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ATLANTA, Georgia
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evaluate clinical and non-clinical contact between program staff and participants, assessing adherence to ... Quality Evaluator
Location: This position will work a hybrid model (remote and
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Atlanta, Georgia
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independently with oversight from immediate manager.
May be responsible for an entire clinical program and ... for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical
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Atlanta, Georgia
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manager.
May be responsible for an entire clinical program and/or independently performs clinical ... quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to
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Atlanta, Georgia
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manager.
May be responsible for an entire clinical program and/or independently performs clinical ... quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to
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ATLANTA, Georgia
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immediate manager.
May be responsible for an entire clinical program and/or independently performs ... implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as
...
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Atlanta, Georgia
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independently with oversight from immediate manager.
May be responsible for an entire clinical program and ... for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical
...
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Atlanta, Georgia
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Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and
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Atlanta, Georgia
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clinical program and/or independently performs clinical reviews.
The Medical Director typically has program management responsibilities including clinical policy development, program development
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ATLANTA, Georgia
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Behavioral Health Case Manager II
Job Description:
Behavioral Health Case Manager II with the H.O.P.E. program, serving FEP (Federal Employee Program) members
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Atlanta, Georgia
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.**
Training will be provided for 4 weeks during regular business hours.
The Clinical Care Manager is ... Beacon Health Options, offers superior clinical mental health and substance use disorder management, a
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Atlanta, Georgia
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Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and
...
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ATLANTA, Georgia
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development of Medical Management and Quality Management strategies. Develops and enhances relevant clinical ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology
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Atlanta, Georgia
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designs, analytics and reporting for clinical quality that drives improved healthcare outcomes ... , performance measurement, and quality improvement, and the clinical understanding for clinical quality programs
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ATLANTA, Georgia
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development, management, review and reporting of program outcomes for clinical quality programs.
Assures ... Quality Program Director**
This is an Individual Contributor Role.
Location: **This
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Atlanta, Georgia
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Clinical Operations Associate Medical Director
Neurosurgery
**Carelon ... clinical domains, including radiology, cardiology and oncology._
The **Clinical Operations
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ATLANTA, Georgia
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development of Medical Management and Quality Management strategies. Develops and enhances relevant clinical ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology
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Atlanta, Georgia
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responsible for collaborating with healthcare providers and members to promote quality member outcomes ... quality, cost-effective care through assessing the medical necessity of inpatient admissions, outpatient
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ATLANTA, Georgia
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Special Programs Case Manager I
Location: The territory for this position is the state ... .
The Special Programs Case Manager I is responsible for performing case management
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ATLANTA, Georgia
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Management, Marketing, Operations Product, Network, Clinical, Member Experience) to evaluate opportunities ... portfolio projects.
Creates and presents extremely high quality presentations to executive levels
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ATLANTA, Georgia
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significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ... , influencing product strategy and design and medical management approaches that impact healthcare quality, cost
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ATLANTA, Georgia
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activities and quality management program activities. *Internal facing title: Process Improvement Consultant ... quality and operational processes as a result of opportunities identified through CAPA program
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ATLANTA, Georgia
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Special Programs Case Manager
Location: This position will work a hybrid ... PulsePoint location in Atlanta, GA.
The Special Programs Case Manager Responsible for
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Atlanta, Georgia
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clinical operational aspects of the program.
Hires, trains, coaches, counsels, and evaluates ... GA.
Summary:
The RVP Clinical Officer for the East Region will provide strategic
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Atlanta, Georgia
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clinical domain and industry changes, as well as company core quality/value programs and solutions ... enablement to improve member care quality and value. Serves as a strategic solution lead for Oncology and
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Atlanta, Georgia
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clinical reviewers and/or medical directors to ensure medically appropriate, high-quality, cost-effective ... promote quality member outcomes, optimize member benefits, and promote effective use of resources for more
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ATLANTA, Georgia
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clinical services, quality of service and quality of care issues to include executive and regulatory ... clinical and non clinical services, quality of service, and quality of care issues to include executive and
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Atlanta, Georgia
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of top-tier clinical quality management programs for multi-state Medicare and Medicaid markets within ... quality-enhancement campaigns (HEDIS) and launch initiatives that support STARS improvement. Your
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Atlanta, Georgia
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methodologies, the role showcases increased value and improved quality. This job entails precise analysis of ... support the development of business solutions based on quality, usage, cost, and other critical
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ATLANTA, Georgia
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members total health needs and ensures the highest quality of continuity of care.
**How you will ... .
Reviews Home based services for clinical appropriateness of the continued care.
Performs reviews
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ATLANTA, Georgia
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, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and
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