- Highmark Health (Harrisburg, PA)
- …in Medicare STARS, Medicaid HEDIS and risk revenue programs and clinical evidence-based guidelines.The Medicare Advantage Quality Consultant is expected to ... is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, hands-on, office based support to… more
- Defense Health Agency (Lackland AFB, TX)
- …the director of medical services (SGH) to promote the use of evidence-based clinical practice guidelines and pathways. Advocates case management for smooth ... **Overview** Nurse Consultant Joint Base San Antonio Time to invest...of care. Assists in research and development of evidence-based clinical practice guidelines (CPG) in collaboration with… more
- ChenMed (Philadelphia, PA)
- …and hospital sick days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical cost effectiveness measures. Each ... Act as a health coach, rather than just a consultant for sickness, by helping patients set short and...VIP service, standards of care and quality guidelines, and HEDIS /STARS + Inspire seamless coverage of clinical … more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- …Suitability Assessments receive them in accordance with Florida Statute, provide clinical consultation and support and ensure funding authorization for children in ... enrollee attends a seven (7) day follow up appointment. HEDIS Care Gap Reports - Essential Function: Review of...the CBCIH Regional Coordinator and CBCIH Behavioral Health Care Consultant as needed, or upon request. Documentation - Essential… more
- CenterWell (Jackson, MS)
- …Knowledge of HEDIS quality indicators + Good understanding of best practice coding and documentation in value based environment + Leveraging Technology: You are ... early detection. The PL is responsible for executing the clinical strategy through the management of their own patient...Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value based… more
- ChenMed (Richmond, VA)
- …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 ... acts as a health coach, rather than just a consultant for sickness, by helping patients set short and...of employment is required + A minimum of 1-year clinical experience in geriatric, adult or family practice… more
- 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...Act as a health coach, rather than just a consultant for sickness, by helping patients set short and… more
- CenterWell (Dallas, TX)
- …+ Valid, unrestricted license in the state of desired employment + Experience leading clinical practice operations + Demonstrate a high level of skill with ... Knowledge of HEDIS quality indicators + Good understanding of best practice coding and documentation in value based environment + Leveraging Technology: You are… more
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