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Description The Process Improvement Lead analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of ..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
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Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward ..
Description The Director, Population Health Strategy is responsible for improving the quality of care and outcomes while managing costs for a defined group of people. The Director, Population Health Strategy requires ..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Job Information Humana Telephonic Care Coach -WAH Nationwide in Cincinnati Ohio Description The Care Coach 1, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain ..
... Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment ... ACD program. The ACD Referral Coordinator performs varied activities with a ... semi-routine assignments. The ACD Referral..
... by the National Association for Healthcare Quality (NAHQ), Certified QI Associate ... Quality Improvement/Quality Assurance in the healthcare field. Minimum three (3) years ... quality improvement concepts, health care..
Description The Referrals Coordinator 2 process referrals from Military ... and civilian providers. The Referrals Coordinator 2 performs varied activities and ... semi-routine assignments. Responsibilities The Referrals Coordinator 2 includes..
... support customer service activities through data integrity management and gathering of ... and gathering of provider claims data needed for service operations. Responsible ... relationships with physicians, providers and..
... complexity. Responsibilities The Care Coach Coordinator employs a variety of strategies, ... care through use of assessment, data, conversations with member, and active ... some interpretation. The Care Coach..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
... physicians, physician groups, and integrated healthcare delivery systems throughout the country. ... delivery systems throughout the country. Healthcare isn't just about health anymore. ... of our members, and the..
... the analysis of situations or data requires an in-depth evaluation of ... phase Obtain and synthesize complex data in order to tell t ... team (operations, technology, clinical partners,..
