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...
Population Health and Care Transitions- Evaluates and improvehealth care processes and care transitions to advance theefficient, effective, and safe care of defined populations. In a High-Reliability Organization, the QM Coordinator,reporting to the Director of Quality, is responsible forcoordinatin...
Candidates should take the time to read all the elements of this job advert carefully Please make your application promptly.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 standard...
Abides by the Standards of Ethical Coding as set forth by theAmerican Health Information Management Association(AHIMA). CHRISTUS Health System offers the position as aremote opportunity. Coder will accuratelyabstract data into any and all appropriate CHRISTUS Healthelectronic medical record systems,...
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: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...
Segue Health, a faith based medical practice, is looking for a Care Coordinator to work in the Bedford, TX area coordinating post discharge transitional care management. Our most successful candidates have experience in social work, nursing, and/or home health. Dental, vision, and health insurance. ...
A company is looking for a Behavioral Health Utilization Management Clinician Reviewer. ...
CHRISTUS Health is an international Catholic, faith-based, not-for-profit health system comprised of more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. To suppo...
Performance and Process Improvement- Use performance and process improvement (PPI), project management and change management methods to support operational and clinical quality initiatives, improved performance and achieve organizational goals. Population Health and Care Transitions- Evaluates and i...
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...
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...
The RN Case Manager (Nex) uses a collaborative process to plan, assess, implement, monitor and evaluate the options and services required to meet the healthcare needs of the patients using the functions of Utilization Review using Interqual and Milliman Care Guidelines, Discharge Planning and Case M...
Case management involves creating a Plan of Care for patients and following physician orders that lead to outcomes of increased patient independence and satisfaction. ...
To act as an account manager for our Healthy Merits wellness program and support Meritain’s Population Health Management strategy. The Population Health Management Consultant provides program design, oversight and consultative support for clients to maximize their wellness and Population Health prog...
Primary Health Plan liaison for Claims, Member Services, Care Management, and other key departments within the Health Plan. You, as the Director, will be the primary Health Plan liaison for Claims, Member Services, Care Management, and other key departments within the Health Plan. Plans, organizes, ...
Manager to join our team! This position will be key in supporting the execution of the Enterprise Risk Management (ERM) framework that spans all of CVS Health including the Health Care Benefits, Health Services, and Pharmacy and Consumer Wellness (PCW) Segments. Every one of us at CVS Health shares ...
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...
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...
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 ...
Exposure to revenue cycle management in healthcare is a huge asset. Circle Medical is a venture-backed Y-Combinator healthcare startup on a mission to bring quality, delightful primary care to everyone on the planet. DESCRIPTION We are seeking a skilled and experienced financial analyst to join our ...
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 ...
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...