- Fresenius Medical Center (East Lansing, MI)
- …nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal ... business policies, procedures and systems incorporated into training, including compliance with ethical business practices + Maintain environmental integrity and… more
- WestCare Foundation (Henderson, NV)
- …timely and accurate reimbursement for services rendered while maintaining compliance with payer rules, regulations, and organizational policies. The Director ... dispersed regions, fostering collaboration and accountability. + Collaborate with clinical, compliance , IT, and finance leadership to align revenue cycle initiatives… more
- Molina Healthcare (Buffalo, NY)
- …Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Relations ... satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina healthcare policies and procedures while achieving the… more
- East Boston Neighborhood Health Center (Revere, MA)
- …- Work with contract owners on negotiations and review + DPH + Assure compliance ED waivers and SEF requirements and waivers + Monitor for Serious Reportable Events ... role in updating: + Scope Needs Assessment + Assure compliance with the 19 program requirements + The Joint...health center during Lab and health center surveys + Medicare + Represent health center Administration during Pace surveys… more
- Bristol Myers Squibb (Tampa, FL)
- …of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, data stewardship and compliance ... BP true-up, BP modeling of contingent/portfolio agreements, legal requests, SOX compliance , deal analytics, contract performance analytics and ad hoc data analytics… more
- Arnot Health (Elmira, NY)
- …interpretation of regulatory standards, including The Joint Commission and Centers for Medicare and Medicaid Services (CMS); ensures a constant state of readiness; ... leadership and assistance to enterprise-wide initiatives. Performance Improvement and Compliance : Duties and Responsibilities: ** 1. Assumes the daily organizational… more
- CenterWell (Daytona Beach, FL)
- …all standard operating procedures are adhered to within the center and all compliance required signage is visible in patient-facing areas and back-office to include ... audits, perform audits of center's clinical logs to ensure compliance and quality, manage MSDS and OSHA concerns, and...a global risk primary care environment + Familiarity with Medicare and Risk model + Experience managing a budget… more
- Tufts Medicine (Lowell, MA)
- …annual plan based on clinical, patient satisfaction and operational issues. 16. Reports Compliance concerns to the CEO or Chief Compliance Officer when ... Improvement Coordinator to ensure continual improvement in performance. 22. Ensures compliance within guidelines set forth by regulatory agencies (JCAHO, DPH, ERISA… more
- State of Colorado (Fremont County, CO)
- …a resident to the doctor or hospital (if not taken by ambulance). Regulatory Compliance + Directs and implements nursing care to residents by assuring compliance ... physician orders, MARS, CNA flow sheets, bathing schedules and BM sheets to determine compliance with policies and standards of care as part of a department quality… more
- Avera (Sioux Falls, SD)
- …on education and/or improvement plans. Emergent reviews may be performed based on compliance and clinical need. This individual will be required to understand and ... appropriate reimbursement methodologies for services audited and communicate with compliance as needed. This individual will follow all applicable federal,… more