- Elevance Health (Kansas City, KS)
- …Must be located in the state of Kansas. The **OB Practice Consultant ** is responsible for fostering partnerships with healthcare providers and key Health ... and ensuring that OB providers deliver evidence-based care while driving quality improvement initiatives. **How you'll make a difference:** + Assesses current… more
- ChenMed (St. Petersburg, FL)
- …overall clinical value while engaging physicians to improve clinical quality , efficiency, outcomes, cost effectiveness, and physician/patient satisfaction. ... days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical...compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …require peer-to-peer discussions with providers regarding UM case review determinations. + Provides clinical expertise on ARD cases, Quality of Care cases, ... Level I Accountabilities) + Leads, develops, directs and implements clinical and non- clinical activities that impact health care quality cost and outcomes. +… more
- Covenant Health Inc. (Knoxville, TN)
- …the patient care setting, coordinating education of staff and patients and serving as a clinical resource and consultant to the health care team. The RN Care ... through the collaborative development of practice guidelines and clinical pathways that support quality improvement activities....care. + Stays abreast of most recent changes in quality related to HEDIS measures, CMS Conditions… more
- CenterWell (Richmond, VA)
- …indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS , meeting local and organizational goals ... care teams around excellence in patient care, teamwork, outcomes + Deliver leading clinical performance in patient experience, quality of care, clinical … more
- CenterWell (Savannah, GA)
- …around clinical protocols / disease + prevalence / appropriate levels of clinical quality care + Providing guidance to individual clinicians about patient ... from patients + Ongoing chart review / audit of clinical staff to ensure quality care and...Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of… more
- ERP International (Barksdale AFB, LA)
- …care through a continuum facilitating the achievement of optimal outcomes in clinical , quality and cost-effectiveness arenas. Provides direct clinical ... most cases a referral to the Internal Behavioral Health Consultant (IBHC) in Primary Care is appropriate for an...to change. Possesses knowledge of disease management programs and clinical practice guidelines (eg VA/DoD CPGs), and HEDIS… more
- CenterWell (Phoenix, AZ)
- …relationship environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice coding ... and provide medical direction in pursuit of cost effective, quality healthcare. + Plan, organize, manage and supervise the...in the state of desired employment + Experience leading clinical practice operations + Demonstrate a high level of… 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
- Defense Health Agency (Colorado Springs, CO)
- …and defines and develops relevant procedures for the facility. DUTY 3: Shares clinical expertise as consultant and instructor. Evaluates clinical practices ... to change along with knowledge of disease management programs and clinical practice guidelines (eg, Department of Veterans Affairs (VA)/Department of Defense… more
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