- Sea Mar Community Health Centers (Everson, WA)
- …of hire date and is required to maintain current CPR throughout employment. + NCQA (National Committee for Quality Assurance) Certification is a plus. + Valid WA ... State Driver's License and proof of liability insurance. What We Offer: Sea Mar offers talented and motivated people the opportunity to work in a dynamic and growing community health organization. Working at Sea Mar Community Health Centers is more than just a… more
- Sea Mar Community Health Centers (Vancouver, WA)
- …by The Joint Commission and recognized by the National Committee of Quality Assurance ( NCQA ) as a Patient Centered Medical Home (PCMH) level III. The Nurse Manager ... works in conjunction with Health Center Administrator and Clinical Director in daily operations of the clinic. Nurse Manager oversees clinical and administrative supervision of all the nursing personnel in the clinic. Ideal candidates will be empathetic, calm,… more
- Sea Mar Community Health Centers (Lacey, WA)
- …of hire date and is required to maintain current CPR throughout employment. + NCQA (National Committee for Quality Assurance) Certification is a plus. + Valid WA ... State Driver's License and proof of liability insurance. What We Offer: Sea Mar offers talented and motivated people the opportunity to work in a dynamic and growing community health organization. Working at Sea Mar Community Health Centers is more than just a… more
- CenterWell (Olympia, WA)
- …reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/ NCQA review criteria and who is interested in being part of a ... team that focuses on excellent service to others. **Preferred Locations:** Daytona, FL, Louisville, KY, San Antonio, TX **Use your skills to make an impact** **Role Essentials** + Active RN license + Possession of or ability to obtain Compact Nursing License +… more
- Evolent (Olympia, WA)
- …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 research activities/questions related to the Utilization Management… more
- Evolent (Olympia, WA)
- …Experience with value-based care, utilization management, or regulatory reporting (eg, HEDIS, NCQA , Milliman). **To comply with HIPAA security standards (45 CFR sec. ... 164.308 (a) (3)), identity verification may be required as part of the application process. This is collected for compliance and security purposes and only reviewed if an applicant advances to the final interview state. Reasonable accommodations are available… more
- Molina Healthcare (Bellevue, WA)
- …and experience **PREFERRED EXPERIENCE:** * Knowledge of, and familiarity with, NCQA , CMS, and State regulatory submission requirements * Experience working in ... a cross-functional, highly matrixed organization * SQL proficiency * Knowledge of healthcare claim elements: CPT, CPTII, LOINC, SNOMED, HCPS, NDC, CVX, NPIs, TINs, etc. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** PMP, Six Sigma Green Belt, Six Sigma… more
- Evolent (Olympia, WA)
- …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 Director in research activities/questions related to the Utilization… more
- Sharecare (Olympia, WA)
- …+ Bachelor's degree preferred + 5+ years' experience in Care/Case Management + NCQA experience preferred + Certified Case Manager preferred + Prior management and ... supervision of a clinical team is preferred. + Health Plan experience is required. + Demonstrates computer competencies to include electronic medical records, word processing, spreadsheet, presentation preparation, and. Demonstrated ability to learn customized… more
- Sea Mar Community Health Centers (Tacoma, WA)
- …by The Joint Commission and recognized by the National Committee of Quality Assurance ( NCQA ) as a Patient Centered Medical Home (PCMH) level III. The Nurse Manager ... works in conjunction with Health Center Administrator and Clinical Director in daily operations of the clinic. The Nurse Manager oversees clinical and administrative supervision of all the nursing department personnel in the clinic. Responsibilities: + Manage… more