- Highmark Health (Olympia, WA)
- …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
- Veterans Affairs, Veterans Health Administration (Tacoma, WA)
- …by the OT department at ALVA and supervises staff that includes GS-12/13 Clinical Specialists. Duties include: Clinical : Assesses needs, coordinates, reviews and ... and medical record documentation skills and PT costs and outcomes and ensures compliance with the Joint Commission and CARF guidelines. Monitors RCS OT staff … more
- CVS Health (Olympia, WA)
- …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