UNKNOWN

FEED

The Clinical Quality Advisor is responsible for directing and managing multi-departmental and cross-functional programs and projects, supporting quality improvement initiatives, analyzing performance data, and developing improvement activities based on industry best practices. Targeted Improvement Activities : Collaborate with team members to develop targeted improvement activities based on current outcome performance and industry best practices aimed at enhancing CMS Star Ratings, HEDIS, CAHPS, HOS, P4P, and other performance measures.

YEAR

Altais Health Solutions

Clinical Quality Advisor

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Work requires periods of standing, sitting, lifting, turning, twisting, walking, pushing, pulling, reaching, speaking, hearing, seeing and ability to articulate clearly. Perform timely documentation/action within Electronic Health Record (EHR) including but not limited to, diagnosis, treatment plan, orders, medications, etc.

EVCHC Website

HIV Advanced Practice Provider (NP/PA)- (Part-time)

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Comprehensive ability to: direct the work of others performing service delivery in assigned health care plan specialty areas; collaborate effectively; analyze statistical data and implement changes based on findings, problem solve and make sound decisions; represent the department on assigned committees and with service providers; establish and maintain effective working relationships with staff and health care professionals at all levels, both internal and external to the department, as well as with the general public; and communicate clearly and concisely, both orally and in writing. KNOWLEDGE, SKILL, and ABILITIES: Comprehensive knowledge of: trends and changes in the health care and insurance industries; health care plan policies and procedures; knowledge of Knox Keene Act, DMHC Regulations and HEDIS; principles and practices of personnel administration, supervisory, and management techniques; theory, techniques, and practices of professional nursing; and program evaluation methods, data collection, analysis and report writing procedures.

County of Ventura

Director of Health Services - Ventura County Health Care Plan

Work requires periods of standing, sitting, lifting, turning, twisting, walking, pushing, pulling, reaching, speaking, hearing, seeing and ability to articulate clearly. MAJOR POSITION RESPONSIBILITIES AND FUNCTIONS: The HIV Advanced Practice Provider will provide medical services, including primary care, to HIV+ patients in.

East Valley Community Health Center

HIV Advanced Practice Provider (Np/Pa)- (Part-Time)

The Pediatric Physician will collaborate closely with multidisciplinary care teams, participate in quality improvement initiatives, and support the training and supervision of mid-level providers and students as assigned. The ideal candidate is committed to high-quality, culturally responsive care and thrives in a collaborative, community-focused clinical environment.

Family Medicine Physician Focused on Pediatrics

IRecruitee

FULL_TIME

This role focuses on proactive patient outreach, care coordination, patient education, and collaboration with Primary Care Physician, clinical and quality teams to close care gaps, improve preventive and chronic care compliance, and support quality improvement initiatives across Medi-Cal, Medicare, and Commercial populations. Coordinate closely with Primary Care Provider (PCP) offices to schedule appointments for preventive services, chronic care follow-ups, and quality-related visits.

HOUR

Family Choice Aco LLC

Bilingual Patient Engagement Coordinator

Advanced Analytics & Suspecting Engine Governance: Suspecting Models: Partner with Healthcare Data Analytics teams to optimize "suspecting engines" that evaluate historic claims, prescription data, lab results, and social determinants of health (SDOH) to predict undocumented or under-documented chronic illnesses. Operating within a network structure comprised of independent, Fee-for-Service (FFS) practices and delegated Independent Physician Associations (IPAs), this Director leads programs such as in-home and virtual assessments, pre-visit suspecting, point-of-care documentation supports, and concurrent validation.

Inland Empire Health Plan

Director, Risk Adjustment Prospective Programs

[AW]-iCims

Under the general direction of the Manager and Supervisor in the Integrated Transitional Care department, the Coordinator - Integrated Transitional Care is a high paced position that requires timely processing of Authorization requests, verifying eligibility, obtaining additional information as requested by the Integrated Transitional Care Nurse. Work Model Location: Word processing and data entry involving computer keyboard and screens, distribution of reports, filing and copying of records and/or correspondence.

