... methods to continually improve administrative, support and clinical processes, as well as quality and ... priorities, coordination, and evaluation of internal business/clinical processes for an assigned Medical ...

... referrals to maximize the quality and efficiency of care provided to our members. Oversight to repatriation ... systems are implemented for the patient to enter care at the optimal point in the care continuum and ...

... Job Summary: Responsible for carrying out utilization review, quality review and ... managers, home care reviewers, Social Workers, providers, and members as indicated, quality improvement ...