- Elevance Health (St. Rose, LA)
- **JR142090 BH Clinical Quality Audit Analyst Sr** Responsible for participating in on-site quality external audits such as NCQA, AAHC and EQRO, and ... will you make an impact:** + Provides recommendations for quality improvement studies including selection of valid and reliable...and using criteria closes case appropriately or refers to BH Medical Director for further review. + Prepares cases… more
- Molina Healthcare (Dallas, TX)
- …of targeted member population, and triage activities. + Ensures completion of staff quality audit reviews. Evaluates services provided and outcomes achieved and ... place at the right time and assisting them to achieve optimal clinical , financial, and quality of life outcomes. + Responsible for clinical teams (including… more
- UPMC (Pittsburgh, PA)
- …by professional staff, through participation (directly or by designee) in the ongoing quality management and audit processes. * Work with the Director of ... Management or designee in designing and evaluating protocols and studies for quality management. * Assure that all clinical staff/psychological services receive… more
- Defense Health Agency (AL)
- …professional discussions with, and review of medical records, by Chiefs of various clinical services and peer review and audit procedures established for ... thorough studies of presenting patients and evaluates laboratory and clinical findings, prescribing appropriate treatment or referring patient to...the prescribing team member for a way of delivering BH health care in a forward location within the… more