- Highmark Health (Pittsburgh, PA)
- …Participates in peer utilization and/or review and assists in coordination of related quality assurance efforts to improve provision of service. Updates clinical ... **Company :** Allegheny Health Network **Job Description :** GENERAL OVERVIEW: Provides...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- Geisinger (Danville, PA)
- …for clinical responsibilities. Job Duties Chief Nurse Practitioner or Physician Assistant Behavioral Health - Inpatient + Provides ongoing coordination and ... implementation, refinement and operational oversight of relevant best practices, quality assurance measures, and operational efficiency improvement....and it takes a diverse workforce to make better health easier for all. We are proud to be… more
- UPMC (Pittsburgh, PA)
- …by three psychiatric resident clinics. CCF has a team approach to treating patients. The Behavioral Health Therapist Associate plays a vital role on the team as ... * Service Referrals: Refers patients to appropriate services and programs. * Quality Assurance : Participates in program improvement activities. * Other Duties:… more
- Highmark Health (Pittsburgh, PA)
- …Management. + Performs internal clinical and non-clinical audits for the purpose of quality assurance , and to assure compliance with respect to regulatory ... + 3 or more years' experience working in the health care/ health insurance industry + Quality...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- CenterWell (Harrisburg, PA)
- …Care Delivery Call Quality Professional is responsible for conducting quality assurance reviews of service recovery interactions, resolving escalated patient ... standards are maintained while working independently. **Role Responsibilities:** + Maintain Quality Assurance scorecard + Align with Training on curriculum,… more
- UPMC (Pittsburgh, PA)
- …in compliance with NCQA, HEDIS, URAC the Commonwealth of Pennsylvania Department of Health quality assurance regulations, and all other regulatory and ... UPMC Community Care Behavioral Health is hiring full-time Quality Management Specialists! This position involves extensive travel throughout Pennsylvania,… more
- Devereux Advanced Behavioral Health (Homestead, PA)
- …to supporting children and adolescents with autism or intellectual disabilities and co-occurring behavioral health needs. This is a unique chance to be part ... including activities, schedules, and staff coverage. + Assist with program planning, quality assurance , and communication with families and external agencies. +… more
- Trinity Health (Pittsburgh, PA)
- …As the **Senior Manager of Service Coordination & Support Services** in the Behavioral Health department at Pittsburgh Mercy, you will provide strategic and ... culture of excellence and collaboration, you will help Pittsburgh Mercy deliver exceptional behavioral health services and support our mission to serve the… more
- Sevita (Washington, PA)
- …will be diversified and you will be supporting our mission. + Provide quality assurance /improvement technical assistance and subject matter expertise with local ... Join us today, and experience a career well lived. ** Quality Improvement Specialist (QIDP)** **On-site Washington, PA/Monroeville, PA** **Monday-Friday 8am-4pm**… more
- Highmark Health (Penn Hills, PA)
- …according to institute and regulatory guidelines. (10%) + Participates in the quality assurance and performance improvement activities of the program. (5%) ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** The...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more