- Highmark Health (Little Rock, AR)
- …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
- Catholic Health Initiatives (Little Rock, AR)
- …+ Monitor clinical documentation, patient outcomes, and program performance, ensuring compliance with regulatory standards. + Serve as the expert on MCS devices, ... seamless, high-quality patient care. + Lead the creation and implementation of clinical pathways, order sets, and best-practice protocols. + Provide expert education… more
- CVS Health (Little Rock, AR)
- …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 (Little Rock, AR)
- …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