location, including patient care delivery, staff management, documentation quality, and regulatory compliance, working onsite... meet Medicare, payer, and company standards;monitor case management quality and outcomes. Participate in hiring, training...
, 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...
care delivery, staff management, documentation quality, and regulatory compliance, working onsite in-office. Review... standards;monitor case management quality and outcomes. Participate in hiring, training, performance evaluation, coaching...
Become a part of our caring community Conviva Senior Primary Care, a subsidiary of Humana Inc., is recruiting a full.... Follows level of medical care and quality for patients and monitors care using available data and chart reviews. Assists...
. 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...
calls. Lead bi-weekly Clarification/TAT review meetings: pull data, facilitate discussions, and issue remediation plans.... Ability to analyze data and identify trends to drive performance improvements. Skilled in client collaboration and escalation...
Company : Highmark Inc. Job Description : JOB SUMMARY This job supports the acquisition of new accounts... consultants and brokers. Provides and interprets client specific clinical data to facilitate the sale and implementation...
Clarification/TAT review meetings: pull data, facilitate discussions, and issue remediation plans. Conduct regular MFR (member... to patient-friendly language. Excellent communication, coaching, and mentoring skills. Ability to analyze data and identify...
of our dedicated team, partners, patients, and communities we serve. Our wrap-around services include medical, pharmacy..., transportation, case management and mental health services, which are provided to all clients in our housing programs. Voted...
Company : Highmark Inc. Job Description : JOB SUMMARY This job plays a crucial role in the corporation’s success..., and practitioner/provider education. The incumbent is an integral part of the behavioral health utilization management team and assists...