- Highmark Health (Salem, OR)
- …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 (Salem, OR)
- …The Caregiver Support Coordinator (CSC) is a Social Work Program Coordinator whose primary responsibilities are to provide clinical evidence-based services ... (PCAFC) specific to their area of assignment and ensures compliance and collaboration with local facility and the VA...data entry, ethical practice and service delivery. The program coordinator provides analysis and evaluation of clinical … more
- CVS Health (Salem, OR)
- …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