- Highmark Health (Providence, RI)
- …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
- Charter Care Health Partners (Providence, RI)
- …operational, and financial activities; assist in the development, implementation and ongoing compliance with the program's goals and objectives, monitor and bring to ... Program Letters of Agreement for any changes, expirations, etc. + Update ACGME Accreditation Data System (ADS) with new or departed faculty members, etc. + Ensure… more
- Veterans Affairs, Veterans Health Administration (Providence County, RI)
- …intra-operative anesthetic administration, and monitoring of post-anesthesia care in compliance with national accreditation standards; participates in ... medical staff in the administration of the Anesthesia programs. Involved with clinical care, bedside, and didactic teaching of residents, in consultation and… more
- CVS Health (Providence, RI)
- …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
- CVS Health (Providence, RI)
- …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 factors… more