- 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
- 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
- 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 (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