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Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..
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 to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Description The Manager, Risk Adjustment oversees coding educators ... Adjustment oversees coding educators and quality assurance audits of medical records and ... and Medicaid Services (CMS). The Manager, Risk Adjustment..
... HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional ... HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional ... guidelines/procedures. Primary responsibilities for the..
We’re a nonprofit, regional healthcare network with two hospitals, numerous ... multi-specialty medical (physician) group, home healthcare services and hospice care, as ... vision and values—as we deliver top-quality healthcare...
The dedicated staff, highly-skilled physicians and surgeons, and advanced technology combine to make working at Los Alamitos Medical Center a personally-rewarding work environment. Nursing staff often hold advanced degrees, are dedicated ..
... interventions; conflict resolution and property manager mediation; and other interventions that ... pmu003c/spanu003eu003c/pu003enu003cpu003eu003cstrongu003eu003cspanu003eDays:u0026nbsp;u0026nbsp;u003c/spanu003eu003c/strongu003eMonday - Fridayu003c/pu003enu003cpu003eu003cstrongu003ePOSITION SUMMARYu003c/strongu003eu003cbr /u003eThe Quality Coordinator/Trainer is responsible for implementing ... is responsible for implementing Clinical..
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 SUMMARY Lead all Medicare Advantage Risk Adjustment coding initiatives including prospective chart review and prep, retrospective chart review and audit, and provider education. Manager will coordinate with operations leaders and ..
Description The Associate Director, Quality Assurance for Humana/Your Home Advantage (YHA) ... programs to establish and maintain quality standards of existing products and ... Wellness Assessments. The Associate Director, Quality..
Description The Manager, Software Engineering codes software applications ... based on business requirements. The Manager, Software Engineering works within specific ... schedules and goals. Responsibilities The Manager, Software Engineering standardizes..
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..
PRIMARY DUTIES AND RESPONSIBILITIES Collaborates with Hoag Hospital Newport Beach and Irvine laboratory leadership team in setting and achieving combined goals for Hoag Hospital laboratories. Provides support to Laboratory Director, in ..
... of the MRA team, the Manager will work closely with market ... based on advanced knowledge/experience. The Manager, Risk Adjustment works within specific ... approach, resources, schedules and goals.The..
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..
... and FMS policy requirements. Ensure quality patient care while maintaining cost-effective ... the delivery of safe effective quality outcomes. PRINCIPAL DUTIES AND RESPONSIBILITIES: ... Manual.Complete Nurse's Technical Training Program/Water..
Job Information Humana Technical Product Manager - Remote in Torrance California ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
... Health is a nonprofit regional healthcare delivery network founded over 50 ... implementation of strategies that improve quality and patient safety throughout the ... Medical Staff, improving the overall..
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..
... interventions; conflict resolution and property manager mediation; and other interventions that ... - 5:00 pmu003c/spanu003eu003c/pu003enu003cpu003eu003cstrongu003ePOSITION SUMMARYu003c/strongu003eu003cbr /u003eThe Quality Coordinator/Trainer is responsible for implementing ... is responsible for implementing Clinical..
