- Hackensack Meridian Health (Neptune, NJ)
- …supports ongoing communication with CVO leaders especially in regards to risk /issues identified during the credentialing /recredentialing process for delegated ... serve as a leader of positive change. As Delegated Credentialing Manager, you are responsible for overseeing all ...+ Initiate implementation of new or changed regulatory and/or accreditation requirements to ensure the adequacy of controls of… more
- Planned Parenthood of Central and Western NY (Buffalo, NY)
- … + Keep Regional Director apprised of payer enrollment and credentialing issues to mitigate risk + Understand specific application requirements for ... Payer Enrollment & Credentialing Specialist WFH Flexible * Buffalo, NY (http://maps.google.com/maps?q=60+E.+Amherst+Street+Buffalo+NY+USA+14214) * Revenue Cycle Job… more
- HCA Healthcare (Tallahassee, FL)
- …in a healthcare setting preferred. Working knowledge of The Joint Commission accreditation process and standards, health care and credentialing industry, ... This position is incentive eligible. **Introduction** We are seeking a(an) Director Medical Staff Services with HCA Florida Capital Hospital to promote… more
- Sutter Health (Los Banos, CA)
- …Sept. 5, 1967. Today, MHLB is accredited by the Joint Commission on Accreditation of Healthcare Organizations and operates as a non-profit, general care medical ... related to identified safety issues in conjunction with the risk management leadership.** **Maintains knowledge of regulatory/accrediting agencies, statutes and… more
- Magellan Health Services (Albuquerque, NM)
- …interdisciplinary UM team, including regular involvement in the case management of at- risk cases and medical necessity decisions. Follows high risk cases ... care throughout the episode of treatment. Continues physician oversight of at- risk patients deemed appropriate for complex case management and timely completion… more
- CVS Health (Austin, TX)
- …health care more personal, convenient and affordable. Position Summary The Lead Director will manage the development of contracts and agreements with providers and ... for designing conceptual models, initiative planning, and negotiating high value/ risk contracts with the most complex and challenging, market/region/national,… more
- Baylor Scott & White Health (Temple, TX)
- …network managed care performance. + Partner with Provider Networks and Medical Director team in creating and maintaining programs that incentivize providers to ... retrospective review process and case management. + Participate in risk management, claims administration, pharmacy utilization management, catastrophic case review,… more
- Surgery Care Affiliates (Portland, OR)
- …emergency preparedness, life safety, medical equipment, and utilities management. + Risk Management (incident reporting) + Adverse Drug Reaction reports + ... Identification and data collection of center specific quality indicators based on high risk , problem prone procedures as appropriate. + Review and revision of the PI… more
- Catholic Health Services (Rockville Centre, NY)
- …patients. Mercy has earned the Pathway to Excellence designation from the American Nurses Credentialing Center - the only hospital in the region and one of only two ... us as we transform the way health care is delivered. Job Details The Director monitors all aspects of Safety Management Program in accordance with TJC standards and… more
- AdventHealth (Tampa, FL)
- …be caring for:** _AdventHealth Medical Group West FL_ **The role you'll contribute:** ** Director of Nursing** **Working under the direction of the AVP of Clinical ... and medical education. The AdventHealth Medical Group (AHMG) WFD Director of Nursing is a Registered Nurse with an...to succeed** **:** **Minimum qualifications** : . Knowledge of risk management concepts . Demonstrates awareness of legal issues,… more
- Trinity Health (Springfield, MA)
- …Type:** Full time **Shift:** Day Shift **Description:** Come lead our Quality & Risk Management team at Mercy Medical Center, a member of Trinity Health Of ... Oversee Quality Department and associated functions; Lead Joint Commission accreditation and State licensure/renewal activities + Oversee Mercy regulatory activities… more
- NYU Rory Meyers College of Nursing (New York, NY)
- …to incident detection and reporting, initial assessment, containment and risk mitigation, investigation, notification of individuals, documentation and reporting, ... and collaboration and align goals and strategies. Co-manage the clinical credentialing compliance process to review health care providers' qualifications to practice… more
- Geisinger (Danville, PA)
- …use of medical and research-related ionizing radiation sources while minimizing radiation risk to employees, visitors, patients, and to the surrounding community. + ... the necessary radiation physics support to promote and sustain national accreditation and licensures for diagnostic imaging and other clinical program areas.… more
- Burrell Behavioral Health (Kansas City, MO)
- …compliance with applicable regulatory standards maintaining licensure, certification, and accreditation . + Adhere to Incident Reporting policy and procedure ensuring ... departments' compliance and that staff are educated in regards to Risk Management expectations. + Respond to community and/or client feedback/suggestions informing… more
- HCA Healthcare (Houston, TX)
- …to maintain a working knowledge of applicable HCA Healthcare and Parallon Credentialing Processing Center (CPC) policies, accreditation standards and regulations ... for accreditation , regulatory, and any internal surveys relative to credentialing , privileging and PPE. + 2. Participate in internal audits and regulatory… more
- Surgery Care Affiliates (Huntingdon Valley, PA)
- …responsibilities. A. Maintain knowledge of: + Clinical best practices + Accreditation and regulatory standards + Quality improvement processes + SCA Quality ... + SCA Environment of Care (EOC) Manual + SCA Medical Staff Services and Credentialing guidelines + SCA Medical Staff Services and Credentialing Manual + Center… more
- Louisiana Department of State Civil Service (New Orleans, LA)
- …and/or intellectual disabilities. Incumbent in this position serves as the Director of Quality Assurance of Metropolitan Human Services District (MHSD), providing ... and to findings. Evaluates clinical and business activities to assess compliance risk . Collaborates with external regulators, risk management, clinical, human… more
- HCA Healthcare (Largo, FL)
- …the hospital. The CMO provides senior-level leadership to the infection control, risk management, safety, and medical staff credentialing functions, ensuring the ... development, and overall hospital strategy + You will provide medical director services to facility-level physician credentialing , business development, and… more
- Highmark Health (Dover, DE)
- …initiatives in a timely manner. May coordinate credentialing , re- credentialing , member complaint investigations, Medical Director site visit requests, ... facility site visit requests, activities to include other reviews, audits, accreditation activities as requested on behalf of the organization. **ESSENTIAL… more
- Veterans Affairs, Veterans Health Administration (Durham, NC)
- … credentialing standards in 42 CFR Part 75, Standards for the Accreditation of Educational Programs and the Credentialing of Radiographic Personnel. ... use or administration of the contrast materials run the risk of patient mortality and, therefore, it is essential...hired after 1987 who administer radiologic procedures meet the credentialing standards in 42 CFR, Part 75, must be… more