Talent.com
No longer accepting applications
RN Licensed Clinical Quality Manager

RN Licensed Clinical Quality Manager

VirtualVocationsHollywood, Florida, United States
4 days ago
Job type
  • Full-time
Job description

A company is looking for a Clinical Quality Manager for Population Health focused on the Medicare Shared Savings Program (MSSP).

Key Responsibilities

Leads system-wide population health projects and initiatives, developing implementation plans and operational workflows

Provides subject matter expertise on value-based quality measures and enhances contract performance through data validation

Directs a team of Population Health Coordinators to support quality outcomes and performance within value-based care programs

Required Qualifications, Training, and Education

Current RN License in the state of work or covered by compact (required)

BSN or Bachelor's in Healthcare or related field (required)

7 years of business / healthcare experience in leadership, healthcare quality, and project management (required)

Experience with MSSP, NCQA, CMS, and HEDIS (required)

MSN or Master's in Business, Healthcare Administration, or related field (preferred)

Create a job alert for this search

Rn Clinical Manager • Hollywood, Florida, United States

Related jobs
  • Promoted
Clinical Manager RN

Clinical Manager RN

Anchor Home Health CareFort Lauderdale, FL, US
Full-time
Family First Homecare provides exceptional homecare services to children with life-long health conditions.We live by our values of telling the truth, owning the details, and raising the bar, workin...Show moreLast updated: 9 days ago
  • Promoted
Florida Licensed Utilization Management RN

Florida Licensed Utilization Management RN

VirtualVocationsHialeah, Florida, United States
Full-time
A company is looking for a Utilization Management RN PRN.Key Responsibilities Analyze patient records to assess hospital admissions, treatment legitimacy, and appropriate care levels Facilitate ...Show moreLast updated: 30+ days ago
  • Promoted
Indiana Licensed Clinical Pharmacy Manager

Indiana Licensed Clinical Pharmacy Manager

VirtualVocationsDavie, Florida, United States
Full-time
A company is looking for a Senior Manager, Clinical Pharmacy Operations.Key Responsibilities Develop and analyze clinical programs and drug utilization reviews Direct clinical pharmacy activitie...Show moreLast updated: 3 days ago
  • Promoted
Indiana Licensed Clinical Supervisor RN

Indiana Licensed Clinical Supervisor RN

VirtualVocationsFort Lauderdale, Florida, United States
Full-time
A company is looking for a Clinical Supervisor - RN - Full-time (Remote U.Key Responsibilities Lead and oversee all Utilization Management (UM) activities, ensuring accuracy and timely completion...Show moreLast updated: 3 days ago
  • Promoted
New York Licensed Clinical Review Nurse

New York Licensed Clinical Review Nurse

VirtualVocationsHialeah, Florida, United States
Full-time
A company is looking for a Clinical Review Nurse - Prior Authorization.Key Responsibilities Analyze prior authorization requests to determine medical necessity and appropriate level of care Coor...Show moreLast updated: 30+ days ago
  • Promoted
Texas Licensed Clinical Review Nurse

Texas Licensed Clinical Review Nurse

VirtualVocationsHollywood, Florida, United States
Full-time
A company is looking for a Clinical Review Nurse - Concurrent Review.Key Responsibilities Perform concurrent reviews to assess member health and appropriate level of care Review quality and cont...Show moreLast updated: 30+ days ago
  • Promoted
Clinical Services Director (RN)

Clinical Services Director (RN)

Edgewood HealthcareFort Lauderdale, FL, US
Full-time
Clinical Services Director (RN).As a Clinical Services Director at Edgewood, you'll set the tone for the entire clinical department. You will help our nurses and caregivers provide the best care pos...Show moreLast updated: 18 days ago
  • Promoted
Texas Licensed Clinical Navigator

Texas Licensed Clinical Navigator

VirtualVocationsDavie, Florida, United States
Full-time
A company is looking for a PT Clinical Navigator.Key Responsibilities Conduct clinical intake assessments and gather information to evaluate patients' conditions and treatment needs Build trust-...Show moreLast updated: 3 days ago
  • Promoted
Ohio Licensed Ambulatory Care RN

Ohio Licensed Ambulatory Care RN

VirtualVocationsFort Lauderdale, Florida, United States
Full-time
A company is looking for a Registered Nurse Ambulatory Care Manager (RN) - Population Health.Key Responsibilities Provide clinical care management services to eligible patients, coordinating care...Show moreLast updated: 3 days ago
  • Promoted
Clinical Auditor with RN License

