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... as a Senior Enhanced Care Management Advisor (RN) in the Community ... Reporting to the Enhanced Care Management Manager, you will act as ... liaison between the Enhanced Care..
... will develop ongoing Enhanced Care Management (ECM) provider lists per individual ... You will utilize Alliance data systems to generate, work with and ... report design Windows based PC..
... both Pediatric and Enhanced Care Management (Adult) Care Coordinators. The Pediatric ... clinical documentation The Enhanced Care Management (Adult) Care Coordinators would be ... the Alliance, particularly the Utilization..
... the Alliance as a Utilization Management Supervisor - Concurrent Review (RN) ... Review (RN) in the Utilization Management and Complex Case Management Department. WHAT YOU'LL BE RESPONSIBLE ... FOR..
... principles and practices of managed healthcare, healthcare coverage and benefit structures, principles ... 22 and Title 28 utilization management and grievance regulations The diverse ... learn and competently navigate..
... but not limited to: Utilization Management, Quality Improvement, Pharmacy, and Care ... Quality Improvement, Pharmacy, and Care Management Develop and improve relationships with ... are responsible for the overall..
... Services Officer will: Provide executive management, leadership, and accountability for the ... Health Services Departments of Utilization Management (UM), Quality Improvement/Population Heath (QI/PH), ... integrate Health Services departmental operations,..
... Officer, you will: Provide strategic management oversight in implementing, directing and ... and pain points in current systems and develop processes to solve ... improvement and population health The..
... care coordination for members, disease management,and/or health education Recommend and implement ... support in prevention and disease management. WHAT YOU'LL NEED TO BE ... health care and health care..
ABOUT THIS TEMP POSITION This is a temporary position and the length of assignment is estimated to go from June 2023 to September 2023. The length of the assignment is always ..
A fantastic career opportunity for Manager of Diagnostic Imaging Radiology Services is now available with a prestigious and state of the art Medical Center in warm and sunny Central California.The Manager ..
... practices of managed care, utilization management and/or case management Relevant healthcare regulatory and accreditation requirements, such ... guidelines in the evaluation and management of vendor performance for utilization .....
We have an opportunity to join the Alliance as the Quality and Performance Improvement Manager in the Quality Improvement and Population Health Department. WHAT YOU'LL BE RESPONSIBLE FOR Reporting to the ..
... members referred into the Case Management program with the goal of ... conjunction with the interdisciplinary Case Management team to facilitate quality outcomes ... to continually evaluate the Case..
... and support of data warehouse systems, including the following components: Database, ... technologies Principles and practices of systems and EDW architecture development EDW ... manner, including troubleshooting and resolving..
... outcomes related to population health management, clinical data management and retrieval, reporting standards and ... requirements click here Knowledge of: Healthcare industry and the principles of ... industry and..
ABOUT THIS TEMP POSITION This is a temporary position and the length of assignment is estimated to go from 9/27/2022 to 12/31/2022. The length of the assignment is always dependent on ..
... Alliance as a Complex Case Management Supervisor - Pediatric (RN) in ... Pediatric (RN) in the Utilization Management and Complex Case Management Department. WHAT YOU'LL BE RESPONSIBLE ... Reporting..
... Alliance as the Complex Case Management Manager - Pediatric leading in ... Pediatric leading in the Utilization Management Department. WHAT YOU'LL BE RESPONSIBLE ... FOR Reporting to the Utilization..
... and lead the Provider Data Management Unit, acting as a subject ... including integrations with our core systems throughout the organization Manage and ... programs, and managed care concepts..
We have an opportunity to join the Alliance as a Health Educator on the Quality and Health Programs team in our Merced office. WHAT YOU'LL BE RESPONSIBLE FOR In this role, ..
An exciting opportunity for the Maternal Child Assistant Nursing Director just became available in the Central Valley area in California.The Maternal Child Assistant Nursing Director will join this award winning, outstanding ..
... in the Pediatric Complex Case Management Unit in our Community Care ... Reporting to the Complex Case Management Supervisor (Pediatric) you will: Assist ... care coordination for members, disease..
