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UnitedHealth Group
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Saint Louis, Missouri
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, opportunities to close clinical quality / service gaps, and care plan changes that can impact health care expenses
Responsible to collaborate with operational and business partners on clinical and quality
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UnitedHealth Group
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Saint Louis, Missouri
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quality, effectiveness and coordination of the medical review services. Additionally, performs Utilization ... participates in the Quality Improvement programs for the company.
The Medical Director also provides
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UnitedHealth Group
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Saint Louis, Missouri
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clinical and operational processes related to benefit coverage determinations, quality improvement and cost ... participation experience
Substantial experience in using electronic clinical systems
Pursuant to the
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UnitedHealth Group
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Saint Louis, Missouri
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and removing barriers to quality care. The work you do here impacts the lives of millions of people ... guidelines. They partner with sales, clinical, product, legal, finance and other functions to tailor
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UnitedHealth Group
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Saint Louis, Missouri
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and removing barriers to quality care. The work you do here impacts the lives of millions of people ... integrate clinical and self-management aspects of type 2 diabetes. The Registered Nurse is an integral part
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UnitedHealth Group
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Saint Louis, Missouri
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comprehensive Radiation Oncology solution which will successfully meet clinical, quality, and financial ... -based guidelines, opportunities to close clinical quality / service gaps, and care plan changes that can
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UnitedHealth Group
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Saint Louis, Missouri
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Medical Director provides clinical leadership in the adoption of the key principles, tools, technologies, and clinical support services essential to the population health management of their designated market
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UnitedHealth Group
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Saint Louis, Missouri
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. Our clinical vision drives the team to improve the quality of care our consumers receive ... . This individual will interact directly with Psychiatrists, Prescribers, and other clinical
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UnitedHealth Group
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Saint Louis, Missouri
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and business partners. The position is responsible for the clinical, financial and NPS performance of ... network’s performance around quality, coding accuracy and provider satisfaction with market’s contracted
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UnitedHealth Group
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Saint Louis, Missouri
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clinical case reviews, as needed
Conduct provider telephonic review and discussion and share tools, information, and guidelines as they relate to cost-effective healthcare delivery and quality of care
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UnitedHealth Group
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Saint Louis, Missouri
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hospital, emergency or post-acute clinical team following notification of patient transfer
Educates ... appropriate
Actively participates in ongoing meetings pertaining to patient care and clinical excellence
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UnitedHealth Group
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Saint Louis, Missouri
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patient care and clinical excellence
Implements HEDIS measure campaigns and other quality initiatives ... /training provided
Consults with hospital, emergency or post-acute clinical team following notification
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UnitedHealth Group
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Saint Louis, Missouri
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Conduct peer to peer conversations for the clinical case reviews, as needed
Conduct provider ... -effective healthcare delivery and quality of care
Communicate effectively with network and non-network
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