- Molina Healthcare (Grand Rapids, MI)
- …NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions is ... responsible for developing, implementing, and monitoring the success of quality improvement interventions . The Manager works to coordinate resources and… more
- Corewell Health (Grand Rapids, MI)
- … clinical judgment and expertise to coordinate care management/behavioral health interventions . Develops strategies to ensure cost effective, quality care ... will promote optimal health. Assesses, plans, monitors, and provides therapeutic interventions as appropriate. Collaborates with patient and family to facilitate… more
- Molina Healthcare (Grand Rapids, MI)
- …plan to achieve performance goals. + Direct management of QS HPP program manager . Coordination with health plan quality staff. Ensure organization with other ... years of experience in Managed Care and/or health plan quality . Clinical experience is needed for positions...for positions that are focused on Accreditation, Compliance, HEDIS Interventions , Potential Quality of Care issues, and… more
- Corewell Health (Grand Rapids, MI)
- …trends for groups of patients. + Documents patient data, plan, interventions and outcomes according to department guidelines. Qualifications + Required Bachelor's ... Ludington Hospital) Required + 2 years of relevant experience clinical nursing and or case management/managed care or related...(RN) -State of Michigan Upon Hire required + Case Manager , Certified (CCM) - CCMC Commission for Case … more
- Corewell Health (Grand Rapids, MI)
- …data trends for groups of members. + Documents member data, plan, interventions and outcomes according to department guidelines. + Ensures processes and services ... are continuously monitored for quality , cost effectiveness, and efficiency,...Bachelor's Degree or equivalent Nursing + 5 years of Clinical Nursing and /pr case management/managed care or related… more
- Molina Healthcare (Grand Rapids, MI)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified… more
- Molina Healthcare (Grand Rapids, MI)
- …accuracy of abstracted records as required by specifications. + Assists the quality improvement staff with physician and member interventions and incentive ... **Job Description** **Job Summary** Molina's Quality Improvement Lead Overreader conducts oversight and audits...off of the audit and chart review. + Assists Manager and Supervisor(s) in leading the training and mentoring… more
- Corewell Health (Grand Rapids, MI)
- …of the nutrition diagnosis, developing nutrition focused, evidence based interventions (including the nutrition prescription, example: diet/feeding order; and ... contributes to a culture that aims to provide safe, high- quality care. Essential Functions + Competent RD requiring minimal...perform the duties and display the characteristics of a clinical professional. Identifies with and adheres to the code… more
- Corewell Health (Grand Rapids, MI)
- …conducting nutrition assessments, determining diagnoses, and developing evidence-based interventions . You will create and implement personalized nutrition plans, ... and respectfully with patients and the interdisciplinary team to ensure high- quality care, while fostering effective working relationships and contributing to a… more
- Elara Caring (Grand Rapids, MI)
- …at the right time, in the right place._ **You will report to the Hospice Clinical Manager .** _Elara Caring is proud to be an equal opportunity employer, ... of care during life's most vulnerable moments. Our mission is to deliver high- quality , personalized hospice care to over 60,000 patients daily, wherever they call… more