Human Resources Business Partner

4 weeks ago


Kansas City, United States CareerBuilder Full time

Develop, implement, support, and promote Health Services strategies, tactics, policies, and programs that drive the delivery of quality healthcare to establish competitive business advantage for client.
Health Services strategies, policies, and programs are comprised of utilization management, quality management, network management and clinical coverage and policies.
Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support.
Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
Identifies and escalates quality of care issues through established channels

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