- Evolent (Baton Rouge, LA)
- …and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) ... guidelines. + Provides clinical rationale for standard and expedited appeals. + Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner. + Participates in on-going training per… more
- Ochsner Health (Slidell, LA)
- …any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area ... of responsibility and ensures compliance with all such laws, regulations and standards. This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical… more
- Ochsner Health (Morgan City, LA)
- …any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area ... of responsibility and ensures compliance with all such laws, regulations and standards. This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical… more
- Ochsner Health (New Orleans, LA)
- …any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area ... of responsibility and ensures compliance with all such laws, regulations and standards. This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical… more
- Evolent (Baton Rouge, LA)
- …and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) ... guidelines. . Aids and acts as a resource to Initial Clinical Reviewers. . Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner. . May assist the Senior Medical Director in… more
- Ochsner Health (New Orleans, LA)
- …the Xavier Ochsner College of Medicine, which is in the LCME accreditation process currently. Our faculty publishes hundreds of research papers annually and ... lead numerous multi-center studies and trials. Ochsner Children's is a leader in healthcare innovation. Physician inbox messages are "co-piloted" with AI responses that reduce physician time responding to patient messages and Ochsner Children's is introducing… more
- Priority Health Care (LA)
- …ensure that the pharmacy provides optimal services and meets all legal, accreditation , FQHC and certification requirements. The Pharmacist must comply with all ... applicable policies, procedures, codes and standards of PHC. DUTIES AND RESPONSIBILITIES: + Develop and enforce policies and procedures that promote cost effective, appropriate, and safe medicate usage. + Develop and maintain a medical staff-approved… more
- Ochsner Health (New Orleans, LA)
- …any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area ... of responsibility and ensures compliance with all such laws, regulations and standards. This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical… more
- Ochsner Health (Jefferson, LA)
- …any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area ... of responsibility and ensures compliance with all such laws, regulations and standards. This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical… more
- Ochsner Health (New Orleans, LA)
- …any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area ... of responsibility and ensures compliance with all such laws, regulations and standards. This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical… more