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Participates in the collection and review of medical records to abstract clinical information for HEDIS quality reporting. Training will be provided prior to the start of the assignment. Assist the HEDIS department with outreach calls to our Social Risk Factors population to close gaps in care.
Participates in the audit/overead of the medical record collection and review process for HEDIS quality reporting. Training will be provided prior to the start of the assignment. This position audits and interprets relevant clinical criteria through review of medical records, annotates via Adobe PDF and audits data populated within a data collection tool to support compliance with HEDIS and CMS performance measures. Ensures accurate and complete documentation of required information to meet risk management, regulatory, and accreditation requirements. The candidate must be proficient with databases and with conducting 100% of work activities on the computer.
Nurse Practitioners will work in collaboration with a dedicated clinical care team to provide evidence-based care to a panel of patients. The clinical care team will work with the provider daily to drive better outcomes for entire panel of patients. This will include accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning. This role will be reported to the PRACTICE MANAGER.
Nurse Practitioners will work in collaboration with a dedicated clinical care team to provide evidence-based care to a panel of patients. The clinical care team will work with the provider daily to drive better outcomes for entire panel of patients. This will include accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning. This role will be reported to the PRACTICE MANAGER
Utility infrastructure upgrades - distribution voltages, Project management skills, budget and forecasting experience, communication. Utility, infrastructure, or construction type experience required. Electric utility experience preferred Experience with financial forecasting, managing a budget, contract management, reviewing plans, planning, scheduling, communicating, updating records and databases.
Location: California, North Dakota, California, Pennsylvania, Ohio. Pay rate -$40-$50/hr (State wise) Helping people on their path to better health. To enable this purpose, we have several initiatives, existing and new, that are re-inventing pharmacy and enabling better health outcomes. One of these initiatives includes administering the vaccines to the public. • The Nurse RN role will work to administer vaccines (flu, covid, MMR etc). PPE is provided. • Lead with heart – display empathy and compassion for their patients, customers, caregivers and colleagues on your team • Adapt to change and adjust plans to thrive in a dynamic community healthcare setting • Collaborate with others and actively contribute to a team culture that promotes caring, energy, enthusiasm and pride. • Professionally interact with health care professionals and patients • Possess strong clinical skills including: medication administration, the ability and willingness to vaccinate patients, BLS (Basic Life Saving) certification Languages: English( Speak, Read, Write )
Candidate will travel approximately 75% of the time within the region seeing Members at home, in assisted living facilities and nursing homes. • We are seeking self-motivated, energetic, detail-oriented, highly organized, tech-savvy Case Management Coordinator to join our Case Management team. Our organization promotes autonomy through a Monday-Friday working schedule 8am-5pm and flexibility as you coordinate the care of your members. • Case Management Coordinator is responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness. • Case Management Coordinator will effectively manage a caseload that includes supportive and complex members. • Develop a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness through integration. • Case Management Coordinators will determine appropriate services and supports due to member’s health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and support. • Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports.
The Care Manager RN supports other members of the Care Team through clinical decision making and guidance as needed. You can have life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand DSNP to change lives in new markets across the country. Requires a New York state RN with unrestricted & active
The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
Location: Tampa, FL (will service in Hillsborough, Highlands, Polk, Hardee, and Manatee Counties) The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
Location: San Antonio, TX 78251 Physician Assistants will work in collaboration with a dedicated clinical care team to provide evidenced-based care to a panel of patients. The clinical care team will work with the provider daily to drive better outcomes for entire panel of patients. This will include accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning.
Location: San Antonio, TX 78251 The clinical care team will work with the provider daily to drive better outcomes for entire panel of patients. This will include accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning. This role will be reported to the practice manager.