Unit in our Community Care ... Reporting to the Complex Case Management Supervisor (Pediatric) you will: Assist ... care coordination for members, disease..
... and support of data warehouse systems, including the following components: Database, ... technologies Principles and practices of systems and EDW architecture development EDW ... manner, including troubleshooting and resolving..
