- Urgent Team Management (Hixson, TN)
- …or events. Provides guidance to other medical staff (eg physician assistants, nurse practitioners and medical assistants) to ensure quality professional services ... Physicians Care is looking for dedicated, compassionate, and experienced Nurse Practitioners and Physician Assistants to join our dynamic healthcare team at our… more
- Genmab (Berkeley Heights, NJ)
- …be the voice of Genmab to our customers and will maintain the highest quality and compliance to provide a positive experience. This position reports to the Patient ... the health insurance landscape. Patient Service Specialists are critical in the success and quality of the Patient Services Support Center and as such will need to… more
- Bryan Health (Lincoln, NE)
- …and total quality improvement initiatives. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of ... through appropriate levels of care in order to facilitate quality outcomes. PRINCIPAL JOB FUNCTIONS: *Commits to the mission,...residence as defined by the Nebraska Nurse Practice Act. Minimum of two (2) years recent… more
- Stanford Health Care (Palo Alto, CA)
- …Brief Overview** The Oncology Research Nursing Professional (ORNP) -is a Registered Nurse (RN) who works collaboratively with Clinical Research Staff including, but ... triage of phone calls and proactive patient communication. The Oncology Research Nurse Professional -serves to educate patients and families on the clinical trial… more
- Commonwealth Care Alliance (Boston, MA)
- …for overseeing and managing the daily operation of the Utilization Management Review Nurse and Specialist staff responsible for conducting centralized clinical ... review and authorization creation for centrally authorized services. This...state Medicaid requirements. - Lead preparation for internal and external audits (eg CMS Program Audits, or EQRO reviews).… more
- Seneca Health (Salamanca, NY)
- …of peer review for licensed clinical providers providing on-site services. This review process will monitor quality of care, patient volume activity and ... minimum of five (5) years experience in a clinical setting, with knowledge of Quality Improvement, Risk Management and Peer Review practices. Experience in a… more
- WesleyLife (Washington, IA)
- …mentors and coaches all team members in the art of delivering high quality clinical care within a non-institutionalized environment. + Ensure residents and family ... appropriate staffing standards, team member safety, budgetary compliance, and clinical quality . + Educate and provide coaching in implementing appropriate plans of… more
- Commonwealth Care Alliance (Boston, MA)
- …feedback, discussion, and development of key performance indicator monitoring, KPI chart review and quality review processes, productivity standards. - ... needed. - Regularly providing team feedback based on data, key performance, and quality chart review processes. - Work cross-functionally within the organization… more
- Commonwealth Care Alliance (Springfield, MA)
- …scheduled encounters with episodic or urgent visits to maintain expected productivity. + Review members' quality gaps prior to every visit and collaborate with ... The SBHC ensures that a defined panel of patients receives the highest quality community-based within the context of a patient centric individualized plan of care.… more
- Boost Home Health (Frisco, TX)
- …others live their best life possible? Are you passionate about promoting quality of life by providing world-class care? Boost Home Healthcare empowers patients ... of our team, you'll help ensure that patients receive high- quality support while maintaining independence in the comfort of...their own homes. The Clinical Manager is a Registered Nurse (RN) licensed in Texas and a graduate of… more
- Commonwealth Care Alliance (Springfield, MA)
- …providing care management and care coordination support, and collaborating with external providers with the goal of delivering comprehensive care. + Essential ... contribute to unmet needs + Conducts closed loop communication with patients' external providers including the PCP and CCAs interprofessional team to identify areas… more
- Terumo Neuro (Aliso Viejo, CA)
- …Clinical Team (FTC) members by providing case observation shadowing, pre-case planning, anatomy review and post-case review . + Present on FTC calls to share ... strategic collaboration. + Comply with applicable Laws and Regulations, adhere to Quality Management System processes and requirements as well as demonstrate Ethics… more
- Stanford Health Care (Palo Alto, CA)
- …and ensuring optimum use of resources, service delivery, and compliance with external review agencies' requirements. Case Managers act as consultants to ... case management, including the principles and practices of discharge planning, utilization review , and quality assurance/improvement + Knowledge of the variables… more
- Alameda Health System (Oakland, CA)
- …Collaborates with AHS leadership team to evaluate and complete the Periodic Performance Review (PPR) as required by the Joint Commission. + Assists in organizing and ... the Director of Clinical Education in developing educational programs based on quality process improvement needs. + Develops monthly and annual education calendar… more
- Stanford Health Care (Palo Alto, CA)
- …Specialist II will collaborate with clinical staff, coding professionals, and external stakeholders to ensure timely and accurate resolution of appeals, ultimately ... underpayments. Proficiency in healthcare claims analysis, including the ability to review , interpret, and evaluate claims data to identify trends, discrepancies, and… more
- Argonne National Laboratory (Lemont, IL)
- Argonne National Laboratory seeks a part-time Physician to provide high- quality , onsite occupational medical care for a diverse workforce of approximately 3,800 ... alongside an experienced physician medical director and two seasoned nurse practitioners, delivering injury/illness care, medical surveillance, return-to-work evaluations,… more
- Arup (San Francisco, CA)
- …review , and RFIs. - Coordinating with clients and the broader team - Maintain quality relationships with vendors and external partners Is this role right for ... - Experience or knowledge of specialty healthcare systems such as nurse call, wireless medical telemetry, Real-Time location, patient engagement and other… more
- WesleyLife (Johnston, IA)
- …+ Provide tools, resources and education to local teams, with continually monitoring quality , identify risks and/or trends, and the ability to implement timely and ... appropriate corrective actions so quality and compliance are maintained at all times. +...within our health centers and assisted living services to review clinical standards of practice as well as compliance… more
- YesCare Corp (Brentwood, TN)
- …and retrospective review . + Track, trend and evaluate appropriateness and quality of care issues with the implementation of education to internal and ... lives through care and expertise. **Key Responsibilities:** + The nurse will focus on what's best for the patients... standards and standards of best practice. + Facilitate quality health care intervention recommendations. + Review … more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …may require up to*Every Other Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review (UR) Registered Nurse is responsible for evaluating the ... guidelines and evidence-based practice * Quality of Practice*: * Promotes quality through evidence-based utilization review processes and actively contributes… more
