- Highmark Health (Harrisburg, PA)
- …in achieving their personal health goals. Will work with providers to insure quality and appropriate care is being delivered in a timely manner. **ESSENTIAL ... + Ensure all activities are documented and conducted in compliance with applicable business process requirements, regulatory requirements and accreditation… more
- Fresenius Medical Center (Harrisburg, PA)
- …As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility ... Manages the operations of the clinic, including costs, processes, staffing, and quality standards. + Provides leadership, coaching, and development plans for all… more
- Evolent (Harrisburg, PA)
- …+ Minimum of 5 years in Utilization Management, health care Appeals, compliance and/or grievances/complaints in a quality improvement environment- **Required** + ... Able to work 10:30am to 7pm CST (which includes 30-minute unpaid lunch break) 3 days/week, to meet the business need of 2 nurses providing coverage until 7:00pm CST. Can negotiate flexing schedule on days when candidate has appointments/events before 7:00pm… more
- UPMC (Pittsburgh, PA)
- …codes to ensure consistency and efficiency in claims processing, data collection, and quality reporting. . **Regulatory Compliance :** Conduct audits on various ... **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor!**...Registered Health Information Technician (RHIT) + OR Licensed Professional Nurse (LPN) + Registered Nurse (RN) Required:… more
- UPMC (Pittsburgh, PA)
- …ensure consistency and efficiency in claims processing, data collection, and quality reporting. + **Post-Audit Training:** Conduct post-audit compliance training ... **Join UPMC Corporate Finance as a Compliance Auditor, Associate!** Are you detail-oriented and passionate...+ Registered Health Information Technician (RHIT) + Licensed Professional Nurse (LPN) or + Registered Nurse (RN)… more
- Penn State Health (Hershey, PA)
- …implementation, evaluation of systems supporting the department of nursing quality activities. Facilitates initiatives of hospital processes related to Magnet ... designation. Manages the development and promotion of activities and quality initiatives supporting research, clinical practice, Magnet, and outcomes and regulatory … more
- Trinity Health (Langhorne, PA)
- …a high quality of care for our patients and families utilizing our Quality Metrics (ECQM) cornerstones. * Registered Nurse with minimum of five years of ... Joint Commission, CMS, and other regulatory bodies including regulatory compliance will be part of the Quality ...regulatory compliance will be part of the Quality Improvement Lead position. **Our Commitment** Rooted in our… more
- Guthrie (Sayre, PA)
- Position Summary: The Quality Improvement Specialist-Registered Nurse (QIS-RN) supports the administration of The Guthrie Clinic's Nursing Quality Programs, ... and advocate to patients, providers, and the community. In supporting TGC's quality of care improvement activities, the position provides support through the… more
- WellSpan Health (York, PA)
- …clinical staff management and patient care. Duties may include quality monitoring, patient assessments, direct patient care, and patient/caregiver/staff education. ... Provides safe, therapeutic, efficient quality care and services to all patients served. Functions...than one practice with the oversight of a Registered Nurse . **Duties and Responsibilities** **Essential Functions:** + Maintains a… more
- Guthrie (Sayre, PA)
- …triage problems, staffing issues, and risk management concerns. Acts on behalf of nurse Manager / Director in his/her absence.. QUALITY OF PRACTICE; Monitors ... projects per Clinical Manager / Director consistent with strategic, fiscal, quality and operational goals/targets. In collaboration with management, coordinates the… more