- CVS Health (Tallahassee, FL)
- …with medical / physical professional associates, the local provider community, state regulatory agencies and advocacy groups to advance clinical excellence and ... performance targets and goals otherwise specified for the plan. Be present for regulatory audits in-person. * Support all Clinical Quality initiatives and peer… more
- Houston Methodist (Sugar Land, TX)
- …staff. **SERVICE ESSENTIAL FUNCTIONS** + Analyzes submitted information including clinical assessments, treatment plan, regulatory guidelines, medical necessity, ... or denial mitigation. + Provides communication to providers about regulatory guidelines for clinical content in a...cycle clinical role + Experience includes writing clinical appeals for medical necessity compliance or… more
- Hartford HealthCare (Farmington, CT)
- …of DRG downgrades, submitting appeals, coordinating follow-up actions, and ensuring compliance with regulatory standards. The specialist also plays a ... and submit appeals for DRG denials, ensuring appeals are well-supported with clinical evidence, coding guidelines, and regulatory requirements. . Create detailed… more
- Beth Israel Lahey Health (Needham, MA)
- …staff operations. Together, they collaborate on aligned workflows, shared metrics, and regulatory compliance efforts that support a unified, system-wide approach ... the routine review, revision, and enforcement of existing policies to ensure regulatory and organizational compliance . 14. Coordinates all aspects of assigned… more
- University of Miami (Miami, FL)
- …organizational policies, procedures, and initiatives. + Collaborate with administrative and clinical disciplines to ensure compliance with educational and ... in a fast paced, constantly changing environment. + Knowledge of health care regulatory guidelines and compliance including but not limited to: OSHA, HIPAA,… more
- UNC Health Care (Morrisville, NC)
- …related to publicly reported measures, performance improvement, data governance, and regulatory compliance . Support transparency and stakeholder understanding of ... to translate evolving metric definitions into reliable workflows and ensure compliance with all regulatory requirements. **Responsibilities** : **Leading… more
- Dignity Health (Bakersfield, CA)
- …aspects of the platform and how these workflows tie to operational and regulatory compliance . The trainer will be instrumental in facilitating the system's ... Experience working with clinical operations teams, including collaboration with clinical workflows and training related to compliance and technical… more
- Alameda Health System (Oakland, CA)
- …implementation, and continuous improvement of environmental health, occupational safety, and regulatory compliance programs across Alameda Health System. This ... programs across the healthcare system, ensuring alignment with organizational goals and regulatory compliance . + Leads injury and illness prevention initiatives,… more
- Community Health Systems (Foley, AL)
- …and protocols to optimize quality and overall efficiencies. + **Quality Assurance and Regulatory Compliance ** + Ensures compliance with all relevant ... critical thinking skills. + In depth knowledge of industry best practices and regulatory compliance (if applicable). + Strong organizational and time management… more
- LEES MARKETPLACE (Vineyard, UT)
- …The Pharmacy Manager oversees the daily operations of the pharmacy, ensuring compliance , safety, and exceptional guest service. This role leads, trains, and supports ... opportunity to practice at the top of their license, providing meaningful clinical services to our guests rather than focusing solely on dispensing prescriptions.… more