• Delaware Valley ACO Fellowship/Provider…

    Humana (Columbus, OH)
    …and present findings to the Board + Leads strategic planning efforts to develop a specialist network within the ACO + Develops a health equity strategy to update ... of our caring community and help us put health first** The Delaware Valley ACO (DVACO) is an accountable care organization that participates in the Centers for… more
    Humana (06/24/24)
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  • Utilization Review Specialist (LVN)

    Kelsey-Seybold Clinic (Pearland, TX)
    …a health plan, ACO , IPA, or provider group or 3 years clinical nursing experience Preferred: N/A **License(s)** Required: TX LVN license, Valid Driver's license ... **Responsibilities** The Utilization Review Specialist (LVN) is responsible for conducting medical reviews,...quality patient care by adding to our team of clinical and non- clinical professionals that work together… more
    Kelsey-Seybold Clinic (07/20/24)
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  • Network Engagement Specialist - St. Luke's…

    St. Luke's Health System (Boise, ID)
    …programs such as Medicaid Value Care Organization (VCO), Medicare Shared Savings Program /Accountable Care Organization (MSSP/ ACO ), the St. Luke's Employee Health ... System in Boise, ID is seeking a Network Engagement Specialist to join our Health Partners team. Under general...determinants of health (SDoH), and health literacy. + Utilizes clinical or claim-based reports to make outbound patient phone… more
    St. Luke's Health System (07/31/24)
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  • Clinic Care Coordinator & Quality…

    Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
    …written, verbal and nonverbal . Knowledge of CMS Stars, HEDIS, CCM, TCM, ACO , MIPS clinical quality measures and healthcare metrics . Acknowledges patient's ... The Care Coordinator and Quality Specialist work in collaboration and continuous partnership with...program Work Experience: Minimum of 3 years in clinical setting Required License: Basic Life Support Certification. For… more
    Jennie Stuart Medical Center, Inc. (09/11/24)
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  • Quality Measure Specialist

    AdventHealth (Westwood, KS)
    **Quality Measure Specialist -AdventHealth** **All the benefits and perks you need for you and your family:** . Benefits from Day One . Paid Days Off from Day One . ... Student Loan Repayment Program . Career Development **Our promise to you:** Joining...KS 66205** **The role you'll contribute:** The Quality Measure Specialist performs a wide variety of tasks to be… more
    AdventHealth (08/23/24)
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  • Healthcare Quality Reporting Specialist

    Sharecare, Inc. (Columbus, OH)
    …reporting efforts related to quality payment programs (examples include CMS MIPS, ACO , BCPI etc) meet the regulatory and compliance requirements of their respective ... they apply to different quality payment programs. + Identifying relevant quality program training needs and delivering the training. + Providing support and training… more
    Sharecare, Inc. (08/21/24)
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  • Case Manager

    Summit Medical Consultants LLC (Denver, CO)
    …Consultants is recruiting for a Case Manager that will support our practice with clinical administrative assistance. This is a full time hourly position, with a full ... year. Our mission is to provide patients and their families with robust clinical services throughout their Acute Inpatient Rehab, Skilled Nursing, Long Term Care and… more
    Summit Medical Consultants LLC (06/26/24)
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  • RN Care Manager

    Intermountain Health (Denver, CO)
    …services, addresses barriers, and promotes optimal allocation of resources while balancing clinical quality and cost management. **As an RN Care Manager, you need ... including, but not limited to: nutrition, social work, rehabilitation, behavioral specialist , diabetes education, Healthy Living Workshop, etc. + Contact patients… more
    Intermountain Health (09/11/24)
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