• Quality - Clinical Delegation

    Point32Health (MA)
    …The Clinical Program Manager is a Registered Nurse who performs program oversight activities to optimize the quality of Program services; this involves ... to everyone in our communities. At Point32Health, we are building on the quality , nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard… more
    Point32Health (09/11/24)
    - Related Jobs
  • Delegation Oversight Clinical

    LA Care Health Plan (Los Angeles, CA)
    …This position assist in maintaining continuous quality improvement in the Delegation Oversight Clinical Audit unit ensuring that departmental/divisional ... Delegation Oversight Clinical Auditor... Delegation Oversight Clinical Auditor RN II Job...Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and… more
    LA Care Health Plan (09/11/24)
    - Related Jobs
  • Sr. Director, Third Party Compliance…

    Commonwealth Care Alliance (Boston, MA)
    …is maintained Required: + Bachelor's Degree + Minimum of 8-10 years delegation oversight , vendor management, health insurance government products and programs ... This Role is Important to Us:** The Senior Director, Third Party Compliance Oversight reports directly to the SVP, Corporate Compliance & Ethics and Risk Operations,… more
    Commonwealth Care Alliance (08/09/24)
    - Related Jobs
  • Manager, Clinical Pharmacy - SPHP

    Trinity Health (Troy, NY)
    …for RPD Qualifications. 6) Experience within settings that provide a depth of clinical , medication distribution, and management needed for oversight . 7) Skills ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Manager, Clinical Pharmacy - SPHP Reports to the SPHP Director of Pharmacy Services, the … more
    Trinity Health (07/24/24)
    - Related Jobs
  • Children In State Custody Clinical Director

    Magellan Health Services (Albuquerque, NM)
    …Custody Clinical Director Grade 30 Work Experience - Required Clinical , Management/Leadership, Quality , Utilization Management Work Experience - Preferred ... accountability for medical management functions to achieve the business and clinical outcomes for the health plan, meeting contract requirements, National Committee… more
    Magellan Health Services (08/21/24)
    - Related Jobs
  • Vice President, Clinical Operations…

    CareFirst (Baltimore, MD)
    …Advisory Committee, Care Management Committee, Medical Policy/Technology Assessment Committee, Delegation Oversight Committee, Pharmacy & Therapeutics Committee, ... to case management and care coordination for all LOBs. This entails management oversight of all Case Management clinical teams (including member clinical more
    CareFirst (09/06/24)
    - Related Jobs
  • Senior Director Clinical Programs - Remote

    Martin's Point Health Care (Portland, ME)
    …Manages relationships and coordination with external vendors and delegated entities. Responsible for Delegation Oversight of Clinical vendors + Develops and ... as a "Great Place to Work" since 2015. Position Summary The Senior Director Clinical Programs provides oversight and coordination of care management and disease… more
    Martin's Point Health Care (08/20/24)
    - Related Jobs
  • (RN) Lead, Healthcare Services ( Clinical

    Molina Healthcare (Las Vegas, NV)
    **JOB TITLE : Nurse (REGISTERED NURSE) Lead, Healthcare Services ( Clinical )** **This position supports our NEVADA health plan. Nevada residents preferred. Applicants ... to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based...illness and the site of service. The Lead, HCS ( Clinical ) functions as clinical staff lead in… more
    Molina Healthcare (08/15/24)
    - Related Jobs
  • Clinical Director - Full Time, ICU

    RWJBarnabas Health (Belleville, NJ)
    …40 hours per week + Monday-Friday (salaried position) Essential Functions: + The Clinical Director provides nursing care oversight in the health care system ... Clinical Director - Full Time, ICUReq #:46488 Category:ICU/Critical... Director is responsible for supervising and directing the delegation of tasks to appropriate team members and collaborates… more
    RWJBarnabas Health (08/10/24)
    - Related Jobs
  • Clinical Research Data Specialist…

    University of Miami (Miami, FL)
    …a timely manner. + Work in conjunction with the Research Data Manager in conduct quality control checks on clinical research data. + Work in conjunction with the ... Division has an exciting opportunity for a full time Clinical Research Data Specialist to work in the UHealth...participates in site disease group (SDG) team and PI oversight meetings as required. + Assists multidisciplinary team in… more
    University of Miami (08/10/24)
    - Related Jobs