- 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
- 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
- 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
- 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
- Community Health Systems (Valparaiso, IN)
- …**Knowledge, Skills and Abilities** + Deep understanding of quality improvement strategies, regulatory compliance , and accreditation standards (JC, CMS, DOH) + ... and performance improvement initiatives across the hospital. This role ensures compliance with regulatory and accreditation standards-including The Joint… more
- Kelly Services (Winston Salem, NC)
- …to junior team members in cell processing techniques, procedures, and regulatory compliance . + Drive continuous process improvement, incident investigations, ... adherence to SOPs, batch records, and related forms, maintaining compliance with regulatory guidelines. + Lead routine...the Kelly Talent Community. Why Kelly (R) Science & Clinical ? Kelly Science & Clinical is your… more
- Mount Sinai Health System (New York, NY)
- …teams using the principles of high reliability. 5. Reviews unit progress, changes and compliance with quality and safety metrics with clinical nurses and other ... Nurse with broad knowledge and skills who acts as clinical leader in the daily functioning of the unit...regulatory standards. 4. Maintains a nursing unit in compliance with all regulatory agency mandates, including… more