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- Collaborate with Director to develop fully informed views and insights into the drivers behind data, and present findings clearly and concisely.
| - Conduct concurrent review of participant medical records to identify incomplete, inaccurate, or inconsistent clinical information.
Bellevue, Nebraska30+ days ago p style="margin:0px">FOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. Provides evidenced-based individual treatment and psychoeducational classes for patients enrolled in primary care Provides expertise in human behavior as a primary care team member and provides consultation to primary care and specialty clinic providers regarding psychological treatment options to optimize health outcomes. The Provider Engagement Manager (PEM) is responsible for establishing new relationships with primary care clinic leadership, providers and staff as well as maintaining strategic relationships with primary care providers and their office staff currently in our network. • Organizes and assists in facilitating Joint Operations Committee meetings with assigned primary care clinics and monthly operating review meetings with executive leadership and key stakeholders. Louisville, Nebraska25 days ago div class="opening">Step into a working clinical leadership role where your expertise in MDS coordination drives quality outcomes and reimbursement success—your top priority from day one! Nye Health Services is seeking a Registered Nurse (RN) to step into a dynamic, working clinical leadership role that blends MDS coordination, infection prevention, and clinical education. Proactively coordinates and facilitates performance improvement teams to support key initiatives, including but not limited to, activities focused on clinical quality improvement, patient safety and risk reduction, patient experience, efficiency, FMEAS, root cause analyses and medical staff improvement (e.g. Facilitates development and implementation of data collection tools and processes including the ability to: identify data elements needed to complete appropriate measurement, perform data collection and abstraction per specifications, and validate data prior to submission or preview reports prior to publication. Facilitates development and implementation of data collection tools and processes including the ability to: identify data elements needed to complete appropriate measurement, perform data collection and abstraction per specifications, and validate data prior to submission or preview reports prior to. Proactively coordinates and facilitates performance improvement teams to support key initiatives, including but not limited to, activities focused on clinical quality improvement, patient safety and risk reduction, patient. Council Bluffs, IA21 days ago The ACT Clinical Lead provides day-to-day leadership, clinical supervision, mentorship, and operational oversight for a dynamic multidisciplinary team while maintaining a smaller clinical caseload. Our interdisciplinary team works collaboratively to deliver individualized treatment, rehabilitation, crisis support, and recovery services that help individuals build stability, independence, and meaningful lives within the community. The Clinical Admissions Therapist will be responsible for meeting with clients upon admission, building rapport, completing biopsychosocial assessments, and establishing treatment needs. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported. o Bachelor's in Nursing or Certified Professional in Healthcare Quality (CPHQ) o 1 or more years team lead or supervisory experience o 1 year experience in Quality Management o 1 year experience with data analysis and reporting o Experience with InterQual or similar criteria sets o General knowledge of Medicare, Veterans Administration, or other government health care programs. Technical Skills: General knowledge of Medicare, Veterans Administration, or other government health care programs; knowledge in the application of clinical criteria: InterQual, Milliman, PAS-LOS, ICD-9-CM, DSM, CPT-4, and HCPCs; Proficient with Microsoft Word and Excel. Council Bluffs, IA25 days ago Participates in community meetings to foster collaboration with local organizations, identifying ways to improve care and support for patients throughout their healthcare journey, from pre-hospital to post-hospital care. Manages multiple aspects of patient care, identifying psychosocial needs and barriers, ensuring appropriate services are selected, and documenting discharge needs from the Emergency Department (ED). Work At Home, NE16 days ago The HEDIS Data Enablement Team is responsible for data management, supporting internal stakeholders, measure and run issue research and resolution, identifying measure and technology opportunities, providing HEDIS measure data and research to support initiatives, and the business owner for HEDIS data management for regulatory reporting. The Senior Informatics Manager will drive delivery across the full project lifecycle-requirements intake, build coordination, testing oversight, reporting validation, and post-implementation review-while proactively identifying risks and optimizing workflows to improve efficiency and performance outcomes. In addition to the base salary, Amgen offers a Total Rewards Plan, based on eligibility, comprising of health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities that may include: A comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts. As an organization dedicated to improving the quality of life for people around the world, Amgen fosters an inclusive environment of diverse, ethical, committed and highly accomplished people who respect each other and live the Amgen values to continue advancing science to serve patients. ul>Minimum of 3-5 years' management experience leading and managing teams required; Demonstrates experience managing to data driven outcomes and process improvement required. Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform StarLearning. Technical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews. Nye Health Services is seeking a Registered Nurse (RN) to step into a dynamic, working clinical leadership role that blends MDS coordination, infection prevention, and clinical education. A great culture where we live out our mission, "To celebrate life in environments we create by delivering exceptional service and superior value through innovative leadership in personalized care.". Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Models and shares customer service best practices with all team members to deliver a distinctive and joyful patient experience, including interpersonal habits that show care (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., demonstrating curiosity to identify needs and proactively helping, servicing until satisfied, championing empathy and inclusivity, etc.). This role serves as the bridge between clinical service delivery, administrative systems, and organizational leadership-fostering a positive, client-centered culture across the clinic. The Clinic Operations Manager is responsible for the overall operational, administrative, and service delivery coordination of Project Harmony's Mental Health Clinical Services. p>Preferred Computer Applications: Microsoft Access, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook Preferred Other Computer Applications: Power BI, DataPal, Graphpad Prism, EPIC (Citrix OneChart), Zoom Preferred Additional Knowledge, Skills and Abilities: Bilingual, Spanish as first/second language. Posting Category Healthcare Working Title Program Manager Job Title Health Care Specialist Salary Grade HC26S Appointment Type B1 - REG MGR PROF SALARY Salary Range $81,400 - $130,200/annual Job Requisition Begin Date 05/12/2026 Application Review Date 05/20/2026 Review Date Information: Initial application review will begin on the date provided in the field above.
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