- Highmark Health (Buffalo, NY)
- …in Medicare STARS, Medicaid HEDIS and risk revenue programs and clinical evidence-based guidelines.The Medicare Advantage Quality Consultant is expected to ... is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, hands-on, office based support to… more
- ChenMed (Decatur, GA)
- …and hospital sick days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical cost effectiveness measures. Each ... Act as a health coach, rather than just a consultant for sickness, by helping patients set short and...of employment is required + A minimum of 1-year clinical experience in geriatric, adult or family practice… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and promotional opportunities. All Levels + Minimum of seven (7) years of clinical practice experience after completion of all graduate medical education ... act as a liaison with local physicians and hospitals and keep abreast of practice patterns, issues, and concerns of their regional medical community, as well as… more
- Covenant Health Inc. (Knoxville, TN)
- …Summary: The RN Care Coordinator II is responsible for integrating evidenced based clinical practice into the patient care setting, coordinating education of ... staff and patients and serving as a clinical resource and consultant to the health...care coordination and quality through the collaborative development of practice guidelines and clinical pathways that support… more
- ERP International (Barksdale AFB, LA)
- …to change. Possesses knowledge of disease management programs and clinical practice guidelines (eg VA/DoD CPGs), and HEDIS Measurements. + Teaches patients ... care through a continuum facilitating the achievement of optimal outcomes in clinical , quality and cost-effectiveness arenas. Provides direct clinical care to… more
- CenterWell (Seneca, SC)
- …Knowledge of HEDIS quality indicators + Good understanding of best practice coding and documentation in value-based environment + Leveraging Technology: You are ... early detection. The PL is responsible for executing the clinical strategy through the management of their own patient...care" model + Willingness and ability to learn/adapt to practice in a value-based care setting + Superior patient/customer… more
- Veterans Affairs, Veterans Health Administration (Kenosha, WI)
- …CBOC, or for McHenry CBOC, the s/he has delegated authority from the Clinical Director for Primary Care (DPC) with responsibility for their respective clinic(s), and ... MAJOR DUTIES AND RESPONSIBILITIES: - Responsible for own panel of patients. Clinical / Administrative FTEE allocation will be determined by policy. - Responsible for… more
- CenterWell (Phoenix, AZ)
- …+ Valid, unrestricted license in the state of desired employment + Experience leading clinical practice operations + Demonstrate a high level of skill with ... Knowledge of HEDIS quality indicators + Good understanding of best practice coding and documentation in value based environment + Leveraging Technology: You are… more
- Trinity Health (Boise, ID)
- …improvement opportunities, and support performance improvement initiatives. Through collaboration and clinical integration, this position will play a key role in ... experience **.** + Experience working in a health system, hospital, medical practice or payer organization required. + Physician practice management experience… more
- ChenMed (Richmond, VA)
- …count for 2 slots, follow-up patients, typical 1.0 PCP FTE slots are 18-21), HEDIS >4, CG CAHPS (patient experience), clinical gaps closures, and medical cost ... mission, we need the best primary care providers and clinical leaders that are seeking to fulfill purpose and...acts as a health coach, rather than just a consultant for sickness, by helping patients set short and… more