- LA Care Health Plan (Los Angeles, CA)
- …to support the safety net required to achieve that purpose. Job Summary The Supervisor of Utilization Management ( UM ) RN is responsible for executing the ... of productivity and accuracy to achieve the department's overall performance metrics. The Supervisor ensures all functions of the UM department are operating in… more
- LA Care Health Plan (Los Angeles, CA)
- …Utilization Management ( UM ) functions on behalf of LA Care (LAC) is in compliance with all UM regulatory requirements and new legislation through the ... requirements/new legislation. Works collaboratively with Regulatory Affairs & Compliance . Stay abreast of new UM legislation, regulations, or other… more
- CareFirst (Baltimore, MD)
- …department functions to ensure appropriate coordination of health care services and compliance with UR policies/procedures, as well as, regulatory and ... that week. **ESSENTIAL FUNCTIONS:** + Supervise the daily operations of the UM staff. Recruits, retains and develops a high performing team. Evaluates performance… more
- University of Michigan (Ann Arbor, MI)
- …employer. **Job Detail** **Job Opening ID** 254088 **Working Title** Senior Associate Regulatory Analyst **Job Title** Research Compliance Spec Sr **Work ... Senior Associate Regulatory Analyst Apply Now **How to Apply** A...the use of human participants in research, and facilitates compliance with governmental and University policies pertaining to human… more
- University of Michigan (Ann Arbor, MI)
- …include:** + Develop policies and guidelines to improve standardization and maintain regulatory compliance in areas of oversight. + Monitor daily practices ... Pharmacy Technician Supervisor Apply Now **Mission Statement** Michigan Medicine improves...group and/or committees that address quality, cost containment, and regulatory compliance issues + Provide assistance to… more
- University of Michigan (Ann Arbor, MI)
- …interact with customers, public and staff. + Must require attention to legal and regulatory compliance issues. + Must be able to meet Physical requirements + ... service recovery + You will monitor and implement legal compliance measures **Required Qualifications Senior Supervisor +...and staff. + Must require attention to legal and regulatory compliance issues. + Must be able… more
- University of Michigan (Ann Arbor, MI)
- NURSING SUPERVISOR : Mott Childrens Hospital (7 East Pediatric Cancer Unit) Apply Now **Job Summary** 7 EAST MOTT is a 32-bed acute pediatric hematology, oncology, ... the Hospital and University policies and procedures and the standards of regulatory agencies. + Coordinate performance evaluation activities for unit staff as… more
- Commonwealth Care Alliance (Boston, MA)
- …under the provisions of CCA's benefits plan. The Utilization Management ( UM ) Reviewer is responsible for day-to-day timely clinical and service authorization ... has a key role in ensuring CCA meets CMS compliance standards in the area of service decisions and...team, specialty providers, vendors and members in adherence with regulatory and contractual requirements + Provides decision-making guidance to… more
- University of Michigan (Ann Arbor, MI)
- …completion and submission of the following: + Completed application via the UM Careers website + Updated curriculum vitae or resume **ADDITIONAL INFORMATION** Upon ... in-house education programs and via online programs For more information about the UM Health Department of Pharmacy Services and to review our Annual report, please… more
- Commonwealth Care Alliance (Boston, MA)
- …under the provisions of CCA's benefits plan. The Nurse Utilization Management ( UM ) Reviewer is responsible for day-to-day timely clinical and service authorization ... has a key role in ensuring CCA meets CMS compliance standards in the area of service decisions and...team, specialty providers, vendors and members in adherence with regulatory and contractual requirements + Provides decision-making guidance to… more
- University of Michigan (Ann Arbor, MI)
- …ScriptPro, DoseEdge, etc.) + Participate in audits and inspections which support regulatory and compliance standards + Effectively communicate with other ... submission of the following: + Completed application via the UM Careers website + Cover Letter or Letter of...and reconciliation discrepancies + Other duties as assigned by supervisor or pharmacist to assist with preparation and delivery… more
- Molina Healthcare (Dallas, TX)
- …auditing of registered nurse and other clinical functions in Utilization Management ( UM ), Case Management (CM), Member Assessment Team (MAT), Health Management (HM), ... Disease Management (DM). + Monitors key clinical staff for compliance with NCQA, CMS, State and Federal requirements. May...approach and tool use. + Assists in preparation for regulatory audits by performing file review and preparation. +… more
- University of Michigan (Ann Arbor, MI)
- …successful completion and submission of the following: + Completed application via the UM Careers website + Letter of intent + Updated curriculum vitae **Job ... pharmacy. + Other duties and projects as assigned by supervisor to facilitate safe and efficient patient care. **Required...through the State of Michigan Department of Licensing and Regulatory Affairs, or eligibility to become licensed within 90… more
- University of Michigan (Canton, MI)
- …their professional development + Oversees the day-to-day operations of the ACU + Ensures regulatory compliance with CMS, JC, CLIA, and other regulatory ... Medical Group (UMMG), and partners with the Medical Director and the Nurse Supervisor for overall performance and management of the Canton Health Center ACU. This… more
- University of Michigan (Ann Arbor, MI)
- …of new equipment, supplies & reagents. **QC/QA/ Compliance ** 1. Monitor lab compliance with CAP, CLIA, and other regulatory requirements, and interact with ... + Extensive supervisory and management experience. + Thorough knowledge of laboratory regulatory and compliance requirements. + Experience with implementing and… more
- University of Michigan (Ann Arbor, MI)
- …Assisting with training of staff + Other duties and projects as assigned by supervisor to facilitate safe and efficient patient care For more information about the ... date, verifiable through the State of Michigan Department of Licensing and Regulatory Affairs + Proficient communication, computer and basic mathematic skills are… more
- University of Michigan (Ann Arbor, MI)
- …a qualified candidate to fill the position of Allied Health Associate Supervisor at the Briarwood Health Center. The position includes overseeing and managing ... Serve as a point person for items communicated by supervisor or manager. Act as a liaison for communication...and assure laboratory Quality Control is performed to meet regulatory accrediting guidelines + Maintain inventory + Participate in… more
- University of Michigan (Livonia, MI)
- …their professional development. + Oversees the day-to-day operations of the ACU. + Ensures regulatory compliance with CMS, JC, CLIA, and other regulatory ... emergency readiness, etc.) + Collaborate with the Medical Director and Nurse Supervisor to review incident reports and ensure appropriate follow-up. + Collaborate… more
- University of Michigan (Ann Arbor, MI)
- …their professional development. + Oversees the day-to-day operations of the clinics. + Ensures regulatory compliance with CMS, JC, CLIA, and other regulatory ... emergency readiness, etc. + Collaborate with the Medical Director and Nurse Supervisor to review incident reports and ensure appropriate follow-up. + Collaborate… more
- InnovaCare (San Juan, PR)
- …ICT and health assessments. Staff will notify supervisors of any processes not in compliance with the Plan's SNP policies and MOC requirements. Clinical staff who do ... Prepares and submits to the Health Services Department / UM Medical Care Manager a monthly report of activities...in accordance with NCQA and CMS regulations to assure compliance standards and federal regulations utilizing established medical care… more