- Planned Parenthood of Central and Western NY (Buffalo, NY)
- … + Keep Regional Director apprised of payer enrollment and credentialing issues to mitigate risk + Understand specific application requirements for ... Payer Enrollment & Credentialing Specialist WFH Flexible * Buffalo, NY (http://maps.google.com/maps?q=60+E.+Amherst+Street+Buffalo+NY+USA+14214) * Revenue Cycle Job… more
- HCA Healthcare (Tallahassee, FL)
- …in a healthcare setting preferred. Working knowledge of The Joint Commission accreditation process and standards, health care and credentialing industry, ... This position is incentive eligible. **Introduction** We are seeking a(an) Director Medical Staff Services with HCA Florida Capital Hospital to promote… more
- Sutter Health (Los Banos, CA)
- …Sept. 5, 1967. Today, MHLB is accredited by the Joint Commission on Accreditation of Healthcare Organizations and operates as a non-profit, general care medical ... related to identified safety issues in conjunction with the risk management leadership.** **Maintains knowledge of regulatory/accrediting agencies, statutes and… more
- Highmark Health (Charleston, WV)
- …and staff functions. The incumbent assists operations/programs to comply with accreditation and regulatory standards, including but not limited to NCQA, Pennsylvania ... providers across the network. + Attend meetings as appropriate, including medical director meetings, QI committee and subcommittees, as assigned. + Contribute to the… more
- Magellan Health Services (Albuquerque, NM)
- …interdisciplinary UM team, including regular involvement in the case management of at- risk cases and medical necessity decisions. Follows high risk cases ... care throughout the episode of treatment. Continues physician oversight of at- risk patients deemed appropriate for complex case management and timely completion… more
- Surgery Care Affiliates (San Diego, CA)
- …emergency preparedness, life safety, medical equipment, and utilities management. + Risk Management (incident reporting) + Adverse Drug Reaction reports + ... Identification and data collection of center specific quality indicators based on high risk , problem prone procedures as appropriate. + Review and revision of the PI… more
- CVS Health (Austin, TX)
- …health care more personal, convenient and affordable. Position Summary The Lead Director will manage the development of contracts and agreements with providers and ... for designing conceptual models, initiative planning, and negotiating high value/ risk contracts with the most complex and challenging, market/region/national,… more
- Baylor Scott & White Health (Temple, TX)
- …network managed care performance. + Partner with Provider Networks and Medical Director team in creating and maintaining programs that incentivize providers to ... retrospective review process and case management. + Participate in risk management, claims administration, pharmacy utilization management, catastrophic case review,… more
- Trinity Health (Springfield, MA)
- …Type:** Full time **Shift:** Day Shift **Description:** Come lead our Quality & Risk Management team at Mercy Medical Center, a member of Trinity Health Of ... Oversee Quality Department and associated functions; Lead Joint Commission accreditation and State licensure/renewal activities + Oversee Mercy regulatory activities… more
- NYU Rory Meyers College of Nursing (New York, NY)
- …to incident detection and reporting, initial assessment, containment and risk mitigation, investigation, notification of individuals, documentation and reporting, ... and collaboration and align goals and strategies. Co-manage the clinical credentialing compliance process to review health care providers' qualifications to practice… more
- Burrell Behavioral Health (Kansas City, MO)
- …compliance with applicable regulatory standards maintaining licensure, certification, and accreditation . + Adhere to Incident Reporting policy and procedure ensuring ... departments' compliance and that staff are educated in regards to Risk Management expectations. + Respond to community and/or client feedback/suggestions informing… more
- Cleveland Clinic (Vero Beach, FL)
- …+ Knowledge of JCAHO accreditations medical staff standards. + Knowledge of NCQA accreditation credentialing and re- credentialing standards. + Knowledge of ... and coordinates the reappointment process for existing providers. * Administer the credentialing and privileging process for all medical staff, in accordance with… more
- Highmark Health (Dover, DE)
- …initiatives in a timely manner. May coordinate credentialing , re- credentialing , member complaint investigations, Medical Director site visit requests, ... facility site visit requests, activities to include other reviews, audits, accreditation activities as requested on behalf of the organization. **ESSENTIAL… more
- Veterans Affairs, Veterans Health Administration (Albuquerque, NM)
- Summary The Chief of Staff (COS) reports to the Medical Center Director and is a full member of the Executive Leadership Team. The Chief of Staff provides leadership ... across service lines. Directs the medical staff governance, by-laws and credentialing and privileging. Promotes an effective mix, coordination, and support of… more
- COCC (Bend, OR)
- …performance in the classroom, lab or practicum under the direction of the Program Director and Allied Health Chair in this CAAHEP (Commission on Accreditation of ... of practicum sites under the direction of the Program Director . + Lab faculty or assistants will also perform...write proposals for program funds or prepare documentation for accreditation requirements. + Assist with program outreach. + Cooperate… more
- Immigration and Customs Enforcement (Jena, LA)
- …(ERO), ICE Health Service Corps (IHSC), Office of the Deputy Assistant Director of Clinical Services, Behavioral Health Unit. Period of Eligibility: Submitted ... contract staff regarding issues that include, but are not limited to risk assessment for violence, housing recommendations for handling difficult demanding, and… more
- Vighter Medical Group (El Paso, TX)
- …Certified Medical/Nursing Assistants), and other support staff (Patient Safety Risk Managers and Electronic Health Records Specialists). These contracted medical ... Colleges, Liaison Committee on Medical Education, Commission on Osteopathic College Accreditation of the American Osteopathic Association, or an accrediting body… more
- STG International (Miami, FL)
- …performs functions in accordance with current accepted practice, licensure, certification, credentialing and or granted privileges. + Provides treatment of persons ... and or coordinate response to medical emergencies. + Assesses and identifies high risk symptoms/behaviors in patients to include suicidal risk , homicidal risk… more
- USGP (San Antonio, TX)
- …following Programs: Patient Safety (PS), Healthcare Risk Management (HRM), Credentialing and Privileging (CP), Accreditation and Compliance (AC), Clinical ... Business Analysis support assistant with supporting responsibility under the VMC Director of Administration for directing, managing, and monitoring Virtual Health… more
- HCA Healthcare (Pensacola, FL)
- …the hospital. The CMO provides senior-level leadership to the infection control, risk management, safety, and medical staff credentialing functions, ensuring the ... development, and overall hospital strategy + You will provide medical director services to facility-level physician credentialing , business development, and… more