- Highmark Health (Raleigh, NC)
- …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
- Granville Medical Center (Oxford, NC)
- …planning and coordination of quality improvement initiatives, all while ensuring compliance with regulatory and accreditation requirements. This individual will ... RN Quality Project Coordinator Location: Granville Health System, Oxford, NC About...policy and protocol implementations, and a liaison to the clinical management team. With direction of the Director and… more
- CVS Health (Raleigh, NC)
- …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