Synthesize and forecast industry trends, customer needs, competitive threats, survey insights, member experience best practices and internal and competitive performance to design industry leading customer service and health plan improvement strategies Serve as a subject matter expert in CAHPS measure specifications, member pain points, survey strategy and business operati

Make determinations of medical necessity/clinical appropriateness of treatment Assist in the development and implementation of clinical policy, guidelines and applications Regularly contact providers whose treatment determinations indicate a trend that varies with their peers and community Be knowledgeable on and apply all necessary regulatory requirements for assigned re

Make determinations of medical necessity/clinical appropriateness of treatment Assist in the development and implementation of clinical policy, guidelines and applications Regularly contact providers whose treatment determinations indicate a trend that varies with their peers and community Be knowledgeable on and apply all necessary regulatory requirements for assigned re

Make determinations of medical necessity/clinical appropriateness of treatment Assist in the development and implementation of clinical policy, guidelines and applications Regularly contact providers whose treatment determinations indicate a trend that varies with their peers and community Be knowledgeable on and apply all necessary regulatory requirements for assigned re

Collaborate cross organizationally in the development, proposing and prioritization of customer solutions to reduce trend (programs, processes, benefit design, network, etc.) Works with business partners to ensure are aligned with successfully achieving savings targets Development and execution of cross functional strategies, projects and tactics which result in increment

Serves as the clinical liaison with clinical performance and administrative staff as well as providing expertise solving member issues Makes outbound calls to assess members' current health status, as well as take inbound calls to resolve inquiries and assist members as needed. Warm transfer to other departments or services as needed Assesses patient needs using establish

Make determinations of medical necessity/clinical appropriateness of treatment Assist in the development and implementation of clinical policy, guidelines and applications Regularly contact providers whose treatment determinations indicate a trend that varies with their peers and community Be knowledgeable on and apply all necessary regulatory requirements for assigned re

Compile, process, and maintain patient's health information in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the practice in a timely manner. The Electronic Medical Records Technician responsibilities are in accordance with the Health Information Management procedures as it pertains to the Chart Prep, Radiology Pathology

This position provides operational leadership in partnership with the Executive Director and Program Directors in moving forward the mission of MNCASA. The Operations Director supports all areas of MNCASA, through a range of organizational strategic functions including oversight of internal operations and contracts, while advancing policies and procedures that improve org

This position is responsible for the assessment of behavioral and mental health needs in children birth through age five who display social/emotional and behavior problems. It provides mental health treatment, consultation, and recommendations to young children and their caregivers as well as referrals to other care providers. It emphasizes a high level of skill and knowl

and Accountabilities Provide care in a non judgmental, non discriminatory manner that is sensitive to the patient's developmental age and to the patient's and family's diversity, preserving their autonomy, dignity, and rights. Track and communicate pertinent medical and psychiatric information both verbally and through written documentation in EHR. Perform duties assigned

1850 3 Weir Drive,Woodbury,Minnesota,55125,United States of America DaVita is hiring a FLOAT Registered Nurse to serve our dialysis patients and help manage our clinical teams in the greater St. Paul, Woodbury, Cottage Grove and Hastings, MN area. Dialysis experience not required. We will train you! After training is complete and you feel comfortable in the role, this RN p

Park Nicollet is looking to hire a Registered Nurse to join our Women's Services team! Come join us as a Partner for Good and help us make an impact on the care and experience that our patients and their families receive every day. Position Summary The Nurse Line Triage nurse works independently providing professional appropriate telehealth nursing services to patients an

HealthPartners Regions Behavioral Health Clinic in Woodbury, MN is seeking a Registered Nurse to join our growing team and provide excellent patient care. At our Behavioral Health Clinic, service excellence is to be centered on patient care and patient relationships and teamwork is the norm and all employees will be held accountable to work as effective team members. The

Advanced Practice Clinician, Otolaryngology HealthPartners is looking for an experienced Physician Assistant or Nurse Practitioner to join our Otolaryngology team. Being a part of our team means you will have an impact on the care that our patients receive every day. As an Advanced Practice Clinician, you will be part of the largest multi specialty care system in the Twin