• Clinical Compliance

    Highmark Health (Montgomery, AL)
    …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
    Highmark Health (06/28/25)
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  • Quality Coordinator RN

    Community Health Systems (Huntsville, AL)
    …facilitating process improvements to achieve optimal patient outcomes. The Quality Coordinator supports accreditation efforts and continuous quality improvement ... **Job Summary** The Quality Coordinator - RN plans, coordinates, and implements quality...including data collection, analysis, and performance monitoring, to ensure compliance with regulatory and accreditation standards. +… more
    Community Health Systems (06/14/25)
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  • RN Patient Care Coordinator

    Community Health Systems (Gadsden, AL)
    Join us as a **Registered Nurse (RN) - Patient Care Coordinator , Days** position at Gadsden Regional Medical Center Unit: Med/Surg Shift: Days Student Loan ... more available for Full and Part-Time roles **Job Summary** The Patient Care Coordinator oversees nursing staff and daily operations to ensure the delivery of safe,… more
    Community Health Systems (05/08/25)
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  • Physician- Pain Management

    Veterans Affairs, Veterans Health Administration (Tuskegee, AL)
    …CAVHCS in compliance with facility, VHA, and the Joint Commission accreditation standards. VA offers a comprehensive total rewards package: VHA Physician Total ... participants ineligible to apply for incentive. Contact ###@va.gov, the EDRP Coordinator for questions/assistance. Learn more. Contract Buy Out Program: Not… more
    Veterans Affairs, Veterans Health Administration (06/28/25)
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  • Case Manager, Registered Nurse - Medical/Surgical,…

    CVS Health (Montgomery, AL)
    …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 (06/28/25)
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  • Registered Nurse, Case Manager - Oncology…

    CVS Health (Montgomery, AL)
    …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
    CVS Health (06/19/25)
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  • Telephonic Nurse Case Manager

    Humana (Montgomery, AL)
    …to maximize each beneficiary's capacity for self-care, to cost-effectively achieve desired clinical outcomes and to enhance quality of medical care. The case manager ... of case management involvement. The case manager will serve as the primary coordinator and point of contact for the beneficiary for all activities within the… more
    Humana (07/01/25)
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