- Highmark Health (Camp Hill, PA)
- …Medicaid HEDIS and risk revenue programs and clinical evidence-based guidelines.The Medicare Advantage Quality Consultant is expected to assess the ... or exceeded. Further, in a matrix management environment, the Medicare Advantage Quality Consultant is...as needed/defined by market outcomes. + Serve as the clinical subject matter expert for PCP Medicare … more
- Signature Healthcare (Columbus, OH)
- …"Best Places to Work!" Overview The ideal Signature Clinical Care Consultant Candidate would have working knowledge of Medicare , Medicaid and Managed ... telemedicine. A growing number of our centers are earning quality assurance accreditation and pioneering person - directed care....4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded… more
- Intermountain Health (Las Vegas, NV)
- **Job Description:** The goal of the Clinical Documentation Specialist- Consultant is to educate leaders, physicians, advanced practice providers (APP), and other ... in order to improve the accuracy of the overall clinical picture and the representation of the complexity and...interventions, and training. + Acts as an education leader, consultant , and mentor to leaders, physicians, APP's, and other… more
- US Tech Solutions (RI)
- …clinician support as required. **Responsibilities:** + Reviews documentation and evaluates potential quality of care issues based on clinical policies and ... **Job Description:** + Responsible for the review and evaluation of clinical information and documentation. + Reviews documentation and interprets data obtained from… more
- WellSense (Boston, MA)
- Sr. Provider Relations Consultant - (MA residents)-$5000 sign on bonus WellSense Health Plan is a nonprofit health insurance company serving members across ... Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25...prepares and conducts orientations of network providers (administrative and clinical ) and their staff + Takes the lead on… more
- Vatica Health (Miami, FL)
- …clinically experienced and detailed-oriented nurses to join our team. As a Nurse Consultant , you will collect, review and analyze patient data to improve care ... coordination, quality metrics, and medical cost savings. The ideal candidate...and consolidate into one comprehensive and detailed view. Use clinical judgement and data to reconcile conflicting information from… more
- Vatica Health (Atlanta, GA)
- …clinically experienced and detailed-oriented nurses to join our team. As a Nurse Consultant , you will collect, review and analyze patient data to improve care ... coordination, quality metrics, and medical cost savings. The ideal candidate...and consolidate into one comprehensive and detailed view. Use clinical judgement and data to reconcile conflicting information from… more
- Dialysis Clinic, Inc. (Nashville, TN)
- …Nurse Consultant ** will provide education and training to promote quality patient care, assist our dialysis facilities with improving financial outcomes and ... Quality of Care:** + Facilitates the improvement of clinical and financial outcomes in assigned clinics by helping...Serves as a resource to clinic on interpretation of Medicare and state regulations as well as other agencies.… more
- University of Washington (Seattle, WA)
- …natural beauty. **Department of Emergency Medicine has an outstanding opportunity for Research Consultant .** The University of Washington (UW) is proud to be one of ... of domestic and international health services, impact evaluations, informatics and clinical trials. Examples of current research include improving care of patients… more
- Spaulding Rehabilitation (Charlestown, MA)
- Clinical Documentation Integrity Specialist, Per Diem - ( 3303241 ) **Description** **Job Summary** Under the direction of the Clinical Documentation Integrity ... (CDI) Manager, facilitates improvement in the overall quality , completeness, and accuracy of medical record documentation to ensure compliance with Medicare and… more
- Arnot Health (Elmira, NY)
- Job Description MAIN FUNCTION: The Clinical Accreditation Specialist acts as a consultant on interpretation of regulatory standards, including The Joint ... Commission and Centers for Medicare and Medicaid Services (CMS); ensures a constant state...the relevance of standards supporting a culture of safe, high- quality patient care, and contributes leadership and assistance to… more
- Cleveland Clinic (Mayfield Heights, OH)
- …development. + Act as a consultant in educating and evaluating clinical and support department staff regarding quality management regulations and standards ... resource for staff to facilitate overall operations of programs. + Develop meaningful quality assurance activities with clinical leadership to establish when a… more
- Trinity Health (Des Moines, IA)
- …productivity management. + The ability to synthesize and interpret large amounts of clinical , quality , and financial data. + Proven time management skills with ... + Leads, manages, and oversees the respective areas of quality and patient safety (inclusive of the culture of...+ Achieves the best outcomes aligned to Centers for Medicare and Medicaid Services (CMS) and other pay for… more
- Indian Health Service (Polacca, AZ)
- Summary This position serves as the Director of Quality Management for the Hopi Health Care Center (HHCC), in Polacca, Arizona and will oversee and coordinate all ... administrative management and support services for the Quality Management Department. Responsibilities This position is being re-advertised to solicit additional… more
- The Arc Erie County NY (Buffalo, NY)
- …and adults with disabilities and their families in achieving their desired quality of life by creating opportunities through comprehensive quality services. ... with The Arc Erie County? Becoming a SLP for us means: + Providing quality care to students w/ intellectual & developmental disabilities + Implementing treatment by… more
- Virginia Mason Franciscan Health (Gig Harbor, WA)
- …In 2020, united in a fierce commitment to deliver the highest quality care and exceptional patient experience, Virginia Mason and CHI Franciscan Health ... Pacific Northwest. That means a seamlessly connected system offering quality care close to home. From basic health needs...up of the patient's primary care provider, a psychiatric consultant and, when available, other providers in the primary… more
- CenterWell (Dallas, TX)
- …+ Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice coding and documentation in value ... and provide medical direction in pursuit of cost effective, quality healthcare. + Plan, organize, manage and supervise the...in the state of desired employment + Experience leading clinical practice operations + Demonstrate a high level of… more
- University of Virginia (Charlottesville, VA)
- …The APP hired for this position will join a collaborative team of consultant APPs and physicians managing endocrine disorders for inpatients across multiple service ... Medical Center in Charlottesville, VA. The successful candidate will join a growing consultant team managing a list of 40-50+ patients, with approximately 75% of… more
- ChenMed (Philadelphia, PA)
- …train PCPs in his/her assigned center towards being accountable for maximizing overall clinical value by improving clinical quality , efficiency, outcomes, ... organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a...compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other… more
- ChenMed (Detroit, MI)
- …to ensure compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other meetings as required ... organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a...mission, we need the best primary care providers and clinical leaders that are seeking to fulfill purpose and… more
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