- Elevance Health (Costa Mesa, CA)
- …and processes non-complex grievances and appeals in accordance with external accreditation and regulatory requirements, internal policies and claims events ... The grievance and appeal work is subject to applicable accreditation and regulatory standards and requirements. As...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… 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
- Sharp HealthCare (San Diego, CA)
- …performs analysis and makes recommendations for updating current polices to meet accreditation and regulatory requirements + Ensures newly updated EHB's are ... needs of the membership. Serves as a lead medical manager and policy advisor to SHP clinical and its'...skills to meet the organizational goals. + Knowledge of regulatory and accreditation agencies and requirements. +… more
- Alameda Health System (Oakland, CA)
- …and continuous improvement of environmental health, occupational safety, and regulatory compliance programs across Alameda Health System. This role ensures ... system-wide adherence to federal, state, and local regulations-including Cal/OSHA-and accreditation standards such as those from The Joint Commission and the Centers… more
- Sharp HealthCare (San Diego, CA)
- …at large. + Management skills to meet the organizational goals. + Knowledge of regulatory and accreditation agencies and requirements. + Able to manage multiple ... care needs of the membership. Serves as a medical manager and policy advisor to SHP and its Chief...community relations. + Assures plan conformance with legal and regulatory requirements + Assists the Chief Medical Officer and… more
- The County of Los Angeles (Los Angeles, CA)
- …contribute to the overarching goals of optimizing program effectiveness, ensuring regulatory compliance, and promoting health equity within the managed care ... under the immediate supervision of a Data Scientist Supervisor, or supervisor or manager responsible for the data analytics, research, or statistical function of a… more
- The County of Los Angeles (Los Angeles, CA)
- …allocable to this class receive administrative direction from a higher-level program manager in the Department of Health Services. Positions evaluate and provide ... in the interpretation of laws, regulations and standards governing licensing, accreditation and certification for Medicare and Medi-Cal and in various acceptable… more
- The County of Los Angeles (Los Angeles, CA)
- …Evaluates and initiates corrective action regarding operational compliance with licensure, accreditation and regulatory standards. + Evaluates the performance of ... -AND- Four years of experience in nursing management at the level of Nurse Manager LICENSE(S) REQUIRED: A current active license to practice as a Registered Nurse… more
- Medtronic (Irvine, CA)
- …requirements for business continuity, operations security, cryptography, forensics, regulatory compliance, internal counter-espionage (insider threat detection and ... and procedures. + Verifies security requirements; performs system certification and accreditation planning and testing and liaison activities. + Understanding of… more
- Stanford Health Care (Palo Alto, CA)
- …a Stanford Health Care job.** **A Brief Overview** Under the supervision of the supervisor/ manager and a physician in the department, who is responsible for the use ... procedures and protocols as well as assisting in ensuring that all regulatory (American Institute of Ultrasound in Medicine (AIUM) and The Joint Commission)… more