education. Responsible for the QA/PI activities. Work with Utilization Review staff relative to data tracking for performance... review and outcomes of care analysis to determine efficiency, the efficacy of case management system and any other systems...
of situations or data requires an in-depth evaluation of variable factors. The Physician focuses on outpatient medicine..., Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well...
data gathering as applicable. Serve as the Liaison nurse for the individual served, assisting the Medical Program... management as needed. Compile medication error reports and route to the Medical Program Coordinator no later than the next day...
, including patient care delivery, staff management, documentation quality, and regulatory compliance, working onsite in-office... Medicare, payer, and company standards;monitor case management quality and outcomes. Participate in hiring, training...
improvement, managed care, or population health management. Proficiency with electronic health records (e.g., Athena EMR), data... accuracy. Data interpretation and actionable reporting. Cross-functional collaboration and teamwork. Time management...
Improvement principles. Responsible for the QA/PI activities. Work with Utilization Review staff relative to data tracking... for performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system...
clinical operations for the location, including patient care delivery, staff management, documentation quality, and regulatory..., audits, and billing meet Medicare, payer, and company standards;monitor case management quality and outcomes. Participate...
in accordance with standards of care. Follows level of medical care and quality for patients and monitors care using available data... about quality of care, review of outcome data, policy, procedure and records issues. Participates in potential growth opportunities...
, or population health management. Proficiency with electronic health records (e.g., Athena EMR), data analytics tools (e.g., DataHub... evidence-based interventions. You will balance direct patient education and outreach with data-driven quality improvement...
improvement, managed care, or population health management. Proficiency with electronic health records (e.g., Athena EMR), data.... You will balance direct patient education and outreach with data-driven quality improvement efforts. The Clinical Care RN aligns daily...