- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …Medical Clinical Program Manager will focus on utilization management compliance and audit readiness activities such as evaluating and supporting Health and ... Team: As an integral part of HMM Quality and Compliance team, the Clinical Program Manager works...compliance + Standing up new NCQA standards or regulatory requirements + Review applicable policies and procedures to… more
- Ability Beyond (Bethel, CT)
- …will work closely with the Director to ensure service excellence, regulatory compliance , and person-centered care across all programs. Key Responsibilities: ... skills. + Demonstrated experience in staff supervision, quality improvement, and regulatory compliance . + Experience with clinical documentation… more
- Mount Sinai Health System (New York, NY)
- …rounding validation data and observation of unit rounding. 5. Validates Associate Director / Clinical Nurse Manager competency in PHR and provides consistent ... supports the goals of the organization. 3. Works collaboratively with Associate Director / Clinical Nurse Manager/Assistant Nurse Manager, physician dyads and all… more
- Humana (St. Paul, MN)
- …site of service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....national clinical guidelines, CMS policies and determinations, clinical … more
- CareOregon (Portland, OR)
- … - Hospice Requisition # 25073 Exemption Status Exempt Management Level Director Direct Reports Hospice physician(s) and/or other clinical providers Manager ... bonus target, full benefits. www.careoregon.org/about-us/careers/benefits Posting Notes This Hospice Medical Director role is primarily remote, with 60% clinical … more
- Morehouse School Of Medicine (Atlanta, GA)
- …development, faculty recruitment and evaluation, student advisement, and ensures rigorous compliance with accreditation standards. The Program Director oversees ... processes . Prepare for self-studies and accreditation site visits . Maintain compliance with state and national regulatory requirements External Relations &… more
- Sevita (FL)
- …individual rights standards; review and respond accordingly to adverse action regulatory correspondence and monitor multi-state compliance . + Develop strategies ... in the lives of our participants. You'll work alongside a dedicated team of clinical staff and supportive supervisors, while you grow your career. _As an equal… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …Summary:** Reporting to the Director of Operations, the Manager of Compliance and Clinical Operations is responsible formaintaining an effective ... **Overview** **Scope of Responsibilities:** Responsible for all regulatory , compliance , and accreditation matters within HealthDirect. Oversees the development,… more
- Genesis Healthcare (NM)
- … compliance , IT/EHR implementation, and business development Center Medical Director and Clinical Responsibilities * Serve and fulfill all expectations ... the following pillars in our day-to-day operations. Responsibilities The Regional Medical director (RMD), in addition to his/her clinical and individual medical… more
- Sharing Hope SC (North Charleston, SC)
- …and philosophy; interprets regulatory statues and develops systems to ensure compliance . The Director fosters a positive, inclusive, and collaborative work ... Quality Management System (QMS) that supports We Are Sharing Hope SC's mission, regulatory compliance , and continuous process improvement. This role fosters a… more