- Sedgwick (Salem, OR)
- …client Disability Pension Board + Review of identified appeal cases for quality assurance purposes + Voting member to determine if eligibility requirements ... utilization review experience and three (3) years clinical quality control. **Skills & Knowledge** +...of utilization review procedures + Knowledge of clinical quality systems and measurements + Knowledge… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …fax, mail, and upload correspondence and documentation as needed. + Follow established quality assurance standards and all policies and procedures. + Report and ... About The Role MagnaCare provides Utilization Review / Case Management/ Medical Management/Claims Review ...team is a critical component to the delivery of quality healthcare services. Primary Responsibilities + Collect data from… more
- Bristol Myers Squibb (Princeton, NJ)
- …technically, operationally, and commercially to understand and enable speed, high quality performance, supply assurance , and risk mitigation. **Major ... and Supply, and Strategic Sourcing and Procurement to enable speed and supply assurance and will encourage decisions that support long-term viability in the … more
- LifeCenter Northwest (Bellevue, WA)
- …door and patient safety. Quality Improvement + Collaborate with the Quality Assurance & Performance Improvement (QAPI) Committee to integrate safety ... regulatory requirements and best practices. The DPSPM collaborates with clinical and quality teams to identify risks,...recipient outcomes. + Participate in the development of and review of policies, procedures, and protocols that could impact… more
- Humana (Lansing, MI)
- …of our Enrollees. + Ensures best practice standards and the National Committee of Quality Assurance (NCQA) Care Management criteria are used to assist with ... within Humana's population health strategy, education, utilization management, and quality improvement activities for the clinical team. +… more
- City of New York (New York, NY)
- …while exploring new software to enhance utility. Conduct routine data transfers and quality assurance on interview and medical record data. Regularly review ... that all newly HIV-diagnosed persons are linked to HIV clinical care. ACE staff undertake the continuous education of...data collection, interviewing and survey research. Experience with data quality assurance and knowledge of QA best… more
- Cleveland Clinic (Cleveland, OH)
- …clinical platforms. Specifically, the MedLo Manager will augment efforts to synchronize quality assurance and procurement efforts across the totality of care ... Clinic Client Medical Service (CMS) and the partner entity's clinical operation divisions. In this role, the MedLo Manager...Responsible for the development and maintenance of a standing quality assurance and procurement mechanism. + Leads… more
- Sunrise Senior Living (Montgomery, PA)
- …team member relations and recognition, communication, family services, resident well-being, quality assurance , and regulatory compliance. Additionally, a key ... achieving customer engagement. + Leads the development and regular review of the engagement improvement plan. + Effectively resolves...with a declining trend that is below company average. Quality Assurance and Regulatory Compliance: + Strives… more
- Cleveland Clinic (Dover, OH)
- …FDA, etc.). + Assist with instrument calibration and records to ensure compliance with quality assurance requirements. + Ensure and maintain quality control, ... radiation protection and safety standards through daily/weekly quality assurance tests. + Prepare and administer...equipment dysfunctions to help desk and PACS Administrator. + Review process films/scans to determine quality and… more
- Methodist Health System (Dallas, TX)
- …+ Required: Relevant healthcare experience preferably in coding, chart abstraction or quality review minimum of 2 years' experience + Preferred: Current ... tool, respond to all requests for information to include clinical interpretations of data element definitions and benchmark and/or...functioning and updates of the database. + Participate in quality assurance and data validation activities to… more