- CareFirst (Baltimore, MD)
- …**Knowledge, Skills and Abilities (KSAs)** + Knowledge of NCQA requirements of utilization review, Case Management standards and guidelines, appeal rights and ... multiple strategic clinical projects that span organizational boundaries, responsible for management of corporate care cost directives and goals. + Provides… more
- Cleveland Clinic (Cleveland, OH)
- …compliance with all standards and favorable performance on safety, quality, utilization , and experience metrics. + Participate in engraining the safety, quality, ... when a deviation in standard practice has occurred. + Act as a consultant in educating and evaluating clinical and support department staff regarding quality … more
- Cleveland Clinic (Garfield Heights, OH)
- …compliance with all standards and favorable performance on safety, quality, utilization , and experience metrics. + Participate in engraining the safety, quality, ... when a deviation in standard practice has occurred. + Act as a consultant in educating and evaluating clinical and support department staff regarding quality … more
- Corewell Health (St. Joseph, MI)
- …between the settings. Manages projects and programs related to clinical management , performing quality improvement activities to measure program processes and ... Provides ongoing review and development of educational materials related to clinical management . + Case manages the population both in the inpatient and/or… more
- Cleveland Clinic (Stuart, FL)
- …compliance with all standards and favorable performance on safety, quality, utilization , and experience metrics. + Participate in engraining the safety, quality, ... data and participate in improvement strategy development. + Act as a consultant in educating and evaluating clinical and support department staff regarding quality… more
- Guthrie (Binghamton, NY)
- …skills. B. Serves as an advocate for patients and family in the clinical management of care. Confers with leadership team and professional staff to enhance delivery ... role in staffing and scheduling of personnel, considering appropriate utilization of personnel considering scope of practice, competencies, patient needs… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …critical lab/diagnostic test result notifications in a timely manner Clinical Management including direct and indirect patient care: ensure all required encounters ... the new focus on the Medical Home and Patient Centric Care, Utilization , Quality and Patient Safety oversight, process improvement (system redesign). The… more
- Wellpath (Pompano Beach, FL)
- …the organization's Code of Conduct. + Demonstrates knowledge of risk management , clinical precautions, infection control, fall prevention, utilization of ... improvement activities,providesdirect supervision, and serves as a resource and consultant to nursing staff. + Monitorssafety issues,evaluateservicedeliveryand staff growth,… more