Support the Centers for Medicare & Medicaid Services (CMS) Quality Innovation Network–Quality Improvement Organization (QIN-QIO) Program by providing hands-on technical assistance and quality improvement (QI) support to nursing homes.
Collaborate with nursing homes to assess performance, conduct root cause analyses, and co-develop Quality Action Plans (QAPs) aligned with CMS priorities.
Play a vital role in driving the adoption of evidence-based interventions, guiding providers through regulatory requirements, and helping them improve safety, care quality, and outcomes for Medicare beneficiaries.
Health Services Advisory Group (HSAG) is dedicated to transforming healthcare delivery in the United States. They achieve this through quality improvement initiatives and technical assistance. They are a growing team focused on making healthcare better for everyone and also giving back to the community.
Drive process improvement projects to standardize workflows across care products.
Develop, implement, and maintain policies and procedures related to member experience and service recovery.
Accurately capture, document, and track all member feedback.
Transcarent is a health and care company, bringing medical, pharmacy, and point solutions together with the WayFinding experience. They empower health consumers with more choice, access to higher-quality care, and lower costs for 21 million Members.
Review clinical documentation for accuracy and compliance.
Identify errors and coordinate corrections with clinical staff.
Support education for nurses and caregivers on documentation standards.
Abby Care tackles the challenge of family caregiving by training and employing family caregivers to get paid for the care they already provide at home. They are building a tech-powered, family-first care platform to efficiently deliver care, improve health outcomes, and provide the best-in-class experience nationwide.
Support the Centers for Medicare & Medicaid Services (CMS) Quality Innovation Network–Quality Improvement Organization (QIN-QIO) Program.
Provide hands-on technical assistance and quality improvement (QI) support to healthcare providers.
Collaborate with providers to assess performance, conduct root cause analyses, and co-develop Quality Action Plans (QAPs).
Health Services Advisory Group (HSAG) is dedicated to transforming healthcare delivery in the United States. They are a growing team focused on improving healthcare quality, safety, and outcomes.
Ensure adherence to regulations and contractual obligations.
Develop and update compliance policies and SOPs.
Conduct internal compliance audits and report findings.
Equip is a virtual, evidence-based eating disorder treatment program. They aim to ensure that everyone with an eating disorder can access effective treatment, operating in all 50 states and partnered with most major health insurance plans. Since its founding in 2019, Equip has maintained a fully virtual environment.
Responsible for serving as the connector between patients, provider practices, and internal teams to identify, manage, and close quality gaps.
Manages a defined patient and provider panel, delivers actionable performance insights, and drives improvement across HEDIS and Medicare Stars measures.
Effective across patient engagement, provider coaching, workflow optimization, and cross functional teamwork.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach to kidney care. They are committed to improving patient outcomes and improving quality of life by delaying disease progression, shifting care to the home, and accelerating kidney transplants.
Oversees daily operations of the Care Management unit and ensures process implementation.
Facilitates staff development, provides regular performance feedback, and identifies areas of improvement.
Evaluates performance metrics, supports staff in care planning, and promotes interdisciplinary collaboration.
Capital Blue Cross promises to go the extra mile for our team and our community. They offer a caring team of supportive colleagues and invest heavily in training and continuing education. Employees consistently vote them one of the “Best Places to Work in PA.”
Empowers patients toward optimal health through remote support and collaborative care coordination.
Assesses patient needs, develops personalized care plans, and provides direct clinical coaching.
Monitors progress, coordinates diverse services, and leverages telehealth, tracking compliance.
St. Joseph's Hospital and Medical Center, located in Phoenix, Arizona, is a 571-bed non-profit hospital offering various health services. Founded in 1895, it is known for quaternary care, medical education, and research, and it consistently ranks among the top hospitals in the U.S.
Provide centralized, remote support to the Department of Veterans Affairs (VA) Dental Pilot Program.
Coordinate meetings, training sessions, and conferences; plan and schedule mobile clinic operations where applicable.
