- Humana (Lincoln, NE)
- **Become a part of our caring community and help us put health first** The Accreditation Professional 2 supports the team by managing a variety of tasks related ... to the administration of the NCQA accreditation survey process. The Accreditation Professional 2 work assignments are varied and flexibility is required in… more
- Highmark Health (Lincoln, NE)
- …conducted in compliance with applicable business process requirements, regulatory requirements, professional scope and accreditation standards. + Participates in ... the assigned member panel and utilizes data/analytics in conjunction with professional clinical judgement to identify the right clinical/lifestyle intervention for… more
- CVS Health (Lincoln, NE)
- … accreditation processes, and NCQA standards. + Licensed clinical professional (RN preferred). + Excellent analytical, organizational, and communication skills. + ... to Eastern and Central time zones._ **Job Summary:** The NCQA Accreditation Auditor is responsible for evaluating healthcare organizations' compliance with NCQA… more
- Veterans Affairs, Veterans Health Administration (Lincoln, NE)
- …administrative duties in support of clinical service provision including: Prompt, professional communication, either directly or through the medical record with ... regarding their patients. Total Rewards of a Allied Health Professional Work Schedule: Monday-Friday 8:00am-4:30pm Recruitment Incentive (Sign-on Bonus): Not… more
- Veterans Affairs, Veterans Health Administration (Lincoln, NE)
- …safety of pain care. Total Rewards of a Allied Health Professional Work Schedule: Monday-Friday 8:00am-4:30pm Recruitment Incentive (Sign-on Bonus): Not Authorized ... by the American Psychological Association (APA), the Psychological Clinical Science Accreditation System (PCSAS), or the Canadian Psychological Association (CPA) at… more
- Good Samaritan (Beatrice, NE)
- …Practice Act and Administrative Rules in state of practice and licensure. The Professional Nursing Practice recognizes the Scope and Standards of Practice and the ... Nurses Association as the foundation of nursing care delivery and professional conduct. **Qualifications** Graduate from a nationally accredited nursing program… more
- ASM Research, An Accenture Federal Services Company (Lincoln, NE)
- …an Information Assurance and Cloud computing SME with regards to Certification and Accreditation (C&A) and a broad coverage of the application of the National ... The CCS shall maintain current certification as a Certified Cloud Security Professional . Possesses the ability to work independently with substantial cloud computing… more
- Highmark Health (Lincoln, NE)
- …Develop and manage process improvement initiatives designed to maintain URAC accreditation of all network practices associated with government programs using ... to quality assurance guidelines, with state and local regulations and URAC accreditation requirements. Conduct audits as needed. + Other duties as assigned or… more
- Centene Corporation (Lincoln, NE)
- …all activities related to National Committee for Quality Assurance (NCQA) Accreditation and/or Healthcare Effectiveness Data and Information Set (HEDIS) performance ... ensuring highest level of accreditation and health plan rating. + Manage all aspects...prospective and retrospective programs preferred. RN license and Certified Professional in Health Care Quality preferred. Or equivalent experience… more
- Veterans Affairs, Veterans Health Administration (Lincoln, NE)
- …with direct supervision. Responsibilities Total Rewards of a Allied Health Professional Customer Service Shows courtesy, respect, and a positive attitude for ... accredited by the American Dental Association's Commission on Dental Accreditation (CODA). OR, Experience/Education Combination. Equivalent combinations of experience… more
- Baylor Scott & White Health (Lincoln, NE)
- …inpatients, one time ancillary/series, emergency department, observation, day surgery, and/or professional fee to include evaluation and management (E/M) coding or ... profee surgery. + For professional fee coding, team members in this job code...and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. Must have one of… more
- Molina Healthcare (Lincoln, NE)
- …for national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications. * Provides leadership and consultation for ... monitor and improve utilization management. * Actively participates in regulatory, professional and community activities. Required Qualifications * At least 3 years… more
- Trellix (Lincoln, NE)
- …The Endpoint Security Engineer (ESE) will report to the Senior Manager of the Professional Services Delivery team. ESE will be an onsite professional services ... issues with Trellix Customer Success Managers, Technical Support Engineers, and Professional Services management. The endpoint security solution consultant will work… more
- Cayuse Holdings (Lincoln, NE)
- …+ Minimum of 2 years of related experience. + Certified Translation Professional . + Translation Certifications. + Certifications from a previous agency or + ... Accreditation from a translation program. + Must be fluent...certificate. **Reports to: Deputy Program Manager** **Working Conditions:** + Professional remote environment. + **Must be able to be… more
- Veterans Affairs, Veterans Health Administration (Lincoln, NE)
- …urology, and wound care. Responsibilities Total Rewards of a Allied Health Professional The Licensed Practical Nurse (LPN) plays a crucial role in delivering ... team and interact in an appropriate manner with patients, family members, professional and other supportive personnel involved in the delivery of patient care,… more
- Highmark Health (Lincoln, NE)
- …of the assigned member panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each ... corporate, state, and federal law standards and are within the care manager's professional discipline. + For assigned case load, create care plans to address… more
- Veterans Affairs, Veterans Health Administration (Lincoln, NE)
- …behavioral, or psychological needs. Responsibilities Total Rewards of a Allied Health Professional This position will be located in the Lincoln Community Based ... team and interact in an appropriate manner with patients, family members, professional and other supportive personnel involved in the delivery of patient care,… more
- CVS Health (Lincoln, NE)
- …certification from the Association of Certified Fraud Examiners (CFE) or an accreditation from the National Health Care Anti-Fraud Association (AHFI) + Experience In ... policies and procedures **Education** + Bachelor's degree preferred/specialized training/relevant professional qualification **Anticipated Weekly Hours** 40 **Time Type** Full… more
- Datavant (Lincoln, NE)
- …complex problems with technology-forward solutions. Datavanters bring a diversity of professional , educational and life experiences to realize our bold vision for ... compliance with established ICD-10 CM, third party reimbursement policies, regulations and accreditation guidelines. + Coders must meet and maintain a 95% coding… more
- Stryker (Lincoln, NE)
- …environments + Ability to participate in and attend sales meetings and professional association meetings outside regular business hours, as required + Must adhere ... adhering to applicable federal, state and local laws and regulations, accreditation and licenser requirements, and Company's policies and procedures Health benefits… more