Talent.com
State Licensed Clinical Quality Manager

State Licensed Clinical Quality Manager

VirtualVocationsGrand Rapids, Michigan, United States
job_description.job_card.1_day_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Clinical Quality Manager - Population Health.

Key Responsibilities

Leads system-wide population health projects and initiatives, developing implementation plans and operational workflows

Provides subject matter expertise on value-based quality measures and enhances contract performance through data validation

Directs a team of Population Health Coordinators to support quality outcomes and performance within value-based care programs

Required Qualifications, Training, and Education

Current RN License in the state of work or covered by compact (required)

BSN or Bachelor's in Healthcare or related field (required)

7 years of business / healthcare experience in leadership, quality, and project management (required)

Experience with managed security service providers, NCQA, and CMS (required)

EPIC training preferred

serp_jobs.job_alerts.create_a_job

Quality Manager • Grand Rapids, Michigan, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Clinical Director, State Licensed

Clinical Director, State Licensed

VirtualVocationsGrand Rapids, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Director, Clinical Impact & Innovation.Key Responsibilities Lead strategies to achieve business and clinical KPIs, focusing on quality outcomes and in-home screening ef...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Massachusetts Licensed Clinical Director

Massachusetts Licensed Clinical Director

VirtualVocationsGrand Rapids, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Registered Nurse - Clinical Director (remote).Key Responsibilities Oversee hiring and training of Registered Nurse Assessors Conduct retrospective quality reviews of c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
State Licensed Pharmacy Director

State Licensed Pharmacy Director

VirtualVocationsGrand Rapids, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Director, Pharmacy Operations.Key Responsibilities Manage pharmacists-in-charge (PICs) across multiple facilities, ensuring compliance with regulatory requiremen...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Indiana Licensed Clinical Supervisor RN

Indiana Licensed Clinical Supervisor RN

VirtualVocationsGrand Rapids, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Supervisor - RN - Full-time (Remote U.Key Responsibilities Lead and oversee all Utilization Management (UM) activities, ensuring accuracy and timely completion...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Indiana Licensed Clinical Pharmacy Manager

Indiana Licensed Clinical Pharmacy Manager

VirtualVocationsGrand Rapids, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Manager, Clinical Pharmacy Operations.Key Responsibilities Develop and analyze clinical programs and drug utilization reviews Direct clinical pharmacy activitie...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
State Licensed Senior Director of Clinical Excellence

State Licensed Senior Director of Clinical Excellence

VirtualVocationsGrand Rapids, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Director, Clinical Excellence (Post Acute, VBC).Key Responsibilities Oversee the delivery of the Post Acute Care Program ensuring seamless patient transitions an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Ohio Licensed Clinical Documentation Director

Ohio Licensed Clinical Documentation Director

VirtualVocationsGrand Rapids, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for an Associate Director, Clinical Documentation Integrity.Key Responsibilities Oversee the Clinical Documentation Improvement (CDI) program and manage the CDI team Provide...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
State Licensed Post-Acute Care Manager

State Licensed Post-Acute Care Manager

VirtualVocationsGrand Rapids, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Manager of Post-Acute Care Operations - Population Health.Key Responsibilities Develops and oversees the professional practice model for post-acute care management Coo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
New York State Licensed Care Manager

New York State Licensed Care Manager

VirtualVocationsGrand Rapids, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Care Manager Bilingual in English and Korean - 100% Remote.Key Responsibilities Advocates and educates beneficiaries on services and self-management techniques Conduct...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Clinical Territory Associate

Clinical Territory Associate

Intuitive SurgicalGrand Rapids, MI, US
serp_jobs.job_card.full_time
At Intuitive, we are united behind our mission : we believe that minimally invasive care is life-enhancing care.Through ingenuity and intelligent technology, we expand the potential of physicians to...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Florida Licensed Care Manager RN

Florida Licensed Care Manager RN

VirtualVocationsGrand Rapids, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Care Manager RN to support Ambetter Marketplace members remotely in Florida.Key Responsibilities Evaluate member needs and recommend care plans to address barriers to a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
New York State Licensed Pharmacy Manager

New York State Licensed Pharmacy Manager

VirtualVocationsGrand Rapids, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Pharmacy Benefit Manager.Key Responsibilities Provide expert input on the design and scoping of the Pharmacy Management Module procurement Support drafting of high-lev...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Ohio Licensed Field RN Case Manager

Ohio Licensed Field RN Case Manager

VirtualVocationsGrand Rapids, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Field RN Case Manager.Key Responsibilities Manage and coordinate patient care in various settings, ensuring adherence to treatment plans Conduct assessments and evalua...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
State Licensed Oncology Nurse Reviewer

State Licensed Oncology Nurse Reviewer

VirtualVocationsGrand Rapids, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a UM Nurse Reviewer - Oncology.Key Responsibilities Apply oncology clinical expertise to ensure outputs align with payer requirements and evidence-based guidelines Monit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Kentucky Licensed Care Manager

Kentucky Licensed Care Manager

VirtualVocationsGrand Rapids, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Care Manager Transition of Care.Key Responsibilities Evaluate member needs through post-discharge assessments and medication reconciliation Develop care / service plans ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Multi-State Licensed Nurse Consultant

Multi-State Licensed Nurse Consultant

VirtualVocationsGrand Rapids, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Quality Management Nurse Consultant - Remote.Key Responsibilities Audit clinical criteria, policy procedures, and compliance for the Medicaid and Duals Program Maintai...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Pennsylvania Licensed Field RN Case Manager

Pennsylvania Licensed Field RN Case Manager

VirtualVocationsGrand Rapids, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Field RN Case Manager.Key Responsibilities Manage and coordinate care for patients in a remote setting Conduct assessments and develop care plans based on patient need...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Oregon Licensed Operations Manager

Oregon Licensed Operations Manager

VirtualVocationsGrand Rapids, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Delegate Operations Program Manager II.Key Responsibilities Lead the annual subcontractor performance review process for assigned delegated entities Develop and update...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Clinical Operations Manager

Clinical Operations Manager

VirtualVocationsGrand Rapids, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Operations Manager to oversee departmental staff and ensure efficient project management. Key Responsibilities Line manages and supervises departmental staff wh...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Clinical Data Manager

Clinical Data Manager

VirtualVocationsGrand Rapids, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Data Manager who will oversee data integrity and analysis in clinical operations.Key Responsibilities Build and optimize electronic case report forms (eCRFs) t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30