- Tenet Healthcare (Commerce Township, MI)
- …assuring care is the right sequence and at appropriate level of care Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet ... per Tenet policy . Completes Final Discharge Disposition Form Assessment for Medicare patients per Tenet policy . Completes timely, complete and accurate… more
- Molina Healthcare (Ramapo, 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
- Banner Health (Glendale, AZ)
- …of the organization to achieve objectives, such as Annual Initiatives, Centers for Medicare and Medicaid Services (CMS) and The Joint Commission (tJC) standards of ... from patient safety, harm reduction, clinical performance, peer review and compliance with regulatory and accrediting agencies. This is accomplished by utilizing… more
- Banner Health (Tucson, AZ)
- …and remodeling projects and contracted plumbing and mechanical work for code compliance and compatibility to existing plumbing and mechanical systems. Works with and ... Monitors outside plumbing and mechanical specialty contractors to assure compliance with established hospital standards. 5. Provides mentorship and training… more
- Tenet Healthcare (Detroit, MI)
- …assuring care is the right sequence and at appropriate level of care Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet ... per Tenet policy · Completes Final Discharge Disposition Form Assessment for Medicare patients per Tenet policy · Completes timely, complete and accurate… more
- Molina Healthcare (Detroit, MI)
- …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
- Therapeutic Alliance, LLC (Sterling, VA)
- …regulations. + Comply with privacy laws and requirements under HIPAA and Medicaid/ Medicare regulations and understand the consequences of non- compliance . + ... such as communications, branding, billing, and training. Policy and Internal Regulatory Compliance (estimated 2 weekly hours) + Record and maintain all client… more
- Healthfirst (NY)
- …and terminations. + Collaborate with internal teams (eg, sales, customer service, compliance ) to ensure seamless management of members. + Monitor ,report, and ... ensures core Enrollment and Billing activities are managed in compliance with State and CMS guidelines and to ensure...and Knowledge of NY lines of business such as Medicare NY, Medicaid, Child Health Plus, QHP, EP, HARP… more
- Humana (Louisville, KY)
- …transformation, and delivery are optimized for quality measurement, reporting, and compliance with CMS standards. **Location:** Strong preference for Kentucky based ... volume and quality + Act as the primary liaison between business stakeholders, compliance teams, data engineers, production support and the CMS HEDIS rules engine… more
- Molina Healthcare (Savannah, GA)
- …submissions to NCQA and regulatory bodies, ensuring accuracy and timeliness. ** Compliance & Quality Improvement** + Monitors key performance indicators (KPIs) and ... rehearsals. + Ensures survey readiness by maintaining documentation and evidence of compliance . **Consultation & Collaboration** + Serves as a strategic advisor to… more