- Highmark Health (St. Paul, MN)
- …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
- Good Samaritan (Inver Grove Heights, MN)
- …in Nursing (ACEN), or National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Minimum of two years' clinical experience preferred. ... rehabilitation services. This full-time 40 hours per week MDS Coordinator will be a part of our management team....to evaluate outcomes based on an integration among established clinical , financial and utilization data. Functions in structured and… more
- CVS Health (St. Paul, MN)
- …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 (St. Paul, MN)
- …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