- The Cigna Group (Bloomfield, CT)
- …development and organizational structure to ensure the effective implementation of clinical practice to support organizational long-term and short-term strategic ... education for staff, ensuring alignment with evolving evidence based clinical practice and NCQA Patient Centered Connected...performance, innovation and patient centricity. + Serves as a clinical consultant and subject matter expert for… more
- Elevance Health (FL)
- …delivery. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : OB Practice Consultant **Virtual:** This role enables associates to work ... accommodation is granted as required by law._** The OB Practice Consultant is responsible for creating a...practice patterns, assets, and challenges utilizing NCQA Standards, HEDIS audits, site reviews, and medical records reviews. +… more
- Highmark Health (Pittsburgh, PA)
- …in Medicare STARS, Medicaid HEDIS and risk revenue programs and clinical evidence-based guidelines.The Medicare Advantage Quality Consultant is expected to ... is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, hands-on, office based support to… more
- CVS Health (Austin, TX)
- …all with heart, each and every day. **Position Summary** Applies specialized clinical and industry knowledge and performance improvement best practices to quality ... POSC Council and executive sponsors to advance initiatives aimed to achieve HEDIS and CAHPS goals. Provides insights and recommendations to optimize healthcare… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and promotional opportunities. All Levels + Minimum of seven (7) years of clinical practice experience after completion of all graduate medical education ... act as a liaison with local physicians and hospitals and keep abreast of practice patterns, issues, and concerns of their regional medical community, as well as… more
- Covenant Health Inc. (Knoxville, TN)
- …Summary: The RN Care Coordinator II is responsible for integrating evidenced based clinical practice into the patient care setting, coordinating education of ... staff and patients and serving as a clinical resource and consultant to the health...care coordination and quality through the collaborative development of practice guidelines and clinical pathways that support… more
- ERP International (Barksdale AFB, LA)
- …to change. Possesses knowledge of disease management programs and clinical practice guidelines (eg VA/DoD CPGs), and HEDIS Measurements. + Teaches patients ... care through a continuum facilitating the achievement of optimal outcomes in clinical , quality and cost-effectiveness arenas. Provides direct clinical care to… more
- CenterWell (Seneca, SC)
- …Knowledge of HEDIS quality indicators + Good understanding of best practice coding and documentation in value-based environment + Leveraging Technology: You are ... early detection. The PL is responsible for executing the clinical strategy through the management of their own patient...care" model + Willingness and ability to learn/adapt to practice in a value-based care setting + Superior patient/customer… more
- ChenMed (Warren, MI)
- …and hospital sick days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical cost effectiveness measures. Each ... Act as a health coach, rather than just a consultant for sickness, by helping patients set short and...of employment is required + A minimum of 1-year clinical experience in geriatric, adult or family practice… more
- Veterans Affairs, Veterans Health Administration (Kenosha, WI)
- …CBOC, or for McHenry CBOC, the s/he has delegated authority from the Clinical Director for Primary Care (DPC) with responsibility for their respective clinic(s), and ... MAJOR DUTIES AND RESPONSIBILITIES: - Responsible for own panel of patients. Clinical / Administrative FTEE allocation will be determined by policy. - Responsible for… more
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