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Description The Senior Quality Improvement Professional will focus organizational ... (BH)/Substance Use Disorder (SUD) clinical quality performance measures to achieve optimal performance and ... to achieve optimal performance and quality..
Job ID 21000FMNAvailable Openings 2 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
Description The Informaticist 2 coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informaticist 2 work assignments are ..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... influencing decision making and ensuring..
... 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..
Job Information Humana Telephonic Care Manager in Charleston West Virginia Description The Telephonic Care Manager will be part of the Humana Military Case Management team; providing a comprehensive, holistic approach for ..
Job Information Humana Bilingual Spanish RN Care Manager--Compact License Required-WAH Nationwide in Charleston West Virginia Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..
... Member Plan (EFMP), auditing for quality and clinical compliance, and case ... for ABA Therapy. Review outcome measures to ensure compliance with ACD. ... compliance with ACD. Monitor for..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
... the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI ... patients will achieve the FMC Quality Enhancement Goals (QEP). PRINCIPAL DUTIES ... to support the delivery of..
... closing opportunities. Drives improvement of quality outcomes for providers through in-person, ... needed improvements that impact HEDIS measures or coding (i.e. identify deficiencies ... provide guidance to practice). Prepares..
Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Charleston West Virginia Description ... Healthy Horizons is seeking a Quality Improvement Program..
... reducing waste and overuse of healthcare services, while encouraging high value ... Trend (CAT) team needs your healthcare, analytic, and research acumen to ... have the opportunity to support..
... management of wounds. Why Genesis?Genesis HealthCare is a leading provider of ... is a leading provider of healthcare services from short-term to long-term ... touch through the delivery of..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual strongly preferred-WAH Nationwide in Charleston West Virginia Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates ..
Job Information Humana RN Care Manager--Compact License Required-WAH Nationwide in Charleston West Virginia Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and ..
... Humana Nationwide Medicaid Behavioral Health Quality Lead in Charleston West Virginia ... Virginia Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..
Description Full-Time Remote, Telephonic RN opportunity. Humana Care Support is a division of Humana that is dedicated to helping adults remain independent in their homes. Our nurses are titled Care Managers, ..
Job Information Humana Quality Improvement Coordinator in Charleston West ... Charleston West Virginia Description The Quality Improvement Coordinator 3 assists in ... assists in administering and monitoring quality improvement and..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual a plus-WAH Nationwide in Charleston West Virginia Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates ..
Description Responsibilities The Care Management Support Assistant 3 assists in ensuring TRICARE beneficiaries receive the highest quality health care for Autism Spectrum Disorder (ASD) related services in accordance with the Autism ..