Enhance healthcare quality by overseeing performance improvement initiatives.
Ensure compliance with regulations and support data analysis.
Monitor quality metrics and drive projects to improve healthcare outcomes.
Jobgether is a platform that connects job seekers with potential employers, using AI to match candidates with roles. They focus on ensuring applications are reviewed fairly and efficiently.
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.
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.
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.
Oversee full operational execution of the Thera Nurse Navigator Program, ensuring alignment with program goals, compliance standards, and client expectations.
Deliver high‑quality patient education on therapy, disease state, expectations, and adherence support.
Provide coaching, guidance, and ongoing mentorship to Nurse Navigators to ensure adherence to program protocols, SOPs, and quality standards.
EVERSANA is committed to creating and delivering next-generation commercialization services to the life sciences industry, serving more than 650 clients. Their global team of more than 7,000 employees are grounded in their cultural beliefs and dedicated to improving patient lives around the world.
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.
Provide medical record review and medical waiver adjudication.
Conduct military medical assessments.
Maintain familiarity with USCG and DoD medical policies and HIPAA compliance standards.
Spectrum Healthcare Resources provides healthcare professionals to government and civilian healthcare facilities. We focus on delivering comprehensive solutions. We are dedicated to providing the best service possible.
Responsible for daily operations of direct reports while driving operational initiatives.
Leads clinical implementation efforts within an assigned team or partner for new technologies and workflows.
Drives change management and adoption of new tools and workflows at team level by partnering with training and peer leaders.
Twin Health empowers people to improve and prevent chronic metabolic diseases, like type 2 diabetes and obesity, with a new standard of care, applying AI Digital Twin technology exclusively toward metabolic health. The company has been recognized for its innovation and culture and is scaling rapidly across the U.S. and globally.
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.
Maintain competency within the Legal Nurse Consulting field through participation in ongoing educational activities.
Continue knowledge base of medical, chiropractic, pharmaceutical practices, care, treatment, etc. Exhibit writing skills through the production of professional, clear, concise, grammatically correct, easily readable, and informative reports.
Capable of taking large and or medically complex files. Can create a chronology/summary as well as in-depth analysis of claim information
J.S. Held is a global consulting firm that combines technical, scientific, financial, and strategic expertise to advise clients seeking to realize value and mitigate risk. Our professionals serve as trusted advisors to organizations facing high stakes matters demanding urgent attention.
Coordinates home infusion services for compliance.
Organizes, plans, and evaluates agency services and programs.
Ensures effective delivery of services to maintain quality care.
BioMatrix is a nationwide, independently-owned infusion pharmacy with decades of experience supporting patients on specialty medication. Their compassionate care team helps patients navigate the often-challenging healthcare environment and treats their patients like family.
Serve as the primary point of contact for the RN team, providing mentorship and guidance.
Oversee resource management and allocate nurses to various initiatives.
Collaborate with healthcare teams to ensure timely completion of tasks.
Jobgether is a platform that connects job seekers with companies. They leverage AI to match candidates with appropriate roles and streamline the hiring process.
Provide strategies and academic reinforcement to students as they prepare for the NCLEX-RN exam.
Assess learning styles, identify strengths, and discover opportunities for academic development.
Create and implement personalized remediation plans for students.
Chamberlain University provides healthcare education and is the largest nursing school in the country. We are committed to delivering a high-value education that prepares students to thrive as healthcare professionals, and we graduate healthcare professionals who transform the health of people worldwide.
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.
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.
Act as a strategic advisor to internal Solventum teams on clinical strategy and industry best practices.
Present compelling data and clinical application during priority planned customer engagements.
Engage alongside local teams to plan & lead comprehensive customer education events.
Solventum is a healthcare company, newly formed from 3M, dedicated to solving challenges that improve lives and enable healthcare professionals. They are focused on innovations at the intersection of health, material, and data science, with a legacy built upon empathy and clinical intelligence.
Lead HR operations and compliance workflows for CNA and IHSS onboarding and employment.
Oversee end-to-end onboarding of CNAs and IHSS families in EHR and HRIS systems.
Monitor and track required employment documents and credentials, maintaining complete personnel files.
Abby Care tackles the challenge of family caregiving. They train and employ family caregivers, building a tech-powered, family-first care platform to deliver care and improve health outcomes nationwide, partnering with insurance plans, healthcare providers, and organizations across the country.
Play a key role in the safe, efficient, and effective Investigational Product preparation and administration in clinical trials.
Review and provide input on Investigational Product Preparation Instructions, Site Investigational Product Procedures Manual, and monitoring guidelines.
Establish and maintain good and productive working relationships with internal and external stakeholders.
ICON plc is a world-leading healthcare intelligence and clinical research organization. They pride themselves on fostering an inclusive environment and welcome people to join their mission to shape the future of clinical development.