- Elevance Health (Charleston, WV)
- …providers on their opportunities for performance improvement. The Care Consultant Sr. is passionate about population health , relationships, and insights ... for employment, unless an accommodation is granted as required by law._ The ** Care Consultant Sr.** (Provider Success) is responsible for the provider… more
- Henry Ford Health System (Clinton Township, MI)
- …in a clinical or non-clinical related field. + One year as a Lactation Consultant /Specialist. + Knowledge of quality management and customer service. + ... a full suite of home health offerings, virtual care , pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and… more
- Highmark Health (Buffalo, NY)
- …exceeded. Further, in a matrix management environment, the Medicare Advantage Quality Consultant is responsible for collaborative work with other functions ... risk revenue programs and clinical evidence-based guidelines.The Medicare Advantage Quality Consultant is expected to assess the...Six Sigma, TQI, TQC or other quality management certification + Experience in health plan… more
- PruittHealth (Columbia, SC)
- …PowerPoint, SharePoint * Desired Software: Matrix Care , Point Right, AHT, Abaqis ( Quality Management System), COMS * Expert level knowledge of State and ... **Description - External** **JOB PURPOSE:** Senior Nurse Consultant assumes responsibility for conducting quality ...without posing specific, current risk of substantial harm to health and safety of self and others. Ability to… more
- Waystar (Atlanta, GA)
- …of experience in utilization management + Knowledge and understanding of Utilization Management , Quality Management , Care Management , and/or ... **ABOUT THIS POSITION** The Clinical Product Consultant for Utilization Management is a...payer regulations as it pertains to patient status and care management + Works effectively on a… more
- MyFlorida (Tallahassee, FL)
- …utilization of equipment, required for the position: + Knowledge of evaluation and quality management principles; + Skilled in Microsoft Office + Budget and ... waives initial licensing and application fees for military veterans who apply for a health care professional license within 60 months of an honorable discharge.… more
- Vanderbilt University Medical Center (Nashville, TN)
- …provides training to providers, consults with the Child and Family Team and quality management . . KEY RESPONSIBILITIES * Performs case reviews. * Provides ... can be defined as credentialed professionals who perform supportive, diagnostic, and therapeutic health care services to promote health and prevent disease… more
- Sutter Health (Emeryville, CA)
- …+ 8 years recent relevant experience. **SKILLS AND KNOWLEDGE:** + Thorough knowledge of health care delivery and quality improvement is required, including ... are so glad you are interested in joining Sutter Health ! **Organization:** SHSO-Sutter Health System Office-Bay **Position...clinical care management and/or quality management . +… more
- US Tech Solutions (Hialeah, FL)
- …+ Monitoring, Evaluation and Documentation of Care : + Utilizes case management and quality management processes in compliance with regulatory ... support and education for members through the use of care management tools and resources. + Conducts...review to achieve optimal outcomes + Identifies and escalates quality of care issues through established channels… more
- US Tech Solutions (Atchison, KS)
- … Health Services strategies, policies, and programs are comprised of utilization management , quality management , network management and clinical ... support and education for members through the use of care management tools and resources. **Job Duties:**...to reduce risk factors and barriers and address complex health and social indicators which impact care … more