. Follows level of medical care and quality for patients and monitors care using available data and chart reviews. Assists... Leadership. Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. Participates...
for patients and monitors care using available data and chart reviews. · Assists in the coordination of patient services... with RMD about quality of care, review of outcome data, policy, procedure and records issues. · Participates in potential...
where the analysis of situations or data requires an in-depth evaluation of variable factors. The Physician will report to the... performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive...
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 and process. Competently perform patient care assignments and staff management activities...
interventions, interactions, and findings of disease management activities. With support of the Client data team, develop and track... for quality measures supporting the pharmacy department in identifying Star/HEDIS measure needs and expectations, and developing...
. You will balance direct patient education and outreach with data-driven quality improvement efforts. The Clinical Care RN aligns daily... chronic disease education to activate patients are chronic disease self-management, particularly in DM, HTN, CHF and COPD...
documentation, audits, and billing meet Medicare, payer, and company standards;monitor case management quality and outcomes... deficiencies or inconsistencies. Assist with OASIS accuracy and validation;ensuring data entry aligns with care plans...
, or population health management. Proficiency with electronic health records (e.g., Athena EMR), data analytics tools (e.g., DataHub... interventions. You will balance direct patient education and outreach with data-driven quality improvement efforts. The Clinical...
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...
units. Success requires deep expertise in contact center operations, comfort with executive management, strong program... management skills, and the ability to navigate complexity in a fast-paced, matrixed environment. The Contact Center Integration...