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We are working with a great Healthcare Organization, that needs to add a: Quality Improvement Analyst II - 10487 to their award winning team. Description Position Purpose: Conduct review of delegated entities for compliance with quality, service performance and utilization, credentialing reviews and medical record audits. Perform community activities related to clinical initiatives such as health fairs and communicate with agencies and providers. Perform quality on site reviews of delegated....

- Boston, MA

Highly successful technology company seeks a skilled Applied Scientist to join their specialized Search engineering team. This team helps build and power the engine that responds to tens of billions of queries per day, searching through terabytes of data in milliseconds. This team designs, builds, and deploys high performance, fault-tolerant distributed search systems used by millions of people every day.The search team is also responsible for building a platform that will enhance the customer


Systems Analyst opportuniy for a hospital system in upstate NY. Employee satisfaction ranks in the top 10% of all hospitals in the country! This is a full time, permanent position. You will analyze clinical needs and develop solutions through the use of information systems and procedures; assist in justification, selection and implementation of clinical systems; consult with users to determine problems, identify needs and develop or recommend potential solutions; lead project teams and serve....


Director of Client Services/NYC Direct Reports: Supervisors of Client Services, RNs Position Description: The Director of Client Services will lead and direct all of the service delivery operations for clients in New York City. He/she will have oversight of all facets of services with a continual focus on process improvement, customer service and a positive caregiver experience. He/she will be a key contributor with senior management in ongoing efforts to differentiate and innovate the....

- Nassau County, NY, NY

Home Infusion Pharmacy Manager Complete responsibility for management of the pharmacy department that is servicing patients receiving specialized and complex therapies administered in their homes. Key responsibilities: * Monitor all daily operation activities of the pharmacy department. * Partner with other branch managers and work closely with the nursing team. * Implement new clinical programs and or marketing activities to physicians, nursing agencies and referral sources. * Limit risk....


Essential Job Duties - Supervises assigned nursing and paraprofessional personnel in the delivery of services to clients and families - Extensively interacts with clients and families monitoring and ensuring the quality of services provided - Proactively seeks way to improve client satisfaction - Participates in the coordination and management of all services rendered to clients and families by office staff and per diem employees under his/her supervision - Provides on-site supervision at....

- Jefferson County, NY

RN Case Manager Job Description Primary Functions: Our RN Case Managers will administer skilled nursing care to patients requiring professional nursing service per the physician’s orders and under the direction / supervision of the Director of Patient Services/Clinical Team Manager.The RN Case Manager will manage each patient’s care efficiently and effectively to achieve positive patient outcomes, and be responsible for the overall plan of care and the outcome of that care, including care....

- Austin, TX

Job Description: SUMMARY: Physical therapists focus on the evaluation of pain levels, strength, balance, range of motion, co-ordination, endurance, and posture of each patient. From this initial examination, the physical therapist then develops a treatment plan specific to correcting pertinent physical findings. This plan of care utilizes exercises, rehabilitative procedures, massage, manipulations, and physical agents including, but not limited to, mechanical devices, traction, heat, cold,....

- east of Columbus, OH

TITLE: Director, Physician Recruitment LOCATION: OH Are you considering a career change? Looking for a smaller community(25K population), that offers a low cost of living(18% lower than US average) and plenty of activities in the area but is within an hour of a large city. If so, an opportunity to work with an integrated health care system based in east central Ohio is looking for someone to join their team. The system is a not-for-profit and has over 300 physicians and multiple outpatient....


We are working with a great Healthcare Organization, that needs to add a: Quality Improvement Analyst II - 10487 to their award winning team. Description Position Purpose: Conduct review of delegated entities for compliance with quality, service performance and utilization, credentialing reviews and medical record audits. Perform community activities related to clinical initiatives such as health fairs and communicate with agencies and providers. Perform quality on site reviews of delegated....


