- Fallon Health (Worcester, MA)
- …the general direction of the Senior Manager, Clinical Quality , the clinical nurse analyst is responsible for developing and implementing the assigned ... nation's top health plans for member experience, service, and clinical quality . We believe our individual differences,...Information Set (HEDIS(R)) and MassHealth Appendix Q review. The clinical nurse analyst will provide… more
- Children's Mercy Kansas City (Kansas City, MO)
- …beyond the walls of our hospital. Overview The Informatics Nurse Applications Analyst serves as the technical and clinical Health Informatics subject matter ... expert for the clinical applications. The Nurse Applications Analyst supports the mission, vision,...nursing science, computer science, and information science to improve clinical systems for patient care safety, quality ,… more
- The Cigna Group (Bloomfield, CT)
- ** Nurse Case Management Lead Analyst -Remote...metrics. tNPS >70%- as applicable to the aligned CM** ** Quality scores of >90% overall, Clinical Acumen ... identifies anticipated case results/outcomes and criteria for case closure.** **Promotes quality cost-effective outcomes managing care needs through the continuum of… more
- The Cigna Group (Bloomfield, CT)
- **The job profile for this position is Nurse Case Management Senior Analyst , which is a Band 3 Senior Contributor Career Track Role.** For this position, ... Nurse Case Manager Senior Analyst , through the...of a defined population. The Case Manager will promote quality cost-effective outcomes managing care needs through the continuum… more
- The Cigna Group (Bloomfield, CT)
- **The job profile for this position is Nurse Case Management Senior Analyst , which is a Band 3 Senior Contributor Career Track Role.** **For this position, ... Nurse Case Manager Senior Analyst , through the...of a defined population.** **The Case Manager will promote quality cost-effective outcomes managing care needs through the continuum… more
- The Cigna Group (Bloomfield, CT)
- Nurse Case Management Lead Analyst - Nurse Clinician - Accredo Job Description Summary The Nurse Clinician - RN is responsible for reviewing escalated ... clinical criteria reviews for providers, members and patient client...ethical behavior at all times as outlined by the Nurse Practice Act and applicable company policies. **JOB DUTIES:**… more
- The Cigna Group (Bloomfield, CT)
- …areas, customers, and providers **Summary description of position:** This position, the Nurse Case Manager Senior Analyst , through the case management process, ... an active caseload of case management cases for Cigna Medicare. Uses clinical knowledge to assess the treatment plan and goals, and identifies gaps… more
- The Cigna Group (Bloomfield, CT)
- This position, the Nurse Case Manager Senior Analyst , through the case management process, will promote the improvement of health outcomes to members and assist ... defined population based on business perspectives. The Case Manager will promote quality cost-effective outcomes managing care needs through the continuum of care… more
- HCA Healthcare (Asheville, NC)
- …apart from any other healthcare provider. We are seeking a Performance Improvement Clinical Analyst RN to join our healthcare family. **Benefits** Mission ... their passion for patient care. Apply today for our Clinical Analyst Performance Improvement opportunity. **Job Summary...of hospitals in the nation for providing the highest clinical quality year over year. Leapfrog Hospital… more
- University of Miami (Miami, FL)
- … clinical trials for its catchment area. We provide administrative, regulatory, clinical , laboratory, quality , and training services to investigators at the ... within six (6) months of hire. 4 years of Clinical Research experience is required Regulatory Analyst ...supervisory experience in clinical research is required Clinical Research Nurse 1 Bachelor's degree in… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …accrediting body requirements \(i\.e\., URAC, NCQA, EQRO, and CMS\) and Clinical Quality Improvement experience required _Skills\\Certifications_ + Certification ... **Job Responsibilities** + Performs quality and/or compliance audits to identify and address...for other internal positions\. **Job Qualifications** _License_ + Registered Nurse \(RN\) with active license in the state of… more
- The Cigna Group (Bloomfield, CT)
- …appropriate health care services to assist the customer throughout their Utilizes clinical skills to assess, coordinate, monitor and evaluate options and services in ... the effectiveness of alternative care services and that cost effective, quality care is maintained. Maintains current knowledge of Cigna Healthcare Policies… more
- The Cigna Group (Harlingen, TX)
- …process to ensure all customers in participating provider practices meet all quality metrics. Responsible for coordinating the delivery of cost-effective, quality ... care services in conjunction with the physician treatment plan. Utilizes clinical skills to assess, plan, implement, coordinates, monitor and evaluates options… more
- The County of Los Angeles (Los Angeles, CA)
- CLINICAL NURSE SPECIALIST (VARIOUS SPECIALTIES) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1143342) Apply CLINICAL NURSE ... APPLIED NEED NOT REAPPLY, BUT MAY CONTACT THE EXAM ANALYST IF THEY WOULD LIKE TO SUBMIT ADDITIONAL INFORMATION....the person is qualified to use the title of Clinical Nurse Specialist, both issued by the… more
- WTW (Boston, MA)
- …Regulatory Agency, Legal/Compliance Firm, or insurance company + US Registered Nurse or LCSW with active licensed preferred + Health analytics experience ... of health plan utilization/case management processes, network management, credentialing, quality management, pharmacy prior-authorization processes and health plan operations… more
- Penn Medicine (Philadelphia, PA)
- …day. Are you living your life's work? Penn Medicine is seeking a full-time Clinical Nurse Educator for Periop Unit with Penn Presbyterian Medical Center. ... Summary: + The Clinical Nurse Educator (CNE) practices within the...the search for, interpretation, and use of evidence in clinical practice and quality improvement, as well… more
- Rush University Medical Center (Chicago, IL)
- …**Shift 1** **Work Schedule:** 8 Hr (7:00:00 AM - 5:00:00 AM) **Summary:** The Clinical Nurse Leader (CNL) functions as an advanced generalist providing and ... The CNL provides insight regarding the microsystem for collaboration with the Clinical Nurse Specialist (CNS) on macrosystem processes and outcomes. The… more
- LifePoint Health (Clyde, NC)
- … Nurse in the State of North Carolina or a Compact State. **Job:** ** Quality * **Organization:** ** **Title:** * Quality Analyst - Harms & Patient ... Assists the director by making presentations at various meetings including Quality and Safety Committee, New Employee Orientation, and others. May assist… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Clinical Research Nurse (CRN) position is licensed clinician who is responsible for, with minimal supervision, supporting, facilitating ... score for patient satisfaction, through peer-to-peer accountability to service standards. ** QUALITY /SAFETY ESSENTIAL FUNCTIONS** + Follows the clinical research… more
- The County of Los Angeles (Los Angeles, CA)
- …and Enterprise Master Patient Index (EMPI); Patient Acuity; Patient Scheduling; Nurse Scheduling; Time capture; training; clinical applications; or ancillary ... SENIOR INFORMATION SYSTEMS ANALYST (Electronic Health Record) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3124187) Apply SENIOR… more