- Centene Corporation (Phoenix, AZ)
- …and follow up as directed by the Medical Director and/or Credentialing and Quality Improvement Committee (QIC). + Document, investigate and resolve formal and ... records, review administrative claims and analyze data and interventions for quality improvement studies and activities + Function as the primary liaison between… more
- Providence (WA)
- …and coordinates clinical audits to determine potential areas for quality improvement within the PHP network. The audit coordinator collects data by ... **Description** The on-call HEDIS Clinical Audit Coordinator is responsible for conducting clinical quality...Dual RN License: Oregon and Washington + 1 year Quality management/ quality improvement /utilization review auditing… more
- Cedars-Sinai (CA)
- …of patient care we strive for. **What will you be doing in this role?** The Quality Improvement Coordinator will assess, analyze, and recommend quality ... throughout Los Angeles and beyond. **Req ID** : 13116 **Working Title** : RN Quality Improvement Coordinator - Quality Management (Hybrid) **Department**… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …use of best practices relating to HEDIS hybrid reviews, quality and performance improvement initiatives, programs, and benchmarks. Minimum Qualifications: ... thorough understanding of federal and state regulations and advancements put forth by quality improvement organizations, including but not limited to NCQA, CMS,… more
- Kaniksu Community Health (Sandpoint, ID)
- … Quality Program Coordinator plays a key role in advancing quality improvement , population health, and process optimization efforts at Kaniksu Community ... positions within the organization. A typical day of a Quality Program Coordinator might include; + Monitor...and regulatory requirements. + Assist with staff education on quality improvement workflows, tools, and best practices.… more
- Covenant Health Inc. (Knoxville, TN)
- …development of practice guidelines and clinical pathways that support quality improvement activities. The RN Care Coordinator II actively seeks opportunities ... Overview Registered Nurse Care Coordinator , Quality Management Full Time, 80..."best" practices for achieving patient outcomes. + Participates in quality improvement initiatives for assigned population. +… more
- HCA Healthcare (Salt Lake City, UT)
- …the** **ACO and CIN network providers and practices in successfully meeting quality improvement initiatives** **, monitoring standards of care, and managing ... you have the PRN career opportunities as a(an) Care Coordinator PRN you want with your current employer? We...and case management. Assist in educating practice staff on quality , payor, and government program requirements** + **Develop professional… more
- Fenway Health (Boston, MA)
- …Health Coordinator Boston, MA (http://maps.google.com/maps?q=1340+Boylston+St+Boston+MA+USA+02215) * Quality Improvement Job Type Full-time Description Under ... patient outreach and engagement in care and data capture improvement efforts. Responsibilities The Population Health Coordinator ... plays a key role in the Health Center's Quality Improvement efforts by routinely collaborating with… more
- Grace Health (Battle Creek, MI)
- …processes and procedures. - Collaborates with cross-functional teams to drive quality improvement efforts across the agency. Professional/Technical Knowledge: 1) ... and associated measures (eg healthcare effectiveness data and information set ( HEDIS ). - Monitors quality metrics, category changes, volume/census date,… more
- Blue KC (Kansas City, MO)
- …ensure effective education and reporting, proactively identify performance improvement opportunities through analysis and discussion with subject matter ... KC tools and incentive programs focused on improving the quality of care for Medicare Advantage & Qualified Health...data and monitor provider metrics to identify risk adjustment, HEDIS or educational opportunities for the Medicare Advantage and… more
- Adelante (Phoenix, AZ)
- …Manager, WIC Services Manager and Director of WIC to identify opportunities for quality improvement and oversee performance improvement initiatives. This ... position will work closely with WIC training Coordinator and WIC operations to implement process ...Some roles require experience in managing teams and overseeing quality improvement processes. + Knowledge of WIC… more
- University of Southern California (Alhambra, CA)
- …identification of appropriate patients. 2. Participates in hospital and med group quality improvement processes and helps identifies opportunities to improve ... meet an individual's health care needs to promote cost-effective, quality outcomes. Serves as a consultant to members of...from multiple sources, as supported by the ambulatory care coordinator . 4. Analyze and interpret data in collaboration with… more
- AdventHealth (Woodridge, IL)
- …of quality reporting and physician practice regulatory programs (eg, HEDIS , MIPS). Displays advanced knowledge and skills necessary to deliver quality ... improve outcomes, and to ensure that the education delivered supports process improvement and optimization targets identified by the organization. The Analyst will… more
- ChenMed (Warren, MI)
- …hospital sick days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical cost effectiveness measures. Each primary ... overall clinical value while engaging physicians to improve clinical quality , efficiency, outcomes, cost effectiveness, and physician/patient satisfaction. This will… more
- ChenMed (Houston, TX)
- …hospital sick days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical cost effectiveness measures. Each primary ... overall clinical value while engaging physicians to improve clinical quality , efficiency, outcomes, cost effectiveness, and physician/patient satisfaction. This will… more
- Veterans Affairs, Veterans Health Administration (Kenosha, WI)
- …ineligible to apply for incentive. Contact ###@va.gov, the EDRP Coordinator for questions/assistance. MAJOR DUTIES AND RESPONSIBILITIES: - Responsible for ... and key performance indicators, to include but not be limited to quality outcomes and measures, process improvements, patient experience scores (eg Patient Advocate… more