- CVS Health (Tallahassee, FL)
- …for the plan. Be present for regulatory audits in-person. * Support all Clinical Quality initiatives and peer review processes including Quality ... the care of patients with severe, complex, and/or treatment resistant illnesses through peer review and educational interventions. * Work with medical director… more
- Ascension Health (Appleton, WI)
- …responsibility, to include but not limited to; + Quality and Safety + Utilization Review + Peer Review and Credentialing + Growth and Strategic Planning ... improvement of services, policies, processes, and programs, including medical practice review , governance, credentialing, privileging, peer review , medical… more
- University of Kansas (Lawrence, KS)
- …Campus **Job Description:** **85% - Research** Develop and lead a research program with an emphasis on regional- and field-scale aquifer characterization and ... out hydrogeological research projects. Communicate the results of research in peer -reviewed publications and to both scientific and lay audiences. Develop research… more
- Evolent (Helena, MT)
- … Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with ... outcomes in an environment that fosters collaboration, continuous learning, and impactful peer -to- peer discussions. **What We Offer:** + A meaningful way to… more
- Houston Methodist (Houston, TX)
- …oversight for all hospital-based Case Management Directors and the Central Utilization Review Director across the system. This position is responsible for the ... aimed at optimizing patient progression of care, aligning utilization review practices, enhancing discharge planning processes, and strengthening compliance with… more
- Elevance Health (IN)
- …members and providers. + Provides guidance for clinical operational aspects of a program . + Conducts peer -to- peer clinical reviews with attending physicians ... received. May be responsible for developing and implementing programs to improve quality , cost, and outcomes. May provide clinical consultation and serve as… more
- HCA Healthcare (Portsmouth, NH)
- …support of improvement initiatives * Contributes to the physician performance improvement program including Peer Review processes and committees, including ... identify unexpected mortality, complications, provide comparative data through various software programs, peer review cases * Performs basic data analysis and… more
- Bassett Healthcare (Cooperstown, NY)
- …population we serve, and our communities, achieve optimum health and enjoy the best quality of life possible. What you'll do The Licensed Practical Nurse - Procedure ... supply charges, procedure room records, cross coverage and working on quality assurance projects. + Demonstrates basic knowledge of all surgical/clinical procedures.… more
- Houston Methodist (Sugar Land, TX)
- …+ Identifies opportunities for process improvement providing recommendations impacting department quality and safety targets, through peer -to- peer ... towards improvement of department scores for turnover/retention/employee satisfaction, ie peer -to- peer accountability. **SERVICE ESSENTIAL FUNCTIONS** + Prepares… more
- Houston Methodist (The Woodlands, TX)
- …drive improvement of department score for patient satisfaction, through peer -to- peer accountability to service standards. + Collaborates quality health care ... with staff. Advocates for a balanced workload, promotes positive behaviors, and peer -to- peer accountability. Facilitates the promotion of teamwork. Uses peer… more