Director, Case/Medical Management – ANY CITY - OHIO ** Will cover Northwest market - Toledo area- can sit in Columbus, Cincinnati, Cleveland/Akron or Toledo/Maumee Innovative health plan is continuing to expand in Ohio. Director will be responsible for defining and directing a complete Case Management Program for a vulnerable population. · Direct the overall operational leadership of case management functions and staff · Perform and oversee needs analysis and planning · Work with executive....

- Indianapolis, IN

Medical Director- Health Plan - Indianapolis, IN Physicians seeking a purposeful career will appreciate the opportunity to guide and direct the care for the medically underserved population in Indiana. This national organization welcomes your innovative ideas and solutions for closing the gaps in care and quality. Physicians are encouraged to be actively engaged with their patient population and their physician peers in the community. Incredible opportunities for career advancement. Assist the


Director, Utilization Management - PA Award –winning programs of care, advanced technology & analytics, GREAT leadership. RELOCATION offered – must have or be able to secure RN license in PA Lead the operations of the referral management, telephonic utilization review, prior authorization functions, and case management programs, ensuing compliance government and contractual guidelines Oversee the operations of the referral management, telephonic utilization review, prior authorization, and


Sr. Contract Negotiator- HEALTH PLAN - Bedford,NH Very visible role engaging with CEO’s, CFO’s, Board of Directors to present data and work through contract specifics with providers. Company offers exceptional analytics support and generous benefits and career growth. Sr. Contract Negotiator will coordinate and negotiate hospital, physician (IPAs, PPMs, individual providers, multi specialty groups) and ancillary service agreements that are in accordance with corporate, health plan and State....

- Greater Los Angeles, CA

Director, Public Programs & LTSS – Glendale, CA High-visibility position with significant impact and influence on how we improve the lives in our communities. This organization offers unlimited career growth. Relocation package offered – generous comp and benefits. The Director Public Programs and Long Term Services and Supports (LTSS) drives company’s Public Programs overall strategy and oversees integrated medical, behavioral and social services for a large, complex program. The Director


Manager of Utilization Management – Dental Hygienist – TAMPA - FLORIDA RDH Salary is generous! Fortune 100 dental health insurance – so much room to grow – WONDERFUL benefits! Active Registered Dental Hygienist – any state Must work in Tampa – NICE relocation package! Perform duties to conduct and manage the day to day operations of the utilization management function. Communicate with staff to facilitate daily department functions.Review analyses of activities, costs, operations and forecast....

- Indianapolis, IN

Director, UM - Indianapolis, IN Amazing growth continues with this national firm - award winning programs of care and a chance to TRULY make a difference for the medically undeserved population in INDIANA. Benefits are excellent- career advancement opportunities are unlimited Director will join an already successful team and have oversight for referral management, telephonic utilization review, prior authorization functions, and case management programs and ensuring compliance government and....

- Close to Toledo, OH

TITLE: Social Worker LISWLOCATION: Fremont, OhioREPORTS TO: Outpatient Treatment CoordinatorAn opportunity to work in northern Ohio for an established healthcare system that is looking for additional Therapist to join their team.Here are some details on the Therapist I(LISW): Under the direct supervision of the assigned Outpatient Treatment Coordinator, provides the full range of outpatient mental health and/or chemical dependency services offered by the Behavioral Healthcare Department,....

- Norwich, NY

Nurse Practitioner or Physician Assistant opportunity at a primary care practice located in a picturesque community in affordable upstate New York. Join a financially stable healthcare organization affiliated with a teaching hospital and enjoy top benefits and competitive compensation! Relocation assistance and other perks! Requirements: Certification as an NP or PA, with NY license or eligible. Two years’ experience minimum. Ability to work independently. Please email resume and the best....

- Oneonta, NY

Pediatric Nurse Practitioner or Physician Assistant opportunity at a primary care practice located in a picturesque college town in affordable upstate New York. We offer families convenient, timely, comprehensive pediatrics services. This practice will accommodate acute sick child visits as well as the regular well-child and prevention appointments that growing children require. Join a financially stable healthcare organization affiliated with a teaching hospital and enjoy top benefits and....

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