- Banner Health (Tucson, AZ)
- …be a key member of our executive team, responsible for leading and directing our quality management initiatives, including but not limited to quality ... in health plan data and outcome measures. Advanced leadership experience with quality management and clinical investigations Additional related education and/or… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Medicaid Program Manager 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4780870) Apply Medicaid Program Manager 3 Salary $6,271.00 - ... of Health is dedicated to fulfilling its mission through direct provision of quality services, the development and stimulation of services of others, and the… more
- CDPHP (Albany, NY)
- …achievement of quality , clinical and cost outcomes. In addition, the Medicaid Special Programs Registered Nurse Case Manager is responsible and accountable ... you to be a part of that experience. The Medicaid Special Programs Registered Nurse Case Manager...Manager and the success of the member-focused Complex Case Management Programs. Qualifications: + Registered Nurse with… more
- Humana (Springfield, IL)
- …they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service ... to meet care needs. + Coordinates services, monitors, and evaluates the case management plan against the member's personal goals. + Ensures the patient is… more
- Molina Healthcare (Blacksburg, VA)
- …Degree in Nursing preferred. **Required Experience** 1-3 years in case management , disease management , managed care or medical or behavioral health settings. ... or locality with reliable transportation. **Preferred Education** Bachelor's Degree in Nursing **Preferred Experience** 3-5 years in case management , disease… more
- BrightSpring Health Services (St. Clairsville, OH)
- …team of passionate and caring clinicians who make a difference in people's lives. Our nursing group focuses on compassion and meeting the needs of our clients in a ... services/training programs on a routine basis in cooperation with Operations management ; monitoring both skilled and non-skilled healthcare services + Directly… more
- Fairview Health Services (Edina, MN)
- …industry **License/Certification/Registration** Minnesota Board of Nursing Public Health Nurse license Certification in case management , gerontological ... not limited to: assessment, care planning, service coordination and referral, transition management , utilization management and quality assurance. The care… more
- MyFlorida (Tallahassee, FL)
- …care transparency initiatives. Position Overview: This is a full time Registered Nursing Consultant position within the Bureau of Medicaid Program Integrity ... 68063495 - REGISTERED NURSING CONSULTANT Date: Dec 19, 2024 The State...entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000… more
- Northwell Health (New York, NY)
- **Req Number** 137365 Coordinates and implements the Quality Management /Performance Improvement Program at the facility. + Conducts education on quality ... management and performance improvement theoretical frameworks to promote high quality patient care. + Assists in developing appropriate measurements to assess… more
- Humana (Louisville, KY)
- …first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Nurse 2 who will utilize clinical nursing skills to support the coordination, ... medical services and/or benefit administration determinations for Humana's Kentucky Medicaid Plan. The Utilization Management Nurse...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more
- MyFlorida (Jacksonville, FL)
- …reports, as appropriate, with MFC program stakeholders. + For fee-for-service (FFS) Medicaid clients, completes MFC child/youth nursing assessments and MFC care ... REGISTERED NURSE SPECIALIST - 64064285 1 Date: Jan 7,...with desired thresholds. + Implements organization, program, and individual quality assurance standards, in conjunction with management .… more
- CVS Health (Phoenix, AZ)
- …care more personal, convenient and affordable. **Position Summary** This is a fulltime Quality Management Nurse Consultant opportunity within Arizona. The ... 60 miles) about 25-50% of the time. The QM Nurse Consultant is a work at home role. Experienced...limited to member services, provider relations and integrated care management ) to achieve the common goal of improving member… more
- CVS Health (Phoenix, AZ)
- …some travel to provider locations as needed. Mercy Care is a not-for-profit Medicaid managed-care health plan, serving Arizonans since 1985. We provide access to ... and behavioral health care services, to people who are eligible for Medicaid . Our members include families, children, seniors, and individuals who have… more
- MyFlorida (Tampa, FL)
- …and reports, as appropriate, with MFC program stakeholders. For fee-for-service (FFS) Medicaid clients, completes MFC child/youth nursing assessments and MFC ... REGISTERED NURSE SPECIALIST - 64030599 1 Date: Jan 4,...performance with desired thresholds. Implements organization, program, and individual quality assurance standards, in conjunction with management .… more
- Lancaster General Health (Lancaster, PA)
- …department and the organization; works with the medical staff to coordinate medical and nursing management of patient care. + Assists in providing for the ... in supporting daily operations and ensuring the delivery of high- quality , patient-centered care in a fast-paced and high-acuity environment.... personnel in assessing patient/family status to plan of nursing care. + Assists Nurse Manager in… more
- Lancaster General Health (Lancaster, PA)
- …responsibility and accountability as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that ... skills and the attitude to effectively meet standards for competent professional nursing practice. The Clinical Nurse 2 Colleague exhibits Penn Medicine's… more
- Lancaster General Health (Lancaster, PA)
- …responsibility and accountability as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 1 New to Practice/Apprentice is ... concepts, knowledge, skills and attitudes to meet standards for competent professional nursing practice. The Clinical Nurse 1 New to Practice/Apprentice exhibits… more
- Lancaster General Health (Lancaster, PA)
- …responsibility and accountability as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that ... skills and the attitude to effectively meet standards for competent professional nursing practice. The Clinical Nurse 2 Colleague exhibits Penn Medicine's… more
- Gentiva (Clinton Township, MI)
- …care they need with dignity, grace, and love. The **FT Advanced Illness Management Nurse Practitioner** facilitates advanced illness management and ... Quality Measures collection, documentation and reporting. **About You** ** Nurse Practitioner Requirements:** **Specialized Knowledge/Skills:** + Excellent leadership, interpersonal,… more
- Lancaster General Health (Lancaster, PA)
- …responsibility and accountability as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 1 New to Practice/Apprentice is ... concepts, knowledge, skills and attitudes to meet standards for competent professional nursing practice. The Clinical Nurse 1 New to Practice/Apprentice exhibits… more
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