- Humana (Springfield, IL)
- …be eligible to receive the payment.** **Position Responsibilities:** + Utilize high- quality , evidence-based behavioral health services through personalized ... first** Job Description Summary The Field Care Manager, Behavioral Health performs primarily face to face...and Medicaid Services (CMS) and the National Committee on Quality Assurance (NCQA). + Other job duties… more
- CenterWell (Springfield, IL)
- …Care Delivery Call Quality Professional is responsible for conducting quality assurance reviews of service recovery interactions, resolving escalated patient ... standards are maintained while working independently. **Role Responsibilities:** + Maintain Quality Assurance scorecard + Align with Training on curriculum,… more
- Highmark Health (Springfield, IL)
- …business analysis, UX design and rigorous testing against industry standards for quality assurance traceability and compliance. The incumbent requires the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...or creates all necessary test data needed for software quality assurance . Responsible for mentoring junior test… more
- Baylor Scott & White Health (Springfield, IL)
- …as required. Assists in developing nutritional care and research protocols. Participates in quality assurance program by assisting in development of patient care ... **Preferred Experience** * Chronic disease (weight loss, diabetes) * Strong behavioral change interest and/or experience * Digital/virtual health coaching… more
- Highmark Health (Springfield, IL)
- …improvement programs. Train dental office staff and providers on all updates to quality assurance guidelines, with state and local regulations and URAC ... Concordia Dental's (UCD's) clients by recruiting, training and servicing quality dental networks in assigned territory in a remote...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Little City Foundation (Palatine, IL)
- …the community. 10. As needed, participates in the development and implementation of quality assurance measures to ensure best practices. 11. Keeps abreast of ... Hr PURPOSE: Under the direction of the Case Management Coordinator, the Health and Community Specialist assumes primary responsibility for the medical appointments… more
- Highmark Health (Springfield, IL)
- …with data visualization tools like Tableau or Power BI. + Experience in a quality control or quality assurance role. **LICENSES or CERTIFICATIONS** ... is instrumental in ensuring the end-to-end effectiveness, integrity, and quality of Highmark's specialty programs across both pharmacy and...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Sunrise Senior Living (Crystal Lake, IL)
- …+ Provides clinical support and assistance to community team members as needed. ** Quality Assurance and Regulatory Compliance** + Strives for excellent ... Quality Indicators + Participates actively in Sunrise Quality Assurance & Clinical Meetings. + Demonstrates...Reviews, updates, and documents changes in residents' physical and/or behavioral condition in the electronic health record… more
- CenterWell (Springfield, IL)
- … health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that ... . + Post-Visit/Offshore Coding Collaboration: + Partner with analytics to develop quality assurance program on post-visit reviews. (Frequency and sampling… more
- Sunrise Senior Living (Buffalo Grove, IL)
- …Maintain and protect the confidentiality of resident information at all times. ** Quality Assurance and Regulatory Compliance** + Understand and demonstrate ... learn about pertinent information and any resident's physical and behavioral changes as well as activities information. + Practice...proficiency with the Quality Assurance Process (QA) and essential … more