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CorVel is seeking a Quality Assurance Nurse with experience in worker’s compensation to conduct utilization review and case management quality assurance audits.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
* Develop, implement and provide ongoing quality assurance calibration of processes both managed and delivered at the operational level.
* Educate and equip operations with performance ...
Job Description:
Responsible for the review and evaluation of clinical information and documentation. Reviews documentation and interprets data obtained form clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider issues. Works Potential Quality of Care cases across all lines of business (...
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important...
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ABOUT THIS TEMP POSITION
This is a temporary position and the length of assignment is estimated to go from October to April of 2024. The length of the assignment is always dependent on business need and dates may change. While the assignment would be at the Alliance, if selected, you would be an employee of a temporary employment agency that we would connect you with.
WHAT YOU'LL BE R...
Overview
Are you looking for a place where you can make a genuine difference in our patient’s lives?
With over 20 locations and growing, Bridge Home Health & Hospice’s culture of love for our patients and employees is the top priority. Our commitment to our Core Values allows us to be the provider and employer of choice. We embrace a diverse workforce and understand that our employees are key...
Job Description
Job Summary
Molina’s Quality Management function implements, oversees, and maintains new and existing healthcare quality monitoring activities and programs; ensures quality monitoring audits and investigations are performed in accordance with prescribed quality standards; informs data collection, reporting, and analysis to monitor key quality management activity; and provides...
Job Description
Job Description
Job Summary
Molina's Quality Management function implements, oversees, and maintains new and existing healthcare quality monitoring activities and programs; ensures quality monitoring audits and investigations are performed in accordance with prescribed quality standards; informs data collection, reporting, and analysis to monitor key quality management activity;...
Job Description
Job Description
Job Summary
Molina's Quality Management function implements, oversees, and maintains new and existing healthcare quality monitoring activities and programs; ensures quality monitoring audits and investigations are performed in accordance with prescribed quality standards; informs data collection, reporting, and analysis to monitor key quality management activity;...
Job Description
Job Summary
Molina’s Quality Management function implements, oversees, and maintains new and existing healthcare quality monitoring activities and programs; ensures quality monitoring audits and investigations are performed in accordance with prescribed quality standards; informs data collection, reporting, and analysis to monitor key quality management activity; and provides ...
Overview
To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
At Bridgeport Hospital, we are committed to providing quality medical care and treatment that is...
Overview
To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
At Bridgeport Hospital, we are committed to providing quality medical care and treatment that is...
Overview
To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
At Bridgeport Hospital, we are committed to providing quality medical care and treatment that is...
OUR MISSION
Thyme Care is on a mission to ensure every cancer patient receives the highest-quality care. By collaborating across the cancer care community, we’re improving access, experience, and outcomes while lowering the total cost of care for everyone.
Thyme Care partners with health plans, employers, and risk-bearing providers to assume accountability for enhanced care quality, improved...
Description & Requirements
The Clinical Quality Analyst will support the IL SALT program by completing both retrospective QA of the SMHRF CSR as well as onsite QA of each staff member on a quarterly basis. The incumbent participates in the ongoing operation of an effective quality monitoring program by developing work instructions, conducting quality reviews, providing related training and guid...
Start the day excited to make a difference…end the day knowing you did. Come join our team.
Job Summary:
The Virtual Registered Nurse (VRN) is responsible for providing professional nursing care with collaboration from the bedside nurse through two-way audio/visual technology and performing assessments of vital signs and monitoring data through specialized software.
The VRN position provides p...
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Essential Functions: * Under general guidance form Senior Quality Practice Advisors and management, educate...
Job Introduction
Maximus is currently hiring for Sr. Regional Nurse Managers to support the New York Independent Assessor Program (NYIA). The NYIA Program serves the State of New York by conducting UAS assessments to determine eligibility for community-based long-term services. The Sr. Regional Nurse Manager will have the opportunity to lead and support a team of Nurse Managers who are on the...
Manager, Wound Care Clinical Providers - Remote with Travel - NP Required
Baton Rouge, LA, USA ● New Orleans, LA, USA Req #4396 Sunday, May 5, 2024
Remote Based Manager, Wound Care Clinical Providers (With Travel)
NP License Required
At RestorixHealth, our mission is simple... to restore health and improve the quality of life-access to care-for patients with wounds.
The Resto...
Job Summary
The Assistant Nurse Manager for Remote Patient Monitoring (RPM) and Virtual Care Services is responsible for oversight and management of assigned RPM and virtual care service personnel in their job duties, including organizing work schedules on a short and long-term basis and all necessary supervisory actions.
Duties & Responsibilities
* Oversee and manage the activities of ...
