- Kaiser Permanente (Baltimore, MD)
- …administrative liaison to assist other departments in complying with highly complex accreditation and regulatory risk management requirements (eg, policies ... Manager role, reporting to the Senior Director in Risk Adjustment and will manage 3-4 direct reports in...regulatory audits (RADV, HHS, OIG). Job Summary: Guides risk management programs by driving teams to proactively plan… more
- YMCA (Estes Park, CO)
- Association Risk and Compliance Manager at YMCA of the Rockies. Job Description POSITION SUMMARY: This position supports the work of YMCA of the Rockies, which ... Estes Park Center and Snow Mountain Ranch. The Association Risk and Compliance Manager is primarily responsible...risk management and compliance functions, ensuring adherence to regulatory requirements, and fostering a culture of proactive … more
- CVS Health (Schaumburg, IL)
- …- Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. ... all with heart, each and every day. Position Summary This Clinical Case Manager Behavioral Health position is with Aetna's Long-Term Services and Supports (LTSS)… more
- Sheppard Pratt (Nottingham, MD)
- …and quality assurance systems. Ensure compliance with funding, licensing, accreditation , and regulatory requirements. Requires facilities, construction, ... state and federal programs (Maryland Works, Inc. and AbilityOne). The Operations Manager will strengthen operations and support growth for this $18 million social… more
- Tenet Healthcare Corporation (Detroit, MI)
- …and at appropriate level of care. Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy. Education provided ... DMC Rosa Parks Geriatric Center of Excellence. Job Description: The RN Case Manager is responsible to facilitate care along a continuum through effective resource… more
- TD Bank Group (Mount Laurel, NJ)
- …Treasury Data Governance team oversees business alignment and adherence to Data Risk Management (DRM) policy and EDMO (Enterprise Data Management Office) standards ... enterprise policies, standards, and strategies, contributing to better insights, reduced risk , and improved operational efficiency. A successful candidate will have… more
- Texas Health Resources (Dallas, TX)
- …activities. Alerts appropriate individuals regarding ethical and legal concerns (ie Risk Manager , Compliance Officer, Director). Educates, promotes and evaluates ... Nurse Manager II-Surgery Are you looking for a rewarding...change management techniques, financial analysis, budget process and planning, accreditation and regulatory standards, strategic planning principles,… more
- Alameda Alliance For Health (Alameda, CA)
- …case management and care coordination programs and processes. The Complex Case Manager , Nurse will provide case management services for health plan members with ... the optimum functional level and autonomy. The Complex Case Manager Nurse will be working closely with a team...a identifying the health plan's members who are most at- risk of poor health outcomes and in need of… more
- Nurses Direct, LLC. (Atlanta, GA)
- …at any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned ... specimens that could contain communicable diseases. There may be an occupational risk for exposure to communicable diseases. Because the incumbent works within a… more
- Commonspirit Health (Santa Cruz, CA)
- …SUMMARY / PURPOSE The primary function of the Quality/Patient Safety Program Manager Clinical License is to support, coordinate, and facilitate the quality ... management (QM), patient safety (PS) and regulatory performance improvement (PI) activities for the hospital and medical staff. This role also serves as a resource… more
- Baptist Health (Alabaster, AL)
- …care. Recognized for excellence with accolades like ACC Cath Lab Accreditation , Transcatheter Valve certification, and Primary Stoke Center Designation, we're ... *Prioritizes activities in assigned areas to focus on high risk , high cost, and problem prone areas. *Acts as...legal issues, patient rights and compliance with standards of regulatory and accrediting agencies. *Serves as a facilitator to… more
- Hopscotch Primary Care (Hudson, NC)
- …of care across different physicians and within the healthcare system. As a Care Manager Registered Nurse , you will play an important role in the care for ... Manage end-to-end case management services to a defined panel of risk -stratified patients: Relationship Development and Navigation of Healthcare Ecosystem: Establish… more
- The University of Kansas Health System (Mission, KS)
- …as a resource to train other employees in collaboration with the supervisor/ manager . The Patient Service Representative Scheduling (PSR Scheduler) is an important ... and knowledge sharing occurs regularly. Encourages employees to use organization risk reporting tools. Demonstrates knowledge, adheres to, and educates others for… more
- Ochsner Health (Raceland, LA)
- …at any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned ... related experience Certifications Preferred - Certification in Healthcare Access Manager (CHAM), Certification in Healthcare Access Associate (CHAA), Certification… more
- TimelyCare (Dallas, TX)
- …and identify opportunities for performance improvement. Maintain up-to-date knowledge of regulatory and accreditation requirements (eg, NCQA, URAC, The Joint ... departments. This role reports directly to the Senior Quality Assurance Program Manager and is responsible for supporting others within the organization towards… more
- Wellstar Health System (Augusta, GA)
- …to improve the same - includes assuring service meets or exceed licensure, regulatory and accreditation standards * Advances managerial skills to effectively use ... and safety. Demonstrates interest and aptitude to achieve knowledge of risk management and various accreditation /regulations/licensing requirements. Join us and… more
- Well Care Home Health (Raleigh, NC)
- …data. Facilitates recommended action plans. Facilitates ongoing activities to meet accreditation standards and regulatory guidelines. Performs other duties as ... Works under the supervision of the Manager of Compliance and Quality. Analyzes performance improvement,...management and outcome data. 2. Facilitates activities to meet accreditation standards and regulatory guidelines. 3. Contributes… more
- Tenet Healthcare Corporation (Detroit, MI)
- …and at appropriate level of care Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy Education provided ... patient for transition needs including identifying and assessing patients at risk for readmission. Conducts complex psycho-social assessment and intervention to… more
- Ochsner Health (New Orleans, LA)
- …at any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned ... for LPNs and other clinical/clerical staff as directed by the department manager . Coordinates provider call schedule and provider staff clinic schedules and… more
- Mountain View Care Center (Ripley, WV)
- Elevate Healthcare Excellence as an Infection Control & Employee Health Manager Drive Progress, Foster Health, and Safety Are you a healthcare visionary dedicated to ... We are in search of an accomplished Infection Control & Employee Health Manager to spearhead and optimize infection prevention measures while ensuring the vitality… more
