Expected to work closely with the Manager, other clinical and QI staff to assure the overall success of the Healthcare Effectiveness Data and Information Set (HEDIS) Project, appropriateness of care and other QI Projects as assigned. Primarily responsible for conducting medical record reviews, data entry and abstraction of data for HEDIS measures, appropriateness of care

Assists the practice management team in coordinating the clinical staff and work environment to insure quality patient care and compliance with regulatory standards. Provides clinical direction to nursing staff and clinic support staff, monitor clinical competencies and develop work schedules for clinical staff. Assists Practice Manager in evaluating annual performance re

Works in collaboration with the Case Manager and other healthcare team members to provide comprehensive and coordinated care. Engages in interventions to improve self management skills and improve quality of life for patients with chronic and/or complex illness. Provides education and behavior modification strategies and provides social support to patients and families. A

Sentara Medical Group has an employment opportunity for a full time Nurse Practitioner or Physician Assistant to join its Palliative Care team on the campus of Sentara Obici Hospital located in Suffolk, VA. The Nurse Practitioner or Physician Assistant is responsible for providing clinical care, support, and education for the palliative patient population as part of the h

RN Clinician responsible for case management services within the scope of licensure; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. Performs telephonic or face to face clinical assessments for the identification, evaluation, coordination and management

The Licensed Practical Nurse (LPN) functions under the supervision of an RN or Licensed Independent Practitioner (LIP) in the clinical setting, within the scope of practice dictated by the State Boards of Nursing. The LPN demonstrates professional and clinical knowledge relative to designated clinical practice setting in the delivery of direct patient care, adhering to th

The Licensed Practical Nurse (LPN) functions under the supervision of an RN or Licensed Independent Practitioner (LIP) in the clinical setting, within the scope of practice dictated by the State Boards of Nursing. The LPN demonstrates professional and clinical knowledge relative to designated clinical practice setting in the delivery of direct patient care, adhering to th

Prepare, analyze, research, and adjust financial statements for management presentation. Creates relevant work papers, schedules, and reconciliations. Review and comprehend financial indicators and results of operations, significant operational statistics, variances from budget and historical results. Research technical accounting and financial reporting issues, and assis

Assess, plan, organize, and participate in rehabilitative programs that improve functional mobility, relieve pain, improve or correct disabling conditions resulting from disease or injury and help build or restore vocational/ daily living skills as well as general independence. Provides age appropriate education for clients and caregivers. Supervise and assume responsibil

The Registered Nursing (RN) is responsible to perform a competent level of nursing care as demonstrated by the critical thinking model known as the nursing process. The standards of practice (assessment, diagnosis, outcomes identification, planning, implementation, coordination of care teaching and health promotion and evaluation) along with the standards of professional

Leadership and Transformation of Medicaid UM/CM Programs in support of One Sentara. Continuous improvement in Medicaid clinical performance including readmissions, chronic care utilization and unplanned care through CM outreach and programs. Adherence to each state's Medicaid contract UM/CM requirements. Coordination with Medicare UM/CM to ensure seamless care and managem

Velocity Urgent Care (In Partnership With Sentara) is seeking an experienced Flexi APP (NP or PA) to join their team in South Boston, VA. The Urgent Care APP is responsible for the provision of health care services to individuals, families and/or groups who receive their care under the auspices of Sentara Medical Group (SMG). Health care services include conducting health

The Registered Nursing (RN) is responsible to perform a competent level of nursing care as demonstrated by the critical thinking model known as the nursing process. The standards of practice (assessment, diagnosis, outcomes identification, planning, implementation, coordination of care teaching and health promotion and evaluation) along with the standards of professional

Support Sr. Sales Executives and/or Sr. Account Executives in producing and retaining profitable business within small and mid sized segments. Interact with general agents, brokers, benefit administrators, members, and internal resources as needed to achieve profitable growth objectives. HS grad and 5 years related experience. Related years of experience includes Administ

Perform patient care and administrative/clerical related tasks and procedures based on training, education, and competency evaluations, and as delegated by and under the direction/supervision of the Physician, Nurse Practitioner/Physician Assistant (NP/PA), Registered Nurse (RN), or Licensed Practical Nurse (LPN) Minimum of one year experience in a healthcare setting requ