- Highmark Health (Augusta, ME)
- …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
- Woodlands Senior Living LLC (Augusta, ME)
- …and inclusive work environment. What you will do as a Quality & Compliance Coordinator : + Collaborates with multidisciplinary teams to conduct regular visits ... Quality & Compliance Nurse Coordinator Augusta, ME (http://maps.google.com/maps?q=108+Anthony+Ave+Augusta+ME+USA+04330-8089) * Admin Job Type Full-time… more
- Veterans Affairs, Veterans Health Administration (Togus, ME)
- …satisfaction among patients and staff, as well as meet and exceed compliance standards. Provides anesthetic services within five general categories to include: ... induction, maintenance, and emergence; post anesthesia care; peri-anesthetic and clinical support functions; and emergency response techniques. Develops and… more
- Veterans Affairs, Veterans Health Administration (Togus, ME)
- …with VISN for referrals to RRTP Programs in VISN 1.Position will oversee clinical case management in Domiciliary to ensure compliance and clinical ... Act as a consultant to other team/staff members and take a lead clinical role in case consultation. Fulfill ethical responsibilities to Veterans, colleagues and VA… more
- CVS Health (Augusta, ME)
- …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