Clinical Auditor with RN License

VirtualVocationsDavie, Florida, United States
Full-time
A company is looking for a Clinical Auditor 2.Key Responsibilities Performs audits of medical records for denials review, defense audits, disallowed charges, and utilization reviews Completes an...Show moreLast updated: 3 days ago
  • Promoted
  • New!
Ohio Licensed Clinical Outcomes Manager

Ohio Licensed Clinical Outcomes Manager

VirtualVocationsFort Lauderdale, Florida, United States
Full-time
A company is looking for a Clinical Outcomes Manager - Population Health.Key Responsibilities Conducts regular in-person and virtual rounds to provide status reports and insights to providers and...Show moreLast updated: 6 hours ago
  • Promoted
Ohio Licensed Clinical Documentation Director

Ohio Licensed Clinical Documentation Director

VirtualVocationsHollywood, Florida, United States
Full-time
A company is looking for an Associate Director, Clinical Documentation Integrity.Key Responsibilities Oversee the Clinical Documentation Improvement (CDI) program and manage the CDI team Provide...Show moreLast updated: 3 days ago
  • Promoted
State Licensed Senior Director of Clinical Excellence

State Licensed Senior Director of Clinical Excellence

VirtualVocationsHollywood, Florida, United States
Full-time
A company is looking for a Senior Director, Clinical Excellence (Post Acute, VBC).Key Responsibilities Oversee the delivery of the Post Acute Care Program ensuring seamless patient transitions an...Show moreLast updated: 4 days ago
  • Promoted
North Carolina Licensed Clinical Nurse

North Carolina Licensed Clinical Nurse

VirtualVocationsHollywood, Florida, United States
Full-time
A company is looking for an RN Clinical Nurse II - Nurse Connect.Key Responsibilities Provide clinical nursing care and coordinate patient care utilizing the nursing process Participate in patie...Show moreLast updated: 30+ days ago
  • Promoted
Ohio Licensed DME Clinical Advisor

Ohio Licensed DME Clinical Advisor

VirtualVocationsHollywood, Florida, United States
Full-time
A company is looking for a DME Clinical Advisor to ensure the delivery of medically appropriate durable medical equipment, orthotics, and prosthetics while maintaining cost-effectiveness.Key Respon...Show moreLast updated: 3 days ago
  • Promoted
Kentucky Licensed Care Manager

Kentucky Licensed Care Manager

VirtualVocationsHialeah, Florida, United States
Full-time
A company is looking for a Care Manager Transition of Care.Key Responsibilities Evaluate member needs through post-discharge assessments and medication reconciliation Develop care / service plans ...Show moreLast updated: 30+ days ago
  • Promoted
Ohio Licensed Field RN Case Manager

Ohio Licensed Field RN Case Manager

VirtualVocationsHollywood, Florida, United States
Full-time
A company is looking for a Field RN Case Manager.Key Responsibilities Manage and coordinate patient care in various settings, ensuring adherence to treatment plans Conduct assessments and evalua...Show moreLast updated: 3 days ago
  • Promoted
Florida Licensed Clinical Therapist

Florida Licensed Clinical Therapist

VirtualVocationsDavie, Florida, United States
Full-time
A company is looking for a Licensed Clinical Therapist (LCSW / LMHC / LMFT) for an Adult Intensive Outpatient Virtual Group. Key Responsibilities Provide virtual IOP remote group coverage via video co...Show moreLast updated: 30+ days ago
  • Promoted
Texas Licensed Clinical Genetics Reviewer

Texas Licensed Clinical Genetics Reviewer

VirtualVocationsDavie, Florida, United States
Full-time
A company is looking for Board Certified Physician Reviewers in Clinical Genetics with a Texas license.Key Responsibilities Evaluate medical records and provide clinical summaries Engage in peer...Show moreLast updated: 3 days ago
  • Promoted
Massachusetts Licensed Clinical Director

Massachusetts Licensed Clinical Director

VirtualVocationsFort Lauderdale, Florida, United States
Full-time
A company is looking for a Registered Nurse - Clinical Director (remote).Key Responsibilities Oversee hiring and training of Registered Nurse Assessors Conduct retrospective quality reviews of c...Show moreLast updated: 11 days ago