The Quality Management Nurse is responsible for reviewing and presenting findings on quality management events and grievances submitted to the Medical Director. They also coordinate HEDIS medical record collection, identify gaps in care, and implement process improvement activities.
Hoag
7 Remote Job Openings at Hoag
Program Manager Population Health : Hoag Clinic Quality Improvement
Hoag
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Full Time
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5 days ago
Hoag
The Program Manager oversees the planning and integration of technology systems to support population health initiatives, including CMS and HEDIS programs. They serve as a key liaison between the Hoag Clinic and enterprise teams to ensure high-quality care outcomes and effective project implementation.
The Application Analyst II is responsible for configuring, testing, and supporting healthcare information systems to ensure data integrity and operational efficiency. They evaluate service requests, manage system dictionaries, and collaborate with end-users to implement system enhancements.
The technician processes health information, including scanning and indexing documents in the EMR and managing patient records. They also perform specialized data integrity tasks such as troubleshooting portal requests and managing health information exchange opt-ins/outs.
The Collector manages account resolutions by working with insurance companies and patients to secure maximum reimbursement. Responsibilities include evaluating claims, initiating appeals for underpayments, and documenting all actions within patient accounting systems.
The Nurse Practitioner provides high-quality advanced nursing care, including patient evaluations, assessments, and the development of care plans. Responsibilities include ordering diagnostic tests, administering medications, and collaborating with multidisciplinary teams to manage diverse patient populations.
The Coder III reviews clinical documentation to assign accurate ICD-10 and CPT codes for billing, reporting, and regulatory compliance. Responsibilities include managing inpatient surgeries, resolving billing errors, and serving as a subject matter expert for other coding staff.
