- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …Quality, and Provider Relations. + Maintain compliance with state, federal, and accreditation requirements (eg, CMS, NCQA, URAC). + Participate in audits, training, ... and quality improvement initiatives. **Required Qualifications** + Bachelor's degree in nursing, healthcare, or a related field OR master's degree in social work, counseling, or behavioral health + RN license in Louisiana can OR LPN license in Louisiana + 2… 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 (Metairie, 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
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …professional development. + Represent the organization in external audits, accreditation reviews, and inter-agency meetings as needed. **Required Qualifications** + ... Master's degree in applied Behavior Analysis, Psychology, Education, or a related field from an accredited institution. + Minimum of 3 years of clinical experience in ABA service delivery, including treatment planning and supervision. + Current certification… 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 (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
- 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 (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. + 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 inter-rater reliability process. + May assist the Senior Medical… 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