- Highmark Health (Frankfort, KY)
- …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 (Lexington, KY)
- …most effective delivery of state-of-the-art care by meeting or exceeding compliance standards. Responsibilities This is an open continuous announcement. Applications ... September 26, 2025. Duties may include but are not limited to: Clinical practice, supervising and teaching Cardiology fellows, residents, and medical students.… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …the most effective delivery of state-of-the-art care by meeting or exceeding compliance standards. Responsibilities Duties include but are not limited to: The ... research activity. Shares in call responsibilities as assigned. Willing to serve as clinical director of a section of radiology if needed. Drafts protocols and… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …most effective delivery of state-of-the-art care by meeting or exceeding compliance standards. Responsibilities This vacancy will remain open until filled. Duties ... research activity. Shares in call responsibilities as assigned. Willing to serve as clinical director of a section of radiology if needed. The physician works under… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …part of the overall quality assessments and improvement program and assuring compliance with Joint Commission and Long-Term Care Institute (LTCI) requirements as it ... interpretations, decisions, recommendations, and reports in accordance with the clinical privileges this institution provided him/her. He/she acts with full… more
- CVS Health (Frankfort, KY)
- …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 (Frankfort, KY)
- …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
- Humana (Frankfort, KY)
- …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