The Improvement Advisor provides consulting and technical assistance to health care and community partners to support the implementation of chronic disease and maternal health programs. They also facilitate quality improvement activities, manage referral workflows, and monitor program progress to improve health outcomes in rural Nevada.
The Lead, Clinical Care Management conducts assessments, develops person-centered service plans, and coordinates care for individuals in Oregon. Additionally, the role provides clinical leadership, training, and case consultation to the Behavioral Health Case Manager team.
The Project Manager I is responsible for managing defined projects or workstreams, including coordinating activities, maintaining documentation, and tracking project progress. They also support client-facing activities, facilitate meetings, and monitor project budgets and risks under the guidance of senior team members.
The Senior Consultant will lead complex healthcare consulting engagements, manage project budgets, and drive initiatives focused on improving healthcare delivery and health outcomes. They will also play a key role in business development, proposal creation, and mentoring team members to support organizational growth.
The Case Manager facilitates patient access to quality health care by developing and monitoring patient-centered care plans in collaboration with the health care team. They also provide patient advocacy, conduct assessments, and oversee non-clinical staff support activities.
The Clinical Review Supervisor provides operational supervision to clinical staff conducting utilization and specialty reviews to ensure medical necessity and quality standards. This role also manages staff development, regulatory compliance, and serves as an escalation point for complex clinical or operational issues.
The coordinator facilitates timely discharges and care transitions by collaborating with providers and community agencies. They also conduct functional needs assessments, develop service plans, and maintain accurate records for Medicaid consumers.
The Clinical Manager provides operational and clinical leadership for care management services, ensuring high-quality service delivery and compliance. They are responsible for managing clinical staff performance, overseeing financial and productivity metrics, and fostering community partnerships.
The role involves reviewing clinical documentation to determine medical necessity and performing functional needs assessments to support service coordination. You will also manage referrals, document clinical determinations, and provide subject matter expertise to stakeholders while supporting quality activities.
The Clinical Reviewer evaluates clinical documentation to determine the medical necessity and appropriateness of behavioral health services. They also perform functional needs assessments and coordinate care for individuals across in-home and community-based settings.
The Associate Improvement Advisor will support operational, administrative, and regulatory activities for the HSI Utah HUB contract. Responsibilities include managing communications, maintaining operational records, and coordinating meeting logistics.
The Improvement Advisor supports the planning and operational coordination of the Utah Community Care Hub by collaborating with health care providers and community organizations. They provide technical assistance, facilitate learning collaboratives, and guide partners through quality improvement and care coordination initiatives.
The Improvement Advisor will guide organizations through quality improvement and population health initiatives while coordinating the Utah Community Care Hub. They will also facilitate learning collaboratives, design evidence-based interventions, and support clinical-community referral workflows.
The Research Associate II manages and implements research studies and evaluation projects while contributing to data analysis and reporting. They also conduct data collection activities such as surveys, interviews, and focus groups while maintaining project timelines and deliverables.
The Clinical Reviewer evaluates clinical documentation to determine the medical necessity and appropriateness of behavioral health services. They also perform functional needs assessments and coordinate care for children, youth, and adults within the assigned region.
The Clinical Reviewer evaluates clinical documentation to determine the medical necessity and appropriateness of behavioral health services. They also conduct functional needs assessments and coordinate care for individuals across community-based settings.
The Clinical Reviewer evaluates clinical documentation to determine the medical necessity and appropriateness of behavioral health services. They also perform functional needs assessments and support care coordination to connect individuals with community-based services.
The analyst will lead departmental budgeting, financial planning, and the development of pricing strategies for new and existing business. They will also build complex financial models to project revenue and expenses while providing actionable insights to leadership.
Clinical Reviewers evaluate therapy authorization requests and medical records to determine the medical necessity and appropriateness of care. They document decisions, apply clinical guidelines, and collaborate with providers and physician advisors to ensure accurate and timely review outcomes.
The Senior Improvement Advisor provides expert consultation and project leadership to healthcare organizations serving American Indian and Alaska Native communities. They are responsible for designing learning collaboratives, facilitating technical assistance, and building strong relationships with Tribal leaders and healthcare partners.
The Clinical Reviewer evaluates clinical documentation to determine the medical necessity and appropriateness of behavioral health services. They also perform functional needs assessments and coordinate care for children, youth, and adults within an electronic medical record system.
The Clinical Reviewer evaluates clinical documentation to determine the medical necessity and appropriateness of behavioral health services. They also perform functional needs assessments and support service coordination to connect individuals with community-based care.
