- UPMC (Pittsburgh, PA)
- …within 2 hours of a CCBH office location. The Quality Management Specialist is responsible for performing functions related to quality management and improvement, ... in compliance with NCQA, HEDIS, URAC the Commonwealth of Pennsylvania...Pennsylvania Licensure and Certification preferred: LSW, LCSW, LPC, LMFT, RN , CAC. + Valid Pennsylvania Driver's License preferred. **UPMC… more
- Highmark Health (Wexford, PA)
- …and staff in areas of program development, clinical practice, regulatory compliance , professional development, and other assigned committee work. (25%) + ... Nursing or Education + Current PA licensure as an RN + 2 years of relevant clinical experience and...certification + Certification in area of specialty + ED RN and ED Educator Experience **_Disclaimer:_** _The job description… more
- Trinity Health (Hartford, CT)
- …implements and maintains a comprehensive, organization-wide, ongoing regulatory and compliance readiness program. This position is responsible for assisting the ... resource for staff by providing education and assistance regarding regulatory compliance , patient safety and quality and associated activities. Coordinates or… more
- Insight Global (Los Angeles, CA)
- …Depts. to be sure any customer issues are reported and documented in compliance with Spectrum Quality Processes (SOP). Organizes and prioritizes tasks and meets ... Bachelor's degree or equivalent work experience in medical field. * RN /RT Preferred Work as a CICU RN so having experienced within the Cardiac * Understanding of… more
- Pilgrim's (Ellijay, GA)
- **Description** As an RN , LVN, or LPN currently licensed to practice in the state of employment, administers direct care of employees with professional expertise ... directives and within the scope of practice and regulations of the State Nurse Practice Act, while working under direct supervision of the Occupational Health… more
- Pilgrim's (De Queen, AR)
- **Description** **TEMPORARY - OCCUPATIONAL HEALTH PROFESSIONAL** LPN / RN 1ST Shift 7 AM to 3:30 PM DE QUEEN ARKANSAS ESSENTIAL DUTIES & RESPONSIBILITIES: + Delivers ... medical directives within the scope of practice and regulations of the State Nurse Practice Act in the applied state. Adheres to health management policies,… more
- Commonwealth Care Alliance (Boston, MA)
- …(MassHealth), Medicare, and commercial payment methodologies and supports audit, compliance , and provider engagement initiatives. This role also provides support ... Responsibilities:** + Analyze MassHealth and Medicare claim reimbursements to ensure compliance with contractual terms, state and federal regulations, and internal… more
- Ochsner Health (Gretna, LA)
- …related to implantable devices, and performs other duties as assigned by the RN . **Education** Required - High school graduate of equivalent. Preferred - Graduate of ... age and developmental stage with supervision of the staff nurse . + Adapts to rapid changes in the department...apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards. This… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and unit nurse educator, as well as the support of a clinical nurse specialist . If you are an outcomes-driven leader looking for growth, please consider ... _,_ and leadership programs and more! **Description** We are looking for an experienced Nurse Manager to support our 24-bed 8E Unit and 12-bed Rollins Pavillion! 8E… more
- Commonwealth Care Alliance (Boston, MA)
- …under the direction of the Sr. Director, TPA Management and Claims Compliance , Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing ... programs and reimbursement methodologies (Medicaid and Medicare) + Medical Coding, Compliance , Payment Integrity and Analytics + Direct and relevant experience with… more