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Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..
Description The Director, QOCA Strategy - serves as the strategic leader in resource utilization; budget and MER oversight; vendor oversight; and for clinician and non-clinician flex associates and off-shore vendor associates ..
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 ..
... Health is a nonprofit regional healthcare delivery network founded over 50 ... implementation of strategies that improve quality and patient safety throughout the ... Medical Staff, improving the overall..
Job Location Santa Maria DRC (CA) - Santa Maria, CA Position Type Full Time Education Level Bachelors Degree Travel Percentage None Job Shift Various Shift Hours Job Category Nonprofit - Social ..
... available for Nurse Director of Quality Management. This is a great ... their welcoming employee culture and high-quality patient care. Located near the ... patient focus, the Director of..
Description The Manager, Software Engineering codes software applications ... based on business requirements. The Manager, Software Engineering works within specific ... schedules and goals. Responsibilities The Manager, Software Engineering standardizes..
We’re a nonprofit, regional healthcare network with two hospitals, numerous ... multi-specialty medical (physician) group, home healthcare services and hospice care, as ... vision and values—as we deliver top-quality healthcare...
Description The Associate Director, Quality Assurance for Humana/Your Home Advantage (YHA) ... programs to establish and maintain quality standards of existing products and ... Wellness Assessments. The Associate Director, Quality..
Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - ... Horizons is seeking a Senior Quality Program Delivery Professional who will ... who will manage and support quality improvement..
... Social Services Discharge Planner/Correctional Case Manager sought to join our staff ... Correctional Counselors as needed. Ensure quality of program delivery. Review all ... documentation regarding content, timeliness and..
... and FMS policy requirements. Ensure quality patient care while maintaining cost-effective ... the delivery of safe effective quality outcomes. PRINCIPAL DUTIES AND RESPONSIBILITIES: ... Manual.Complete Nurse's Technical Training Program/Water..
... HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional ... HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional ... guidelines/procedures. Primary responsibilities for the..
Description The Manager, Risk Adjustment oversees coding educators ... Adjustment oversees coding educators and quality assurance audits of medical records and ... and Medicaid Services (CMS). The Manager, Risk Adjustment..
... of the MRA team, the Manager will work closely with market ... based on advanced knowledge/experience. The Manager, Risk Adjustment works within specific ... approach, resources, schedules and goals.The..
Job Information Humana Technical Product Manager - Remote in Torrance California ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
Description The Vendor Quality Medical Director will manage clinical ... Director will manage clinical vendor quality outcomes for Humana Clinical Operations ... Director to manage clinical vendor quality outcomes for..
Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Torrance California Description Humana ... Healthy Horizons is seeking a Quality Improvement Program..
Manager, Clinical Quality Review','21003CI',' At Blue Shield of ... all Californians have access to high-quality health care at a sustainably ... recognition for � LGBT diversity, quality improvement, most influential..
The dedicated staff, highly-skilled physicians and surgeons, and advanced technology combine to make working at Los Alamitos Medical Center a personally-rewarding work environment. Nursing staff often hold advanced degrees, are dedicated ..