- The Joint Commission (Oakbrook Terrace, IL)
- …Field Representatives, with minimal direction or supervision, survey and/or review health care organizations throughout the United States. Field Representatives ... **Responsibilities** Position Accountabilities: + Ability to analyze and synthesize survey/ review findings to provide conclusions, recommendations and educational opportunities.… more
- Centene Corporation (Atlanta, GA)
- …practice that is relevant to the clinical area(s) addressed in the initial clinical review . Pay Range: $26.50 - $47.59 per hour Centene offers a ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- US Tech Solutions (Columbia, SC)
- …or services, and appeals. + Documents decisions using indicated protocol sets or clinical guidelines. + Provides support and review of medical claims and ... any of the following in support of medical claims review and utilization review practices: Performs medical...and providers on all rendered determinations. + Participates in quality control activities in support of the corporate and… more
- Zelis (NJ)
- …responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG Quality Assurance reviews in an effort to increase the savings achieved ... records utilizing ICD-10 Official Coding Guidelines, AHA Coding Clinic evidence based clinical criteria and client specific coverage policies. What you'll do: +… more
- Option Care Health (Denver, CO)
- … incidents. Includes appropriate leadership to ensure field support and assisting in quality clinical decisions based on Option Care Health policy. + Assist ... trending all quality metrics, and providing corrective action when indicated. Review and propose processes for sterile compounding that result in increased … more
- GRAIL (Durham, NC)
- …with departments throughout the organization including but not limited to all- Quality , Clinical Laboratory Operations, Technical Operations, Regulatory Affairs, ... and acceptance activities including incoming and finished product release. + Support Quality Management Review (QMR), Quality Indices metrics generation… more
- Kelly Services (Rochester, MN)
- ** Quality Assurance Supervisor-Rochester, MN** Kelly Science & Clinical is seeking a Quality Assurance Supervisor for one of our clients, a pharmaceutical ... MN. The overall responsibility of this role is to oversee the Quality Assurance (QA) team, manage day-to-day operations, support quality -related initiatives,… more
- Bristol Myers Squibb (Indianapolis, IN)
- …health authorities. . Conducts regular walkthroughs of QC laboratories. . Performs review and approval of Quality , Laboratory, and Analytical Standard Operating ... education and experience acceptable. . Strong background and demonstrated effectiveness in quality assurance operation and compliance of Clinical and commercial … more
- University of Virginia (Charlottesville, VA)
- …recommends solutions for implementing appropriate changes. + Conducts internal reviews and provides quality review of external billing quality audits. + ... one-on-one provider observation and training sessions. + Participates on clinical department Billing Quality Councils as a member of the respective councils and… more
- Catholic Health Initiatives (Little Rock, AR)
- …zones, and up to 25-50% professional travel may be involved. + Supports quality , clinical practice, safety, risk coding, compliance, patient experience and ... functions within the Value Hub (Clinically Integrated Networks/CINs). + Facilitates quality and patient experience performance across the SE Region Value Hub… more