Coordinator - Integrated Transitional Care (Short-Term Assignment)

Contributes to DAP's Patient Centered Medical Home (PCMH) program, a model of primary care delivery designed to strengthen the patient/clinician relationship, focus on the person and patient self-management and engagement, by providing comprehensive and coordinated care in a culturally and linguistically sensitive manner. Practices medicine; diagnoses and treats illness and injury; performs minor surgery and completes physical examinations; counsels and instructs patients; provides professional supervision of mid-level providers; instructs and educates trainees and/or staff; assists in public relations efforts.

DAP Health Inc

Medical Provider, MD/DO

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Medical Provider, MD/DO - Internal Medicine

Under general direction, performs professional work with the development and implementation of clinical process redesign and information flow as it relates to the implementation and ongoing support of the Riverside University Health System (RUHS) integrated clinical information systems and healthcare applications; assists the Clinical Integration Supervisor in coordinating clinical work flow assignments through all phases of the Electronic Health Record (EHR) and clinical systems development, implementation, support, and modification/update; performs other related duties as required. Facilitate effective communication with user groups and assist with go-live readiness to ensure smooth implementation of new functional elements, applications, and major releases of clinical information systems; interface with researchers related to the development implementation and review of the RUHS clinical information systems and procedures aiming to create a mechanism for automation data abstraction from the EMR (EPIC) in support of the research projects.

County of Riverside, California

Clinical Integration Analyst - Riverside University Health Systeem (Clinical Informatics)

Under the direct clinical supervision of the Chief Medical Officer (CMO) and the administrative supervision of the Health Center Director of Operations, the Primary Care Physician is responsible for providing comprehensive medical care and managing an assigned patient panel. Provides Medications for Addiction Treatment (MAT) services for patients with substance use disorders, including assessment, initiation, and ongoing management in accordance with clinical guidelines and organizational protocols.

Behavioral Health Services Inc

Health Center Primary Care Physician

The PA works collaboratively with supervising physicians and the care team to deliver efficient, evidence-based care and improve patient outcomes. Care Coordination & Patient Management Ensure continuity of care through follow-ups, chart review, and coordination with care teams.

Talent Connect Now

Physician Assistant (PA-C)

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following: Responsible for developing strategy, deploying systems, refining workflows, ensuring ongoing operational compliance, and consistently achieving results and metrics related to Quality Management, Quality Improvement (QI), and Quality Assurance. SUMMARY: The Manager of Quality Improvement oversees critical medical management functions including Quality Management, Quality Improvement (QI), Risk Adjustment Factors, and Quality Assurance.

Hedis Review Nurse Jobs in California

Clinical Quality Advisor Altais Health Solutions

HIV Advanced Practice Provider (NP/PA)- (Part-time) EVCHC Website

Director of Health Services - Ventura County Health Care Plan County of Ventura

HIV Advanced Practice Provider (Np/Pa)- (Part-Time) East Valley Community Health Center

Family Medicine Physician Focused on Pediatrics East Valley Community Health Center

Bilingual Patient Engagement Coordinator Family Choice Aco LLC

Director, Risk Adjustment Prospective Programs Inland Empire Health Plan

Coordinator - Integrated Transitional Care (Short-Term Assignment) Inland Empire Health Plan

Medical Provider, MD/DO DAP Health Inc

Medical Provider, MD/DO - Internal Medicine DAP Health Inc

Clinical Integration Analyst - Riverside University Health Systeem (Clinical Informatics) County of Riverside, California

Health Center Primary Care Physician Behavioral Health Services Inc

Physician Assistant (PA-C) Talent Connect Now

Quality Improvement Manager (Bilingual - Vietnamese) Astiva Health

Manager of Quality Improvement Astiva Health, Inc.

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