• Principal Consultant Strategic Decision…

    Penn Medicine (Philadelphia, PA)
    …with nursing data systems, such as National Healthcare Safety Network (NHSN) and nursing quality data sets such as NCQA- HEDIS and NDNQI. (Preferred) + Relevant ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
    Penn Medicine (04/12/25)
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  • Clinical Pharmacist, Population Health…

    ChenMed (Columbus, OH)
    …indicators. + Fosters growth and effectiveness of Pharmacy work teams to meet quality and clinical care standards/ + Assists Pharmacy leadership in ensuring ... rapidly expanding and we need great people to join our team. The Clinical Pharmacist specializing in Population Health is a skilled and proactive professional who… more
    ChenMed (03/11/25)
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  • Medical Director, Commercial Line of Business

    Excellus BlueCross BlueShield (Rochester, NY)
    …require peer-to-peer discussions with providers regarding UM case review determinations. + Provides clinical expertise on ARD cases, Quality of Care cases, ... Level I Accountabilities) + Leads, develops, directs and implements clinical and non- clinical activities that impact health care quality cost and outcomes. +… more
    Excellus BlueCross BlueShield (05/03/25)
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  • RN Care Coordinator II

    Covenant Health Inc. (Knoxville, TN)
    …the patient care setting, coordinating education of staff and patients and serving as a clinical resource and consultant to the health care team. The RN Care ... through the collaborative development of practice guidelines and clinical pathways that support quality improvement activities....care. + Stays abreast of most recent changes in quality related to HEDIS measures, CMS Conditions… more
    Covenant Health Inc. (04/24/25)
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  • Primary Care Physician

    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 ... acts as a health coach, rather than just a consultant for sickness, by helping patients set short and...compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other… more
    ChenMed (04/10/25)
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  • Manager Population Health - Sharp Health Plan…

    Sharp HealthCare (San Diego, CA)
    …(NCQA); AlignMeasurePerform (AMP); Pay for Performance (P4P) metrics; Medicare Stars; HEDIS ; Performance Guarantees and metrics; and other quality measurement ... of strategic plans. In a multidisciplinary approach, functions as clinical expert, consultant , educator, researcher/evaluator. Supports senior leadership… more
    Sharp HealthCare (04/30/25)
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  • Nurse Practitioner - Occupational Health

    ERP International (Barksdale AFB, LA)
    …care through a continuum facilitating the achievement of optimal outcomes in clinical , quality and cost-effectiveness arenas. Provides direct clinical ... most cases a referral to the Internal Behavioral Health Consultant (IBHC) in Primary Care is appropriate for an...to change. Possesses knowledge of disease management programs and clinical practice guidelines (eg VA/DoD CPGs), and HEDIS more
    ERP International (04/23/25)
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  • Market CMO-North Texas

    CenterWell (Dallas, TX)
    …relationship environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice coding ... and provide medical direction in pursuit of cost effective, quality healthcare. + Plan, organize, manage and supervise the...in the state of desired employment + Experience leading clinical practice operations + Demonstrate a high level of… more
    CenterWell (04/29/25)
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  • Primary Care Physician (McHenry CBOC)

    Veterans Affairs, Veterans Health Administration (Mchenry County, IL)
    …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
    Veterans Affairs, Veterans Health Administration (03/28/25)
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  • Advanced Practice Registered Nurse (Family)

    Defense Health Agency (Oklahoma City, OK)
    …patient to the physician or other health team members. Duty 3 - Shares clinical expertise as consultant and instructor. Provides direction to other non-physician ... in peer review proceedings consistent with local and Air Force guidance. Evaluates quality and effectiveness of clinical practices and collaborates with health… more
    Defense Health Agency (02/21/25)
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