Full-Time Police Officer jobs in the Healthcare Services industry at UnitedHealth Group

Description: The Sr Clinical Quality RN develops and implements an agency wide Quality Assessment and Performance Improvement Program focusing on assessment and improvement in clinical care and supporting processes and compliance with state and federal regulations. As a member of the agency leadership team, the Sr Clinical Quality RN provides leadership and oversight for the QAPI program via data ...
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Description: Performs quality reviews on DataRAPStaff to ensure the process of validating medical record documentation, as per ICD-9 CM and CMS Risk Adjustment Data Validation requirements, is maintained. Performs quality reviews on documentation from providers participating with WellMed Medical Management risk adjustment model, ensuring ICD-9 CM and CMS Risk Adjustment Data Validation requirement...
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Description: This Clinical Pharmacist is responsible for the development, implementation and/or maintenance of specialized AppleCare Medical Group pharmacy programs such as Anti-Coagulation Clinic, Medication Reconciliation, Chemotherapy and Injectable review, and Poly-pharmacy. This position works collaboratively with the AppleCare Medical Management Chief Medical Officer, Medical Director, Inpat...
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Description: Performs quality reviews on DataRAPStaff to ensure the process of validating medical record documentation, as per ICD-9 CM and CMS Risk Adjustment Data Validation requirements, is maintained. Performs quality reviews on documentation from providers participating with WellMed Medical Management risk adjustment model, ensuring ICD-9 CM and CMS Risk Adjustment Data Validation requirement...
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Description: Design Training for a Leader in the Healthcare arena! Your primary responsibility will be for the effective delivery and design of training programs and materials across the organization from an individual who will keep abreast of various training delivery techniques, business processes, products and systems in several functional areas. This will be done in accordance with management ...
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Description: If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work. -Responsible to run the call center and oversee the day to day management and operations for TRICARE referral management program.-Lead teams of ...
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Description: UnitedHealthcare Military and Veterans is currently seeking a NICU Case Manager, you will be responsible for clinical operations and medical management activities across the continuum of care from assessing and planning to implementing, coordinating, monitoring and evaluating. This position provides telephonic support of families receiving services through the neonatal intensive care ...
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Description: We have an excellent opportunity available to join our company as an ECHO (Extended Health Care Option) Nurse Case Manager providing case management services for qualified TRICARE beneficiaries requiring specialized healthcare services. As an ECHO Nurse Case Manager, you will be responsible for providing integrated clinical case management activities across the continuum of care from ...
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Description: We'll put you in the driver's seat on vital projects that have strategic importance to our mission of helping people lead healthier lives. Yes, we share a mission that inspires. We need your organizational talents and business discipline to help fuel ours. It's the opportunity to do your life's best work. Use your operational analytical skills to design/develop, program, maintain and ...
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Description: You're empowered to do your best by assisting with Program Management Projects within our TRICARE Case Management Team! Youâll investigate non-standard requests and problems, makes presentations to senior leadership, ensure project documentation is accurate and ensure projects are completed on time and within scope. Responsibilities include: Direct responsibility for Project and Progr...
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Description: As a RN Oncology Case Manager, you will be responsible for performing case management activities across the care continuum independently and with other members of the health care team (BHCM, MSW, etc.) to ensure quality, cost effective outcomes and minimize fragmentation of health care delivery. In addition, this role will also be responsible for leading a collaborative, integrated (m...
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Description: Position Description: As a direct report to the head of Security Architecture Governance, this individual will be accountable for defining and leading multiple programs in support of the company's security strategy. In this role, you will be responsible for providing active and engaged leadership with business and IT teams relative to security design and review processes, as well secu...
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Description: - Partner with business segments to implement a proactive compliance program and enhance the understanding of the overall IT control framework.- Lead controls compliance projects, which proactively assess IT controls and process across the enterprise via regulatory standards or the HITRUST CSF framework.- Collaborate with the IT functional and legal compliance teams to review, analyze...
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Description: United Health Care Military and Veterans is currently seeking a Director of Accreditation for Clinical Quality Management Team. In this role, you will be directly responsible for the supervision of accreditation coordinators and leading successful accreditation activities. Organizes and leads cross-functional accreditation teams. Conducts accreditation gap analysis and budget and cost...
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Description: Position Description: There's energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work. Positions in this function include RN roles (with current unrestricted ...
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Description: UnitedHealthcare Military and Veterans is currently seeking Inpatient Case Management Nurses for our Utilization Management department. The Inpatient Case Management Nurse is responsible for utilization management, utilization review, or concurrent review (on-site or telephonic inpatient care management). The ICM Nurse will performs reviews of current inpatient services, and determine...
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Description: Responsible for all aspects and coordination of TRICARE M&V contract change orders, ensuring the Government is provided with timely, high quality responses and coordinating efforts to implement. Responsible for process to receive, evaluate, price and respond to change orders in accordance with contract requirements. Responsible for the implementation of contract changes across the org...
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Description: For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm) We have an excellent opportunity available to join our company as a Disease Management (DM) Case Manager. As a DM Case Manage...
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