Clinical Quality Management Consultant jobs
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CLINICAL QUALITY MANAGEMENT CONSULTANT
Develop, oversee and manage large projects targeting members and/or network providers to improve clinical care provided to health plan members, including data analysis; visualizing and resolving complex issues and developing and i...
| Company | Highmark Health |
|---|---|
| Address | Remote - Pennsylvania, United States |
| Category | Manufacturing |
| Job type | Full time |
| Date Posted | 2 months ago See detail |
Clinical Quality Management Consultant
Highmark Health
Remote - Pennsylvania, United States
Develop, oversee and manage large projects targeting members and/or network providers to improve clinical care provided to health plan members, including data analysis; visualizing and resolving complex issues and developing and i...
2 months ago seen See more...
- View all Highmark Health jobs - jobs in Pennsylvania State
*Quality Management Nurse Consultant
Adecco
Woonsocket, RI
$ 36.2 - $ 39.11 / Hour
Reviews documentation and evaluates the necessity of provider requests, but applying national and state based criterion, thus conducting Medical Necessity Review.. Staff may be required to contact the providers of record, vendor...
a week ago seen See more...
- View all Adecco jobs - jobs in Woonsocket, RI
Quality & Safety Clinical Nurse Manager (RN) - HomeCare
Hartford Healthcare
Mansfield Center, CT
Uses coaching methodology with individual staff, teams, and large staff groups to incorporate clinical core competencies to improve care. Integrate use of EBP and evidence-based management in care delivery to provide evidence to d...
7 days ago seen See more...
Clinical Quality Assurance Manager - Remote
Olympus Corporation Of The Americas
Center Valley, PA
Maintain, and monitor Olympus GCP processes and procedures for compliance with applicable regulations and industry best practices, participate in clinical process improvement projects and initiatives for development, enhancement a...
2 weeks ago seen See more...
Utilization Management Clinical Nurse Consultant
Cvs Health
Phoenix, AZ
3+ years clinical practice experience required.. Must have a active and unrestricted RN Licensure in the state of Arizona or Compact RN licensure. Utilization management experience preferred.. Acute care setting experience preferr...
2 weeks ago seen See more...
- View all Cvs Health jobs - jobs in Phoenix, AZ
Clinical Program Manager (Quality Auditor)
Gap Solutions Inc
Bethesda, MD
Support the VRC CTPs Quality Management Program under leadership of the Quality Program Manager, to ensure quality throughout all stages of the clinical trial process. . Plan and conduct GCP sponsor audits (international and dome...
2 weeks ago seen See more...
- View all Gap Solutions Inc jobs - jobs in Bethesda, MD
Utilization Management Clinical Consultant
Cvs Health
Louisiana, United States
Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program.. Applies critical thinking and is knowledgeable in clinically appropriate treatment, evidence based care a...
3 weeks ago seen See more...
- View all Cvs Health jobs - jobs in Louisiana State
Consulting - Business Transformation - Health Clinical Operations - Manager
York State Department Of Labor
New York, NY
Continuous learning: Youll develop the mindset and skills to navigate whatever comes next.. Success as defined by you: Well provide the tools and flexibility, so you can make a meaningful impact, your way.. Transformative leader...
3 weeks ago seen See more...
RN Clinical Quality Manager (QA Pod), Home Health (Remote) - Morehead, NC
Humana
Charlotte, NC
Develops, plans, implements, analyzes, and organizes clinical operations for a specific location managed. Conducts/delegates the assessment and reassessment of patients, including updating of care plans and interpreting patient ne...
a month ago seen See more...
- View all Humana jobs - jobs in Charlotte, NC
Clinical Quality Consultant
Carebridge Health
Miami, FL
$92.3K - $117K a year
Reporting directly to the Director of Clinical Services, Performance and Quality, overall accountability for HCC/Risk Adjustment performance and Quality Documentation. Liaison to coding team. Liaison with other clinical teams on a...
2 months ago seen See more...
- View all Carebridge Health jobs - jobs in Miami, FL
Senior Clinical Quality Management Analyst - (Remote, Delaware) Performance Improvement Project Leader
Highmark Health
Remote - Delaware, United States
Develop and manage process improvement initiatives from the Organization for member and providers to include detailed data analysis, process analysis, report generation, medical record documentation, and HCC Coding.. Conduct, c...
2 months ago seen See more...
