- Highmark Health (Carson City, NV)
- …Description :** **JOB SUMMARY** This job is responsible for working with HHO clinical departments in the areas of compliance and process improvement. Serves ... as a corporate resource regarding accreditation standards, clinical performance and continuous improvement...maintenance of Care Management policies and procedures to ensure accreditation and compliance with NCQA and DMMA… more
- Veterans Affairs, Veterans Health Administration (Reno, NV)
- …developed resources to meet the demands of a crisis. Complete appropriate clinical reminders and screening tools for assessing suicide risk. As appropriate, will ... the Veteran, family members and significant others (as appropriate). Conduct applicable clinical reminders within their approved clinical privileges or scope of… more
- CVS Health (Carson City, NV)
- …clients. - Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory ... and/or member's needs to ensure appropriate administration of benefits. - Applies clinical judgment to the incorporation of strategies designed to reduce risk… more