- Fallon Health (Worcester, MA)
- …the general direction of the Senior Manager, Clinical Quality , the clinical nurse analyst is responsible for developing and implementing the assigned ... nation's top health plans for member experience, service, and clinical quality . We believe our individual differences,...Information Set (HEDIS(R)) and MassHealth Appendix Q review. The clinical nurse analyst will provide… more
- The Cigna Group (Bloomfield, CT)
- **The job profile for this position is Nurse Case Management Senior Analyst , which is a Band 3 Senior Contributor Career Track Role.** For this position, ... Nurse Case Manager Senior Analyst , through the...of a defined population. The Case Manager will promote quality cost-effective outcomes managing care needs through the continuum… more
- The Cigna Group (Bloomfield, CT)
- **The job profile for this position is Nurse Case Management Senior Analyst , which is a Band 3 Senior Contributor Career Track Role.** **For this position, ... Nurse Case Manager Senior Analyst , through the...of a defined population.** **The Case Manager will promote quality cost-effective outcomes managing care needs through the continuum… more
- The Cigna Group (Austin, TX)
- **Bilingual Nurse Case Management Lead Analyst -Remote -Full-Time** **Required Work Hours: 9:00 am-5:30 pm PST.** **Major Job Responsibilities and Required ... meet/ exceed all PMD metrics. tNPS >70%- as applicable to the aligned CM** ** Quality scores of >90% overall, Clinical Acumen =>80%** **Clean SWAT Reports**… more
- The Cigna Group (Bloomfield, CT)
- Nurse Case Management Lead Analyst - Nurse Clinician - Accredo Job Description Summary The Nurse Clinician - RN is responsible for reviewing escalated ... clinical criteria reviews for providers, members and patient client...ethical behavior at all times as outlined by the Nurse Practice Act and applicable company policies. **JOB DUTIES:**… more
- The Cigna Group (Bloomfield, CT)
- This position, the Nurse Case Manager Senior Analyst , through the case management process, will promote the improvement of health outcomes to members and assist ... defined population based on business perspectives. The Case Manager will promote quality cost-effective outcomes managing care needs through the continuum of care… more
- HCA Healthcare (Asheville, NC)
- …apart from any other healthcare provider. We are seeking a Performance Improvement Clinical Analyst RN to join our healthcare family. **Benefits** Mission ... their passion for patient care. Apply today for our Clinical Analyst Performance Improvement opportunity. **Job Summary...of hospitals in the nation for providing the highest clinical quality year over year. Leapfrog Hospital… more
- University of Miami (Miami, FL)
- … clinical trials for its catchment area. We provide administrative, regulatory, clinical , laboratory, quality , and training services to investigators at the ... within six (6) months of hire. 4 years of Clinical Research experience is required Regulatory Analyst ...supervisory experience in clinical research is required Clinical Research Nurse 1 Bachelor's degree in… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …accrediting body requirements \(i\.e\., URAC, NCQA, EQRO, and CMS\) and Clinical Quality Improvement experience required _Skills\\Certifications_ + Certification ... **Job Responsibilities** + Performs quality and/or compliance audits to identify and address...for other internal positions\. **Job Qualifications** _License_ + Registered Nurse \(RN\) with active license in the state of… more
- The Cigna Group (Bloomfield, CT)
- …appropriate health care services to assist the customer throughout their Utilizes clinical skills to assess, coordinate, monitor and evaluate options and services in ... the effectiveness of alternative care services and that cost effective, quality care is maintained. Maintains current knowledge of Cigna Healthcare Policies… more