THE LARGEST COLLECTION OF HEALTHCARE JOBS ON EARTH
Supports PDF, DOC, DOCX, TXT, XLS, WPD, HTM, HTML files up to 5 MB
Description The Senior Quality Improvement Professional will focus organizational efforts ... repeatable, and quantifiable behavioral health process improvements. They will work closely ... Director, Behavioral Health Director, Quality Improvement Manager..
... satisfaction and actively participates in process improvement activities that enhance the likelihood ... RELATED: Participates in the recruitment process for new clinical staff. Assists ... the practice of Continuous..
... Actively participates in the quality improvement process and adapts practice/process based on findings. Understands clinical ... their home. We are a healthcare company committed to putting health ... work..
Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) ... Horizons is seeking a Quality Improvement Program Lead who will be ... Humana Healthy Horizon's National Quality Improvement (QI)..
Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..
Description The Director, Clinical Pharmacy Drug Evaluation and Policy Strategies oversees drug class reviews/evaluation, clinical policy strategy development, research, P&T committee oversight, and accreditation. This position will work and collaborate with ..
... Information Humana RN, Senior Stars Improvement, Clinical Professional in Charleston West ... seeking a RN, Senior Stars Improvement, Clinical Professional who will be ... Stars Program. The Senior Stars..
Description The Health Information Management Professional 2 ensures data integrity for claims errors. The Health Information Management Professional 2 work assignments are varied and frequently require interpretation and independent determination of ..
Description The DRG Validation Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..
Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Description The Process Improvement Lead analyzes, and measures the ... sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of ... will lead a team..
... questions related to efficiencies and process improvements. This role may also ... Data Analysis Effectiveness Measurement Business Process Improvements Business Process Consulting Decision Making Process Management Problem Solving Producing..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. Responsibilities ..
Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..
... Florida is seeking a STARS Improvement Professional 2 who will develop, ... They will direct all quality improvement programs and initiatives. The STARS ... programs and initiatives. The STARS..
Job Information Humana Quality Improvement Coordinator in Charleston West Virginia ... West Virginia Description The Quality Improvement Coordinator 3 assists in administering ... in administering and monitoring quality improvement and..
Job Information Humana Senior Innovation Portfolio Strategy Professional in Charleston West Virginia Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives ..
Genesis a leading provider of healthcare services from short-term to long-term ... department.Foster an environment of continuous improvement and mentor staff to achieve ... in employing a strong Quality Improvement..
Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..
Genesis HealthCare is one of the nation's ... the nation's leading providers of healthcare services from short-term to long-term ... through the delivery of high-quality healthcare and everyday compassion!We Care..
Description The Remote Systems Clinical Pharmacist will provide excellent customer service to both internal and external customers by developing and maintaining relationships with Account / Clinical Management and PCO-IPU Operations teams. ..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... communication channel that acknowledges performance..
