Reporting directly to the Manager of Clinical Quality,this position is the regional clinical resource rounding onpractice sites to assess best practice in regulatory standards andquality and safety initiatives.This role is responsible forimplementing policies and processes that assess, train and dri...
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrust...
Key Responsibilities:Utilize clinical experience to assess treatment plans and apply evidence-based standardsCoordinate and evaluate healthcare services for membersProvide triage, crisis support, and facilitate optimal care/treatmentRequired Qualifications:3+ years of clinical practice experience po...
Reporting directly to the Manager of Clinical Quality, this position is the regional clinical resource rounding on practice sites to assess best practice in regulatory standards and quality and safety initiatives.This role is responsible for implementing policies and processes that assess, train and...
Key Responsibilities:Lead and manage prior authorization, concurrent review, retrospective review, and care management staffParticipate in hiring, training, and development of staff within the Medical Management ProgramsCollaborate with Management staff and Medical Directors to review cases and data...
Reporting directly to the Manager of Clinical Quality, this position is the regional clinical resource rounding on practice sites to assess best practice in regulatory standards and quality and safety initiatives.This role is responsible for implementing policies and processes that assess, train and...
A company is looking for a Behavioral Health Utilization Management Clinician Reviewer. ...
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrust...
At HCSC, we consider our employees the cornerstone of our business and the foundation to our success.We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.Qualifications, skills, and all relevant experience needed f...
Supervises ASC Collectors daily tasks to keep department on target.Keep Manager apprised when coverage is needed and/or fill in as necessary.Audit accounts worked by Collectors and provide feedback.Responsible for accounts assigned as special projects.Responsible for refund and adjustments from the ...
Nurse Practitioner - Pain Management. Practice: Private Practice - Pain Management. Are you a dedicated Nurse Practitioner looking for a rewarding opportunity in pain management? Join our amazing team in Sunnyvale, TX, and work alongside a supportive doctor and staff in a thriving private practice. ...
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrust...
What Account Management contributes to Cardinal Health. Cardinal Health offers a wide variety of benefits and programs to support health and well-being. Account Management is responsible for cultivating and maintaining on-going customer relationships with an assigned set of customers. Oversee assign...
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...
Over a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness. Together we are on a mission to revolutionize the way health care is delivered - creating healthier lives, thriving communities and a better world. Revenue Cyc...
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrust...
This position is responsible for managing the Information Security team - IAM operational tasks: identity management, access management, production support for the enterprise users, customers and B2B users. Requires strong understanding of identity management principles and experience with IAM produ...
Children's Health (Dallas) is seeking a Registered Nurse (RN) Case Management for a nursing job in Dallas, Texas. At Children's Health, our mission is to Make Life Better for Children, and we recognize that their health plays a crucial role in achieving this goal. Our dedication to promoting childre...
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrust...
Parkland Community Health Plan’s (PCHP’s) Manager, Disease Management is responsible for the oversight of the disease management activities within the department. Associate degree in nursing, Social Work, Healthcare Administration or Public Health or other health related field. Master’s degree in nu...
At HCSC, our employees are the cornerstone of our business and the foundation to our success.We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.Join HCSC and be part of a purpose-driven company that will invest in your professional develo...
Collaborates and coordinates with other allied health professionals to ensure quality care is provided and desired outcomes are achieved in a timely and cost-effective manner. Supports Steward Health Care's and hospital goals and objectives. The Care Manager works collaboratively with all healthcare...
Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA). CHRISTUS Health System offers the position as a remote opportunity. Coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record sys...
This Analyst Healthcare Quality Management will be a Quality Practice Liaison who builds positive relationships between Aetna Better Health (ABH) and its providers to facilitate high quality care for members. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every m...
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...