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... SCOPE: Ensure the provision of quality patient care to all hospitalized ... customer service philosophy to ensure quality service while maintaining a high ... to reduce costs and maintain..
... Stars Program. Directs all Stars quality improvement programs and initiatives. The ... the analysis of situations or data requires an in-depth evaluation of ... to improve all aspects of..
... leverages its advanced knowledge of data, modeling, optimization, and tools. Applies ... that improve the outcomes and quality of the programs we offer. ... problems. Understands and analyzes complex..
About this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing ..
Description The Grievances & Appeals Professional 2 manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Grievances & Appeals ..
... Humana members to make informed healthcare decisions. Our key goal is ... help our members obtain high quality affordable healthcare while keeping our provider networks ... (cost) & Effectiveness..