• Clinical Support Coordinator

    Elevance Health (San Juan, PR)
    …providing information technology and business operations services for health plans._ ** Clinical Support Coordinator ** **Location:** This position will ... to the US States time zones that the unit will be supporting. The ** Clinical Support Coordinator ** is responsible for participating in program management… more
    Elevance Health (10/24/24)
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  • Clinical Administrative Coordinator

    Adecco US, Inc. (San Antonio, TX)
    …base of HEDIS /STARs.** . **Datamining** **Qualifications for the Associate Clinical Administrative Coordinator :** **Minimum:** . High School Diploma or GED ... Adecco Healthcare & Life Sciences is hiring an ** Clinical Administrative Coordinator ** ! This role...documentation systems and obtain medical record sections supportive of HEDIS /Star measures.** **. Support quality initiatives by… more
    Adecco US, Inc. (10/05/24)
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  • Behavioral Health Coordinator , Orange,…

    Community Based Care of Brevard, Inc. (Orlando, FL)
    …require Suitability Assessments receive them in accordance with Florida Statute, provide clinical consultation and support and ensure funding authorization for ... Minimum Starting Salary: $62,000/annually Position Summary: The Behavioral Health Coordinator is responsible for providing coordination of behavioral health services… more
    Community Based Care of Brevard, Inc. (10/17/24)
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  • Quality Program Coordinator /RN or CST

    Northern Light Health (Brewer, ME)
    …40.00 Work Schedule: 8:00 AM to 4:30 PM Summary: The Quality Program Coordinator will facilitate quality initiatives and clinical quality data management for ... quality regulations and agreements. The coordinator will understand the quality components of all agreements....This includes, but is not limited to, MIPS, eCQMs, HEDIS and CGCAHPS for ambulatory quality and IQR, QHIP,… more
    Northern Light Health (10/19/24)
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  • Care Coordinator WFH

    HCA Healthcare (Austin, TX)
    …Central/West Texas Care Coordination. **Job Summary and Qualifications** Seeking a Care Coordinator for our practice who provides clinical expertise to ensure ... all patients receive high quality, efficient care. The Care Coordinator directs, plans, and supports PSG practices in successfully...We are an amazing team that works hard to support each other and are seeking a phenomenal addition… more
    HCA Healthcare (10/18/24)
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  • RN Care Coordinator

    Covenant Health Inc. (Knoxville, TN)
    Overview Registered Nurse Care Coordinator , Quality Management Full Time, 80 hours per pay period, Day Shift Covenant Medical Group is Covenant Health's employed and ... educating the patient/families and coordinating additional services needed. The RN Care Coordinator works in collaboration with and provides guidance to the Care… more
    Covenant Health Inc. (10/23/24)
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  • EPSDT Coordinator - Pediatrics

    Molina Healthcare (Grand Rapids, MI)
    **Job Description** EPSDT Coordinator (Early & Periodic Screening, Diagnostic, and Treatment) will be supporting our MI Medicaid Health Plan. This role will provide ... telephonic support to our pediatric population working with parents to...- No nights or Holidays **Job Summary** The EPSDT Coordinator oversees all EPSDT activities for the Health Plan… more
    Molina Healthcare (10/20/24)
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  • Practice Transformation Coordinator Senior

    Corewell Health (Southfield, MI)
    …Health Management strategies and tactics across the ambulatory environment. The Program Coordinator II works to drive improvement in health outcomes, quality of ... strategies. Provide education and coaching on recognitions requirements; mentor, support , and provide continuous education to physicians and practice staff… more
    Corewell Health (09/26/24)
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  • Grievance & Appeals Coordinator I

    Centene Corporation (Frankfort, KY)
    …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... grievances + May coordinate the Grievance and Appeals Committee + Support the pay-for-performance programs, including data entry, tracking, organizing, and… more
    Centene Corporation (10/24/24)
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  • Registered Nurse- In Home Primary Care- Hybrid

    The Cigna Group (Philadelphia, PA)
    …1. Assess and triage immediate health concerns transferred to nursing team by clinical support staff. 2. Provide telephonic nursing assessment and triage ... The RN Coordinator serves as the key contact point for...and participates in patient education and outreach tied to HEDIS initiatives 4. Works to improve access to care… more
    The Cigna Group (10/18/24)
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  • Senior Medical Director, Centers.

    ChenMed (Detroit, MI)
    …and hospital sick days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical cost effectiveness measures. Each ... mission, we need the best primary care providers and clinical leaders that are seeking to fulfill purpose and...Care Meeting (TCM) weekly care meetings, as well as support Center Manager/Center General Manager. The goal is for… more
    ChenMed (08/28/24)
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  • Primary Care Physician

    ChenMed (Cincinnati, OH)
    …count for 2 slots, follow-up patients, typical 1.0 PCP FTE slots are 18-21), HEDIS >4, CG CAHPS (patient experience), clinical gaps closures, and medical cost ... mission, we need the best primary care providers and clinical leaders that are seeking to fulfill purpose and...of care promoter (medical assistant), care facilitator, and care coordinator for patients able to come to the office.… more
    ChenMed (10/26/24)
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  • Patient Liaison - USFHP

    Pacific Medical Centers (Renton, WA)
    …312267 **Company:** Pacific Medical Jobs **Job Category:** Patient Services **Job Function:** Clinical Support **Job Schedule:** Full time **Job Shift:** Day ... obtained to close gaps in care. This position provides support for HEDIS activities, HCC coding audits,...**Career Track:** Clinical Support **Department:** 3060 WA USFHP **Address:**… more
    Pacific Medical Centers (10/16/24)
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  • Director of Quality and Patient Safety- Physician…

    Garnet Health (Middletown, NY)
    …Quality Improvement Program. He/she will be responsible for data management support , education, and facilitation of effective, timely, and integrated group-wide ... performance improvement activities including, but not limited to: clinical quality care, patient safety and regulatory compliance. Key focus will encompass… more
    Garnet Health (08/01/24)
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  • Community Connector (Snohomish County WA)

    Molina Healthcare (Mill Creek, WA)
    …have been recently incarcerated or recently released. You will collaborate with and support the Healthcare Services team by providing non- clinical duties in the ... policy, code enforcement, inmate, work-release, patrol, Corrections Deputies, corrections, support aid, courthouse, coordinator , deputy, sheriff, officer, family… more
    Molina Healthcare (10/16/24)
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  • CenterWell - Richmond Road - Nurse Practitioner

    CenterWell (Lexington, KY)
    …the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their ... D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows us to provide an unmatched experience… more
    CenterWell (10/05/24)
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  • CenterWell Nurse Practitioner Mid-City

    CenterWell (New Orleans, LA)
    …D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows us to provide an unmatched experience ... analytics and tools, and deep community relationships. This robust support allows our Nurse Practitioner to see fewer patients...coding specificity. + Follows policy and protocol defined by Clinical Leadership. + Meets with RMD about quality of… more
    CenterWell (09/22/24)
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  • Primary Care NP/PA - Conviva - Port Orange,…

    Conviva (Port Orange, FL)
    …D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows us to provide an unmatched experience ... care supported by analytics and tools, and deep community relationships. This robust support allows our Nurse Practitioner to see fewer patients and spend more time… more
    Conviva (09/27/24)
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