- Molina Healthcare (Vancouver, WA)
- …HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment , disease management, and ... improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare ,… more
- Molina Healthcare (Everett, WA)
- …HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment , disease management, and ... Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in Utilization/Quality Program… more
- Molina Healthcare (WA)
- …with national quality and risk adjustment VPs, Regional Directors of Quality/ Risk , Director of Value Based Programs, and local health plan resources. + ... revenue management, strategy, and compliance + Knowledge of value based programs, risk adjustment models, quality metrics such as HEDIS and STARS, knowledge… more
- Whidbey General Hospital (Coupeville, WA)
- …in-hospital stay to discharge: When the patient and or family has specific adjustment or psych/social needs, the social worker is integrated into the care plan ... up may be indicated for patients who have been identified as high risk for re-hospitalization or non-compliance with recommended follow up care. + Facilitates… more