- CVS Health (Springfield, IL)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... coordination issues. - Assists in developing and delivering training programs on quality management principles, best practices, and data visualization tools.… more
- UCLA Health (Los Angeles, CA)
- Description The Quality Management Nurse is responsible for conducting comprehensive facility site reviews (FSRs) to ensure compliance with healthcare standards ... staff and Health Plans to facilitate appropriate Health Education opportunities. Additionally, you will performs HEDIS...+ Provide education and training to internal staff on quality management practices and regulatory requirements +… more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- …ensure that the enrollee attends a seven (7) day follow up appointment. . HEDIS Care Gap Reports: Review of health and wellness reports (ie, HEDIS ... Care Coordination: serve as a liaison between Sunshine Health and case management , Operations, Adoptions, Post-Adoption.... Quality Management : Review case management reports/data, available within the Sunshine Health … more
- UPMC (Media, PA)
- UPMC Community Care Behavioral Health is seeking a full-time Quality Management Clinician to support the Quality Department in their Southeast ... Management Clinician is responsible for performing functions related to quality management and improvement in compliance with NCQA, HEDIS , URAC, and the… more
- CVS Health (Atlanta, GA)
- …. Evaluates and prioritizes recommendations for quality improvement to senior health plan management . Develops and implements the infrastructure of the ... consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions… more
- Elevance Health (Metairie, LA)
- Job Description **Government Business Quality Management Health Plan Director** **Location:** Louisiana. This role requires associates to be in-office 3 days ... resident in the state of Louisana. The **Government Business Quality Management Health Plan Director**...quality management to direct the clinical quality initiatives, including HEDIS and CAHPS … more
- CVS Health (Oklahoma City, OK)
- …analysis **Preferred Qualifications** - Certification in project management and / or health care quality - Masters Degree in related field **Education** ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...that support the delivery of high quality health benefits and services for members. The QM… more
- CVS Health (Midlothian, VA)
- …of experience with Managed Care - direct patient care , social work, quality improvement or health coaching, preferably in a managed care environment ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...practices to implement quality strategies that improve quality and cost of care , member, and… more
- McLaren Health Care (Flint, MI)
- …years' experience performing quality management activities in a managed care organization, including HEDIS , NCQA, including at least two (2) years' ... Group (MIG) is a fully owned subsidiary of McLaren Health Care Corporation and is the parent...( HEDIS ) process. Facilitates the delivery of medical care in a cost efficient and quality … more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Coordinator, Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Occasional travel as needed About Us Covenant ... serving as a clinical resource and consultant to the health care team. The RN Care... CARE COORDINATOR II ID 4246987 Facility Covenant Medical Management Department Name QUALITY MANAGEMENT… more