- The Cigna Group (Bloomfield, CT)
- …state federal laws + Utilization Review Accreditation Commission and National Committee for Quality Assurance standards is a plus + Ability to commit to a ... when your cases are being appealed + Document all actions related to clinical review sessions and attest to review qualifications as required. **What you'll… more
- City of New York (New York, NY)
- …support protocols. Job Duties and Responsibilities: - Measure and oversee the application of quality assurance standards for NYC 988 Crisis call center and other ... call center operations, as well as their analytical and clinical skills, the manager will meticulously review ...closely with the DOHMH Program Consultant, the NYC 988 quality assurance team, and the Director of… more
- Sunrise Senior Living (Chevy Chase, MD)
- …changes in condition and take appropriate action including communication to family. + Review clinical alerts to document and learn about pertinent information ... in restraint free environment, weight management, anti-psychotics, and behavior management. ** Quality Assurance and Regulatory Compliance** + Ensure that the… more
- Veterans Affairs, Veterans Health Administration (Aurora, CO)
- …of administrative & programmatic resources & outcome monitoring using data driven quality assurance processes. Develops acute medicine impatient case management ... department/professional continuing education, health record review & protected peer review activities & processes. Performs advance practice clinical social… more
- RWJBarnabas Health (Jersey City, NJ)
- …and monthly schedules as needed and assures adequate coverage is maintained, + Prepares quality control and quality assurance data, + Checks critical reports ... experience. Job Overview: Supervises one or more sections of the clinical laboratory; prepares weekend and holiday schedules and other necessary scheduling… more
- Houston Methodist (Houston, TX)
- …and evaluates innovative programs, functions and services to maintain successful operations, clinical practice, formulary management, quality assurance and ... Director Pharmacy Services position is responsible for the provision of quality pharmaceutical care in accordance with accepted ethical and professional practices… more
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …of administrative and programmatic resources and monitoring of outcomes using a data-driven quality assurance process. Make sound decisions that affect staff and ... policy and external accreditation requirements, and monitor outcomes using data-driven quality assurance processes and implement strategies for improvement based… more
- Veterans Affairs, Veterans Health Administration (Brooklyn, NY)
- …relevant to practice of diagnostic radiology. Participate in the quality assurance programs such as peer review and performance improvement. Participate in ... radiology requests for appropriateness, respond to consults timely, prescribe exam protocols, review image quality and provide feedback to the technical staff,… more
- Evolent (Helena, MT)
- …well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts as a resource to ... Provides clinical rationale for standard and expedited appeals. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD… more
- Evolent (Helena, MT)
- …Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all ... within the regulatory timeframe of the request. + Utilizes medical/ clinical review guidelines and parameters to assure...skills + Energetic and curious with a passion for quality and value in health care + Computer Proficiency… more