- View all Highmark Health jobs - jobs in Delaware State
Certified Community Behavioral Health Clinic Quality Manager; 4361-201-N
Catholic Charities Brooklyn And Queens
Jackson Heights, NY
Pay Type Salary. Min Hiring Rate $81,000.00. Max Hiring Rate $90,720.00. Travel Required Yes. Required Education Master's Degree....
2 months ago seen See more...
RN, Registered Nurse Clinical Data Analyst II - Quality Management - Now Hiring
Christus Health
Corpus Christi, TX
The Pavilion and the Critical Care Center house a state-of-the-art Emergency Department, ICU, Cardiac Cath Lab and surgical suites. A teaching facility, in affiliation with the Texas A&M University System Health Science Center Col...
a month ago seen See more...
- View all Christus Health jobs - jobs in Corpus Christi, TX
HUMAN RESEARCH QUALITY MANAGER, School of Medicine, Clinical Research
Boston University
BOSTON, MA
Bachelors Degree required; Masters Degree preferred. Experience in auditing clinical and HUMAN RESEARCH is preferred, but not required. At least 4 years experience working within human subjects research in positions such as IRB st...
a month ago seen See more...
- View all Boston University jobs - jobs in BOSTON, MA
Manager, Clinical Quality Assurance
Terumo Medical
Somerset, NJ
Job Summary: Hybrid in Somerset, NJ or Elkton, MDThe Manager of Clinical Quality Assurance (CQA) is responsible for maintaining an internal and external vendor auditing program, support and lead FDA BIMO investigations, report co...
a month ago seen See more...
- View all Terumo Medical jobs - jobs in Somerset, NJ
Clinical Quality Program Manager II (CAHPS)
L.a. Care Health Plan
California, United States
$88,854 - $115,509 a year
Paid Time Off (PTO). Tuition Reimbursement. Retirement Plans. Medical, Dental and Vision. Wellness Program. Volunteer Time Off (VTO). 401(k). 401(k) matching. Dental insurance. Employee discount. Flexible spending account. Health...
a month ago seen See more...
Utilization Management Clinical Consultant
Cvs Health
Baton Rouge, LA
Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Applies critical thinking and is knowledgeable in clinically appropriate treatment, evidence based care an...
a month ago seen See more...
- View all Cvs Health jobs - jobs in Baton Rouge, LA
Account Manager Pharmacist Clinical Consultant - Remote in Vermont
Optum
Winooski, VT
$90.3K - $114K a year
Provide superior clinical consultation and clinical account management with a focus on client satisfaction, client retention, and trend management. Collaborate with the client to establish achievable but aggressive clinical progra...
2 months ago seen See more...
- View all Optum jobs - jobs in Winooski, VT
Quality Clinic Manager
Ou Health
Oklahoma City, OK
Assist clinics and departments with data analysis and development of quality improvement processes. Capture and report quality data as needed. Identify and implement infection prevention and control strategies. Participate in the...
2 months ago seen See more...
- View all Ou Health jobs - jobs in Oklahoma City, OK
PROGRAM MANAGER QUALITY IMPROVMNT - HOAG CLINIC QUALITY IMPROVEMEN
Hoag Memorial Hospital Presbyterian
Irvine, CA
Bachelor's degree in Industrial Engineering, Business/Healthcare Administration, Life Sciences or equivalent Medical Foundation, Physician Practice or Health Plan related experience. Advanced training or experience in performing s...
4 weeks ago seen See more...
Senior Manager Quality Strategies - Clinical Program Mgmt
Biospace
Cambridge, MA
Participate in the development of clinical quality assurance strategies for the support of global clinical trials.. Partner closely with members of the Clinical and Research Development groups to support the successful and complia...
4 weeks ago seen See more...
- View all Biospace jobs - jobs in Cambridge, MA
Manager Clinical Risk Management - Quality Management
Christus Health
San Antonio, TX
$80.9K - $102K a year
Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Quality Leadership and Integration - Advance the organization's commitment to health care quality through colla...
a month ago seen See more...
- View all Christus Health jobs - jobs in San Antonio, TX
Clinical Practice Consultant-RN--ICU and Management Experience Required!
Kaiser Permanente
Modesto, CA
Provides leadership and expert consultation on the design, development, and implementation of programs related to the expertise area. Serves as the content expert of the responsible technical area(s) and provides technical assista...
a month ago seen See more...
- View all Kaiser Permanente jobs - jobs in Modesto, CA
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