• Utilization Management Admissions Liaison RN II

    LA Care Health Plan (Los Angeles, CA)
    …Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... members, we make sure our members get the right care at the right place at the right time....skills. Preferred: Knowledge of National Committee for Quality Assurance ( NCQA ) requirements for Utilization Management or CM. Knowledge of… more
    LA Care Health Plan (09/10/25)
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  • Senior Clinical Training Specialist - (Remote) PA,…

    Highmark Health (Dover, DE)
    …Supervisors. Develops educational interventions to maintain contractually mandated standards of care as it applies to existing and future Policies, Workflows, and ... as outcome of Quarterly State Audit Reviews, Annual MERCER Review and NCQA Review. Develops ongoing educational programs that ensures clinical and non-clinical staff… more
    Highmark Health (09/13/25)
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  • Performance Delivery Team Clinical Analyst

    Centene Corporation (Austin, TX)
    …compliance with requirements of all national and State regulatory agencies, including NCQA , URAC, CMS or general accreditation. + Assist in special projects assigned ... by the PDT Manager or Executive Team. + Perform other duties as...setting Required 2+ years of experience in Managed health care industry **Required Other Basic knowledge of Value Based… more
    Centene Corporation (09/12/25)
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  • AmeriCorps Member - Retinopathy Outreach…

    Moses/Weitzman Health System (Stamford, CT)
    …who need it. + Participate in Population Health meetings, Clinical Team and Nurse Manager meetings as directed by supervisor. + Participate in Performance ... and to promote healthcare and support services through outreach, awareness, linkage to care and support. Healthy Communities also serves to identify the unique and… more
    Moses/Weitzman Health System (07/11/25)
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  • Vice President/Chief Behavioral Health Officer

    East Boston Neighborhood Health Center (MA)
    …our patients and communities. Whether you're a nurse or physician providing direct care , a manager leading dedicated teams, or part of the essential support ... NeighborHealth is vital. Together, we're advancing medicine and delivering the best care experience for our patients and community! Interested in this position?… more
    East Boston Neighborhood Health Center (08/20/25)
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  • HEDIS Supervisor

    Somatus (Mclean, VA)
    …and vendor workflows to ensure optimal processes are effective to address gaps in care . + Support the HEDIS manager to conduct meetings with operations to ... Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the...Oversee the HEDIS project for quality and timeliness regarding nurse assignments, vendor oversight, and timeline adherence + Organize… more
    Somatus (07/29/25)
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  • VMG Credentialing Coordinator

    Virtua Health (Marlton, NJ)
    …the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing ... care , or something in-between - we are your partner...over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and… more
    Virtua Health (08/29/25)
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  • Family Physician

    East Boston Neighborhood Health Center (East Boston, MA)
    …our patients and communities. Whether you're a nurse or physician providing direct care , a manager leading dedicated teams, or part of the essential support ... vital. Together, we're advancing medicine and delivering the best care experience for our patients and community! Interested in...early to implement EPIC EHR and we're certified by NCQA as a level 3 Medical Home Model of… more
    East Boston Neighborhood Health Center (08/13/25)
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  • Dentist--Middletown (24 Hours)

    Moses/Weitzman Health System (Middletown, CT)
    …Dental Boards, DEA (Federal and State) active licensure. 4. Interest in providing care to diverse patient population. 5. Written and oral bilingual fluency in ... routine comprehensive and emergency dental treatment with emphasis on preventive care . Provides the most appropriate services, based on patients' dental, medical… more
    Moses/Weitzman Health System (07/25/25)
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  • Patient Services Associate - CT Pediatrics…

    Moses/Weitzman Health System (Hartford, CT)
    …and maintain patient confidentiality Other: + Escalate concerns to site leads/Operations Manager and offer suggestions for improvement + Supports manager in ... patient-centered medical home by HRSA, the Joint Commission, and NCQA , respectively. We deliver more than 600,000 patient visits...more than 600,000 patient visits per year from primary care hubs and community clinics across the state of… more
    Moses/Weitzman Health System (09/12/25)
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