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...
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 then next day...
, staff management, documentation quality, and regulatory compliance, working onsite in-office. Review referrals, determine... management quality and outcomes. Participate in hiring, training, performance evaluation, coaching, and corrective action...
. 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 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 and process...
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...
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 then next day...
analysis of situations or data requires an in-depth evaluation of variable factors. The Physician focuses on outpatient.... Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole...
Become a part of our caring community The Senior Business Intelligence Engineer solves complex business using data... involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation...
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...