- Veterans Affairs, Veterans Health Administration (Martinsburg, WV)
- Summary The Registered Nurse (RN) Care Coordinator is responsible for organizing and directing team members to achieve desirable patient outcomes through day-to-day ... in community outreach activities. Responsibilities The Registered Nurse (RN) Care Coordinator is responsible for organizing and directing team members to achieve… more
- Methodist Health System (Dallas, TX)
- …Week :** **Work Shift :** **Job Description :** Your Job: The Care Coordinator will support MMG Primary Care Practices, Physicians, and staff ("Patient Care team") ... Patient Care team to help MMG achieve quality driven goals. The Care Coordinator participates in planning, providing, and evaluating patient care at the appropriate… more
- Providence (Anaheim, CA)
- …the supervision of the QI Special Programs' Manager/Supervisor, the Quality Improvement Coordinator will be accountable for the daily duties related to achieving ... health plan Quality Incentive Programs across California. The Quality Improvement Coordinator will be responsible for supporting quality management efforts including… more
- Cedars-Sinai (CA)
- **Job Description** The Quality Improvement Coordinator will assess, analyze, and recommend quality and clinical performance improvement processes to assure that the ... care delivery, clinical outcomes, and clinical efficiency. + Support HEDIS , pay-for-performance, ACO and other clinical pay-for-performance and pay-for-value … more
- UPMC (Hanover, PA)
- **UPMC is looking for a Performance Improvement Coordinator to join their team in Hanover, PA. Previous physician Office experience and knowledge of quality metrics ... standards of care, reviewing data to identify opportunities, drafting of program descriptions, work flows, assessments, reports, training materials and other… more
- Randstad US (Woodland Hills, CA)
- grievance and appeals coordinator . + woodland hills , california + posted may 8, 2024 **job details** summary + $19.99 - $22 per hour + temp to perm + high school + ... data entry, tracking, organizing, and researching information + Assist with HEDIS production functions including data entry, calls to provider's offices, and… more
- Centene Corporation (Baton Rouge, LA)
- …work plan goals including applicable Healthcare Effectiveness Data and Information Set ( HEDIS ) measures and program evaluation (trilogy documents) for behavioral ... health + Lead Behavioral Health Performance Improvement Projects (PIPS) + Review clinical information for appeals to determine medical necessity + Prepare cases for appeals that do not meet medical necessity + Maintain files, logs, documentation including… more
- Ascension Health (Glendale, WI)
- …specifics._ **Responsibilities** Organize and coordinate quality, risk and patient safety program activities and workflow. + Coordinate quality, risk and/or patient ... safety aspects of The Joint Commission continuous readiness program . + Collaborate with multidisciplinary team on problem identification and resolution, cost… more
- CenterWell (Phoenix, AZ)
- …D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows us to provide an unmatched experience ... Center. + Participates in the local primary care 'on-call' program of CenterWell Senior Primary Care. + Assures personal...Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. **Use your skills to make an… more
- CenterWell (Las Vegas, NV)
- …D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows us to provide an unmatched experience ... to IPA Physicians and Advanced Practice Providers on Medicare documentation guidelines, HEDIS /Quality measures, and clinic workflows that align with Value Based Care… more
- State of Colorado (Denver, CO)
- …to state employees through the State of Colorado's Work-Life Employment Discount Program . The Department also encourages employees to take advantage of advanced ... vendor partners, research health care industry innovations, oversee cost management program effectiveness and return on investment within the Medicaid, CHP+ and… more
- Veterans Affairs, Veterans Health Administration (Orangeburg, SC)
- Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program . You must meet specific ... five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities Contract Buy… more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program . You must meet specific ... five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities The facility… more
- CenterWell (Indianapolis, IN)
- …D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows us to provide an unmatched experience ... within the Center. * Participates in the local primary care 'on-call' program of CenterWell Senior Primary Care. * Assures personal compliance with licensing,… more
- Conviva (Margate, FL)
- …D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows us to provide an unmatched experience ... within the Center.** Participates in the local primary care 'on-call' program of Conviva.** Assures personal compliance with licensing, certification, and… more
- CenterWell (Newport News, VA)
- …D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows us to provide an unmatched experience ... within the Center. + Participates in the local primary care 'on-call' program of CenterWell Senior Primary Care. + Assures personal compliance with licensing,… more
- Conviva (Sarasota, FL)
- …D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows us to provide an unmatched experience ... within the Center. + Participates in the local primary care 'on-call' program of Conviva. + Assures personal compliance with licensing, certification, and… more
- Sea Mar Community Health Centers (Seattle, WA)
- …referrals according to the utilization management guidelines when the referral coordinator is unavailable. + Coordinate transfer of acute patients when ordered ... + Demonstrate proficiency in the nursing parameters of the MISYS program . + Demonstrates knowledge, proficiency and compliance with regulatory requirements… more
- ChenMed (Detroit, MI)
- …hospital sick days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical cost effectiveness measures. Each primary ... PCP Essentials + Medical Director and Center Operations + ChenMed Leadership Pathways Program + Medical Economics and Center Financial Performance + Sales and Growth… more
- ChenMed (Savannah, GA)
- …hospital sick days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical cost effectiveness measures. Each primary ... PCP Essentials + Medical Director and Center Operations + ChenMed Leadership Pathways Program + Medical Economics and Center Financial Performance + Sales and Growth… more