• Utilization Review Case Mgr - CMC - Clear…

    UTMB Health (Webster, TX)
    …care (inpatient, outpatient, emergency and infirmary care) with the goal of enhancing quality clinical outcomes, promoting timely access to medical care, and ... with complicated treatment plans through multidisciplinary conferences and medical record review . + Facilitates clinical care progression of patient throughout… more
    UTMB Health (11/21/25)
    - Related Jobs
  • Public Health Educator/Senior Strategist

    ERP International (Camp Pendleton, CA)
    …strategies. * Collaborate with the Healthcare Effectiveness Data and Information Set (HEDIS) Clinical Quality Teams on a monthly basis to evaluate primary, ... Population Health Program, including strategic marketing for specific audiences. * Review beneficiary data from DHB and current and previous analytical data… more
    ERP International (11/13/25)
    - Related Jobs
  • Lead Clinical Lab Scientist

    Dignity Health (San Bernardino, CA)
    …documenting actions and escalating questionable results to the Medical Director. + Review quality control data, address variances, and proactively manage ... Laboratory Scientist to oversee daily operations in designated sections of our Clinical Laboratory while performing high- quality testing that supports accurate… more
    Dignity Health (10/23/25)
    - Related Jobs
  • Associate Director, GCP Audit and Compliance

    Takeda Pharmaceuticals (Boston, MA)
    …audit leadership, supplier oversight, and strategic risk management to enhance end-to-end clinical quality . **HOW YOU CONTRIBUTE** + Lead strategic quality ... THE ROLE** The Associate Director, GCP Audit & Compliance provides strategic quality oversight to clinical , medical, and pharmacovigilance suppliers across… more
    Takeda Pharmaceuticals (11/21/25)
    - Related Jobs
  • HEDIS Network Analyst

    Commonwealth Care Alliance (Boston, MA)
    …Provider Contracting department and will have regular interaction with relevant internal Clinical , Quality , and BI departments, while frequently interfacing with ... relevant Network Providers, including those with delegated arrangements + Review YTD claims files on a monthly/quarterly basis to...Network on the measures** + Organize trainings, working with Quality and Clinical teams to build reference… more
    Commonwealth Care Alliance (10/18/25)
    - Related Jobs
  • Nurse Anesthetist Hourly - Red Stick Anesthesia

    Surgery Care Affiliates (Baton Rouge, LA)
    …how we do it. Each decision we make is rooted in seven core values: + Clinical quality + Integrity + Service excellence + Teamwork + Accountability + Continuous ... + Recognizes legal and policy limits of individual practice. Clinical Quality : + Assesses, plans, and evaluates... practice. + Attends unit-based staff meetings and demonstrates review of minutes for any meetings missed. + Provides… more
    Surgery Care Affiliates (09/20/25)
    - Related Jobs
  • Care Coordinator I or II

    Sea Mar Community Health Centers (Lacey, WA)
    …clinic care team regarding chronic disease management and improvement activities to improve clinical quality measures. + Organize monthly Health Home meetings by ... Care Coordinator is responsible for being part of a clinical care team and enhancing quality and...Medical Home processes and provide documentation demonstrating performance. + Review the medical record for quality and… more
    Sea Mar Community Health Centers (11/07/25)
    - Related Jobs
  • Dermatologist - Medical Director (approximately…

    CDR Maguire (Tallahassee, FL)
    …achievement. + Committed to maintaining the highest standards of patient safety and clinical quality . + Demonstrated ability to handle sensitive and confidential ... patient outcomes, safety, and professional integrity. ESSENTIAL FUNCTIONS: + Develop, review , and periodically update clinical and supervisory protocols,… more
    CDR Maguire (09/18/25)
    - Related Jobs
  • Population Health Nurse

    Eastern Connecticut Health Network (Manchester, CT)
    …Managers and clinical staff with workflow changes identified. + Determines Clinical quality initiative projects and implements them in ECMP physician ... SUMMARY: The Population Health Nurse is responsible for the review and implementation of clinical workflows and... support in the practices, staff, nursing and physicians, quality committee, NOC and IT, the Population Health Nurse… more
    Eastern Connecticut Health Network (09/07/25)
    - Related Jobs
  • Medical Director -Spine

    CVS Health (Tallahassee, FL)
    …to members and providers. Leads all aspects of utilization review / quality assurance, directing case management Provides clinical expertise and business ... is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. **This is a remote… more
    CVS Health (10/28/25)
    - Related Jobs