- Highmark Health (Richmond, VA)
- …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
- HCA Healthcare (Richmond, VA)
- …we support our colleagues in their positions. Join our Team as a(an) Stroke Compliance Coordinator Registered Nurse RN and access programs to assist with every ... more affordable to gain certifications and job skills. Apply today for our Stroke Compliance Coordinator Registered Nurse RN opening and continue to learn! **Job… more
- HCA Healthcare (Richmond, VA)
- …and treatment of metabolic and bariatric surgery patients + Manages program accreditation process and ensures continuous compliance with MBSAQIP requirements, ... we support our colleagues in their positions. Join our Team as a(an) Robotics Coordinator and access programs to assist with every stage of your career. **Benefits**… more
- CVS Health (Richmond, VA)
- …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 (Richmond, VA)
- …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
- Humana (Richmond, VA)
- …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