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...
DescriptionSummary: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 tha...
Key Responsibilities:Perform utilization management and review of behavioral health and substance abuse casesDetermine appropriateness of inpatient and outpatient servicesManage inpatient and outpatient mental health/substance abuse cases throughout treatment planRequired Qualifications:Licensed Mas...
ResPro Health is dedicated to providing our partners in the respiratory space with the tools and resources needed to implement meaningful programs like remote patient monitoring and chronic care management in their pulmonary practices. Background in adult chronic health conditions (Pulmonology, Card...
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...
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...
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...
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...
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...
Palliative Care RN - Advanced Illness Management. Our CompanyIllumia Health is a fast-growing part of Gentiva, an industry leader in hospice and palliative care. Our clinical teams serve as an extension of physicians' care, partnering with them and other specialists to offer advanced illness managem...
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...
ResPro Health is dedicated to providing our partners in the respiratory space with the tools and resources needed to implement meaningful programs like remote patient monitoring and chronic care management in their pulmonary practices. Background in adult chronic health conditions (Pulmonology, Card...
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...
Case management involves creating a Plan of Care for patients and following physician orders that lead to outcomes of increased patient independence and satisfaction. ...
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...
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 ...
Medical specialty certification (Certified Professional in Healthcare Quality (CPHQ) or Diabetic Education) OR Bachelor Degree in medical field such as Nursing, Health Care Administration. Health plan QI (qualify improvement) HIGHLY PREFERRED. ...
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 ...
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...
Account Management/ Case Management in the Healthcare and/or 1 year of Medical Front office experience. 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...
The Military OneSource (MOS) Program Management Senior Manager will have oversight of the Military OneSource network and lead a multi-specialty team in support of MOS. Responsibilities include but are not limited to reimbursement process and policies, contract solutions, provider relations, data loa...
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...
This Senior 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...
The Identity & Access Management Senior Security Engineer is responsible for acting as resource, leader, and peer coach with other engineers in the development, testing, implementation, and integration of Identity and Access Management systems and solutions. Identity Access Management Platforms: Sys...
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 ...