- Cedars-Sinai (Marina Del Rey, CA)
- …+ One (1) to two (2) years of experience in quality improvement, regulatory compliance , or performance improvement, with a strong preference for candidates ... (eg, Microsoft Excel and PowerPoint) + Knowledge of healthcare regulatory , accreditation and licensing requirements **Required License/Certifications:** +… more
- Trinity Health (Fresno, CA)
- …review. + Conduct clinical record audits and analyze OBQI/OBQM reports to ensure regulatory compliance and promote patient-centered care. + Monitor and report on ... develop, implement, and evaluate quality improvement initiatives that support licensure, accreditation , and compliance . The role also ensures workflow… more
- Dignity Health (Rancho Cordova, CA)
- …NCQA, CMS, AAAHC, URAC and IMQ accreditation and health plan regulatory standards. The Credentialing Specialist works in conjunction with the Director, ... supervision and by applying expertise and individual judgment, the Credentialing Specialist is responsible for ensuring the credentialing program and all related… more
- Sharp HealthCare (San Diego, CA)
- …and grievance procedures; b) Rules, regulations, and other standards established by regulatory and accreditation agencies; and c) Training in the utilization ... hospital and/or ancillary meetings, as necessary.Ensures provider network meets all regulatory and accreditation requirements including NCQA, DMHC and CMS.Keep… more
- The County of Los Angeles (Los Angeles, CA)
- CREDENTIALING SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3476028) Apply CREDENTIALING SPECIALIST Salary $65,911.68 - ... follow policies and procedures, established by departmental by-laws and regulatory agencies, to evaluate and verify professional licensure, education, training,… more
- Cedars-Sinai (CA)
- …patient care we strive for. **About the Team** **:** The Patient Safety Specialist is a highly motivated, reliable, clinical expert on internal and external patient ... identify potential or actual risk of harm to patients. The Patient Safety Specialist identifies and addresses the need for system opportunities in clinical practice,… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, ... purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider complaints and… more
- Stanford University (Stanford, CA)
- Pest Management Specialist **Residential & Dining Enterprises, Stanford, California, United States** Health and Safety Post Date Jan 23, 2025 Requisition # 105726 ... PURPOSE:** The business title for this position will be Healthy Facilities Specialist .Under limited supervision, perform moderately complex technical work in a wide… more
- Sutter Health (San Francisco, CA)
- …environment conditions, and recommends corrective action plan as needed. * Monitors compliance with policies and procedures, and regulatory and legally required ... Provides support and assistance to site/department safety representatives. INSPECTIONS AND COMPLIANCE * Serves as the point-of-contact for on-site inspections and/or… more
- Highmark Health (Sacramento, CA)
- …external requirements. Determines primary sources for verifications in accordance with accreditation standards and AHN entity agreements with the Credentialing and ... the results of all verifications and inquiries, as required by external regulatory standards and agreements between the Credentialing and Privileging Office AHN… more