Talent.com
State Licensed Clinical Quality Manager

State Licensed Clinical Quality Manager

VirtualVocationsKnoxville, Tennessee, United States
1 day ago
Job type
  • Full-time
Job description

A company is looking for a Clinical Quality Manager - Population Health.

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, quality, and project management (required)

Experience with managed security service providers, NCQA, and CMS (required)

EPIC training preferred

Create a job alert for this search

Quality Manager • Knoxville, Tennessee, United States

Related jobs
  • Promoted
State Licensed Occupational Health Clinician

State Licensed Occupational Health Clinician

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for an Occupational Health Call Center Clinician.Key Responsibilities Provide Occupational Health information and guidance to associates through the remote call center Scree...Show moreLast updated: 2 days ago
  • Promoted
Clinical Growth Manager - Knoxville, TN

Clinical Growth Manager - Knoxville, TN

FayKnoxville, TN, US
Full-time
Fay is a 3-sided AI platform redefining preventative care with a b2b2c business in a box.We're one of the fastest growing companies in tech and the fastest growing company in wellness history.W...Show moreLast updated: 30+ days ago
  • Promoted
Ohio Licensed Pharmacy Director

Ohio Licensed Pharmacy Director

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for a Director, 340B Solutions.Key Responsibilities Influence strategy and execution across a dynamic portfolio of healthcare clients Deliver expert guidance on 340B program...Show moreLast updated: 1 day ago
  • Promoted
  • New!
Georgia Licensed Clinical Navigator

Georgia Licensed Clinical Navigator

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for a PT Clinical Navigator.Key Responsibilities Conduct clinical intake assessments and provide patient education on treatment options Monitor patient progress and address ...Show moreLast updated: 13 hours ago
  • Promoted
  • New!
Texas and Colorado Licensed Clinical Navigator

Texas and Colorado Licensed Clinical Navigator

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for a PT Clinical Navigator responsible for delivering patient-centered care navigation for individuals managing musculoskeletal conditions. Key Responsibilities Conduct clini...Show moreLast updated: 13 hours ago
  • Promoted
Clinical Compliance Manager

Clinical Compliance Manager

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for a Manager, Clinical Compliance and Training.Key Responsibilities Monitor clinical trial activities for compliance with regulatory requirements and internal SOPs Identify...Show moreLast updated: 30+ days ago
  • Promoted
State Licensed Regional Dietitian Manager

State Licensed Regional Dietitian Manager

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for a Regional Dietitian Manager specializing in Eating Disorders (Remote).Key Responsibilities Oversee daily program operations and ensure adherence to regulatory requiremen...Show moreLast updated: 2 days ago
  • Promoted
Georgia Licensed Care Manager (RN)

Georgia Licensed Care Manager (RN)

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for a Care Manager (RN) to develop and facilitate care management activities for members with physical health needs. Key Responsibilities Evaluate member needs and recommend c...Show moreLast updated: 3 days ago
  • Promoted
State Licensed Clinical Pharmacist

State Licensed Clinical Pharmacist

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for a Clinical Pharmacist to deliver telephonic Comprehensive Medication Management services.Key Responsibilities Provide telephonic CMM consultations balancing clinical qual...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Indiana Licensed Clinical Supervisor RN

Indiana Licensed Clinical Supervisor RN

VirtualVocationsKnoxville, Tennessee, 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: 9 hours ago
  • Promoted
Arizona Licensed Pharmacy Manager

Arizona Licensed Pharmacy Manager

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for a Pharmacy Diversion Program Manager.Key Responsibilities Leads the development and maintenance of the Medication Diversion Prevention Program (MDPP) across various healt...Show moreLast updated: 1 day ago
  • Promoted
Senior Manager of Clinical Innovation

Senior Manager of Clinical Innovation

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for a Senior Manager of Clinical Innovation & Design.Key Responsibilities Design, prototype, and refine new clinical workflows and care pathways Partner with data teams to d...Show moreLast updated: 30+ days ago
  • Promoted
Manager of Medicare Operations

Manager of Medicare Operations

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for a Manager of Medicare Complaints Operations - Technical.Key Responsibilities Manage business operations and system initiatives to streamline complaint processes and maint...Show moreLast updated: 2 days ago
  • Promoted
Florida Licensed Care Manager RN

Florida Licensed Care Manager RN

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for a Care Manager RN to support Ambetter Marketplace members remotely in Florida.Key Responsibilities Evaluate member needs and recommend care plans to address barriers to a...Show moreLast updated: 2 days ago
  • Promoted
  • New!
Texas Licensed Clinical Genetics Reviewer

Texas Licensed Clinical Genetics Reviewer

VirtualVocationsKnoxville, Tennessee, 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: 15 hours ago
  • Promoted
  • New!
Minnesota Licensed Cardiology Reviewer

Minnesota Licensed Cardiology Reviewer

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for Board Certified Physician Reviewers specializing in Cardiology with a Minnesota license.Key Responsibilities Evaluate medical records and provide clinical summaries Enga...Show moreLast updated: 15 hours ago
  • Promoted
Travel Nurse RN - ICU / Critical Care - $1,295 to $1,436 per week in Jefferson City, TN

Travel Nurse RN - ICU / Critical Care - $1,295 to $1,436 per week in Jefferson City, TN

TravelNurseSourceKnoxville, Tennessee, US
Full-time
TravelNurseSource is working with LRS Healthcare to find a qualified ICU / Critical Care RN in Jefferson City, Tennessee, 37760!. Ready to start your next travel adventure? LRS Healthcare offers a ful...Show moreLast updated: 29 days ago
  • Promoted
  • New!
Indiana Licensed Clinical Pharmacy Manager

Indiana Licensed Clinical Pharmacy Manager

VirtualVocationsKnoxville, Tennessee, 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: 11 hours ago
  • Promoted
Hospital Reimbursement and Coding Manager, Full Time, Days

Hospital Reimbursement and Coding Manager, Full Time, Days

East Tennessee Children's HospitalKnoxville, TN, United States
Full-time
Hospital Reimbursement and Coding Manager, Full Time, Days.Responsible for managing the operations of the coding team to ensure that diagnoses and procedures have been accurately coded.Director, He...Show moreLast updated: 2 days ago
  • Promoted
  • New!
Oregon Licensed Operations Manager

Oregon Licensed Operations Manager

VirtualVocationsKnoxville, Tennessee, United States
Full-time
A company is looking for a Delegate Operations Program Manager II.Key Responsibilities Lead the annual subcontractor performance review process for assigned delegated entities Develop and update...Show moreLast updated: 11 hours ago