Identify inefficiencies and bottlenecks; document process updates; support implementation of quality control measures.
International SOS Government Medical Services, Inc. delivers customized medical and security risk management and wellbeing solutions to enable our clients to operate safely and effectively in environments far from home. With 12,000 staff (including 5,200 medical and behavioral health providers) they provide healthcare support to Government defense and civil agencies and government contractors.
Regularly monitor and conduct evaluations of interactions.
Provide in-the-moment coaching to Advocates to improve their performance.
Ivy Rehab provides world-class care in physical therapy, occupational therapy, speech therapy, and applied behavior analysis (ABA) services. Their culture promotes authenticity, inclusion, growth, community, and a passion for exceptional care for every patient.
Supervise, direct and evaluate a diverse group of health care professionals to assure effectiveness of care coordination activities.
Develop audit plans and tools for teams to ensure compliance with state contracts on performance metrics and to ensure member needs are met.
Interview, hires, mentors, evaluates, coaches and manage performance for a diverse care coordination team.
Humana Inc. is committed to putting health first for its teammates, customers, and company. Through Humana insurance services and CenterWell healthcare services, they aim to make it easier for the millions of people they serve to achieve their best health.
Responsible for quality assurance, accuracy and overall integrity of the UAS-NY assessment data and visit documentation completed by core team nurses as well as, business partners’ nurses.
Performing assessment audits, identifying trends that require staff retraining, and implementing corrective action plans in collaboration with Clinical management staff.
Responsible for ongoing orientation, training and education of Assessment Nurses conducting UAS-NY assessments, and participate in establishing educational modules for staff orientation and re-training.
Elderplan and HomeFirst are Medicare and Medicaid managed care health plans that are expanding services in response to patients' and members' needs. MJHS is a supportive community committed to excellence, respect, and providing high-quality, personalized health care services.
Collaborates with clinical documentation team to review inpatient accounts.
Assesses DRG, PDx, secondary Dx, PCS, POA and all documentation components impacting quality metrics.
Continually assures coding practices remain compliant with coding guidelines and regulations.
Northwestern Medicine strives for a positive workplace for every patient interaction. They are a leader in the healthcare industry, offering competitive benefits such as tuition reimbursement, loan forgiveness, and 401(k) matching.
Conduct quality assurance audits and analyze performance trends.
Collaborate with team leads to coach agents and improve satisfaction.
Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. They work hand-in-hand with physicians and providers throughout California to provide comprehensive health care services, with increasing support and investment in the latest technologies.
Manage and drive continuous process improvement initiatives.
Oversee all daily, end to end, clinical trial/patient matching operations.
Serve as a liaison between trial sites, sponsors, and drive project delivery.
Natera is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for their work and each other.
Gather, validate, and prepare data from multiple sources.
Identify missing or inconsistent fields and partner with Operations to resolve issues.
Zócalo Health is the first tech-driven provider built specifically for Latinos, by Latinos, developing a new approach to care designed around shared and lived experiences. Founded in 2021, they are backed by leading healthcare and social impact investors.
Lead and innovate within the Credentialing Department, driving operational excellence and compliance.
Provide strategic direction and oversight to Credentialing Specialists across all lines of business.
Develop and implement policies, procedures, and best practices for efficient and compliant operations.
Avesis has been providing essential ancillary benefit solutions since 1978, developing and administering best-in-class product choices and services. Today, their programs cover more than 8.5 million members throughout the country, striving for excellence with a focus on member satisfaction and client retention.
Engage with members to support their chronic and/or complex health care needs.
Create and manage individualized care plans to meet healthcare goals.
Partner with members, families, providers, and resources to coordinate care.
Wellmark is a mutual insurance company owned by policy holders across Iowa and South Dakota, built on over 80 years of trust. They prioritize members' well-being and are committed to service, sustainability, and innovation.
Creates and delivers education to improve documentation quality.
Collaborates with CMOs to ensure integrity of the health record.
Monitors the clinical dashboard to demonstrate improvement.
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. As an integral part of the team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system.