- Veterans Affairs, Veterans Health Administration (White City, OR)
- …operations of the continuous survey readiness program which includes federal regulatory requirements, internal survey processes and external accreditation ... Summary The Quality Management (QM) Consultant Registered Nurse (RN) primary responsibilities include leadership and management for planning, organizing,… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Regulatory Compliance Consultant ** **Job Class: Human Services Program Consultant ** **Agency: Human Services Dept** + **Job ID** : 76393 + ... As a Compliance Consultant you will advise management and consult on regulatory compliance for all aspects of DHS' statewide background study system and ensure… more
- Trinity Health (Albany, NY)
- …Serves as a resource/ consultant to all departments related to quality, safety, accreditation and regulatory issues. + Leads task forces and teams charged ... PURPOSE** **Provides leadership and expertise in the areas of accreditation and regulatory compliance, quality and patient safety standards as it relates… more
- MyFlorida (Naples, FL)
- PROGRAM CONSULTANT - 64063907 Date: Apr 19, 2024 Location: NAPLES, FL, US, 34112 The State Personnel System is an E-Verify employer. For more information click on ... . Requisition No: 827676 Agency: Department of Health Working Title: PROGRAM CONSULTANT - 64063907 Pay Plan: Career Service Position Number: 64063907 Salary: $55,000… more
- CVS Health (Hartford, CT)
- …records to apply appropriate clinical criteria and policies in compliance with regulatory and accreditation requirements for members and providers. Coordinates ... to support appeals review. + Ensures appeal process compliance with regulatory and accreditation standards. + Counsels with members, representatives,… more
- CVS Health (Springfield, IL)
- …committee reports, reviews documentation and interprets data in line with HEDIS, regulatory , and accreditation requirements for patterns, population outcomes and ... care more personal, convenient and affordable. Position Summary The QM Consultant has a key role in developing and implementing data-driven strategies/interventions… more
- Houston Methodist (Houston, TX)
- …+ Critical thinking, problem-solving, and mature judgment + Has knowledge of legal, accreditation and regulatory agency requirements + Has the knowledge and ... similar background strongly encouraged to apply.** At Houston Methodist, the Senior Consultant position is responsible for both financial and operational analysis to… more
- CVS Health (Scranton, SC)
- …member's goals. - Utilizes internal policy and procedure in compliance with regulatory and accreditation guidelines.Required Qualifications- 3+ years of clinical ... with travel being a minimum of 20% of the time (1 day per week). This Health Coach Consultant role is an RN and must report onsite to work every day (this is not a… more
- Adecco US, Inc. (Woonsocket, RI)
- …systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider issues. ... of the clinical documentation/information. + Pro-actively and consistently applies the regulatory and accreditation standards to assure that activities are… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …assessing/auditing medical records and UM letters against medical necessity criteria and accreditation and regulatory criteria + Review applicable policies and ... C utilization management organization determination compliance and reporting or other regulatory / accreditation third party audits + Experience auditing,… more
- Immigration and Customs Enforcement (IN)
- …Healthcare Compliance, Office of Health Plan Management. The Senior Utilization Review Consultant will report directly to the IHSC Regional Utilization Manager with ... DUTIES AND RESPONSIBILITIES: Serves in the capacity of Senior Utilization Review Consultant and subject matter expert in program activities and policies related to… more
- Children's Hospital Boston (Boston, MA)
- …techniques for monitoring and assessing quality of care and compliance with accreditation and regulatory requirements. + Providing support for implementation and ... 75041BRJob Posting Title: Consultant , Quality Improvement - Orthopedic Surgery and ResearchDepartment:Orthopedic Surgery and Research… more
- SAP (Herndon, VA)
- …to choose from. Apply now! **SAP NS2 Intel Cloud Security and Governance Consultant - Onsite - Chantilly, VA** **Active TS SCI Polygraph** **NS2 COMPANY DESCRIPTION** ... must have managers approval to transfer. The NS2 Intel Security and Governance Consultant candidate will be responsible for leading our security and controls team in… more
- CVS Health (Raleigh, NC)
- …member's goals - Utilizes internal policy and procedure in compliance with regulatory and accreditation guidelines Required Qualifications- Must hold an ... required, per business needs. Typically every 4-6 weeksThe Health Coach Consultant ; Chronic Conditions utilizes a collaborative process of assessment, planning,… more
- Indian Health Service (Pierre, SD)
- …This position is that of an Environmental Engineer (Tribal Utility Consultant ), Division of Sanitation Facilities Construction (DSFC), Indian Health Service, Office ... the US Department of Education may be credited. Applicants can verify accreditation at the following website: https://www.ed.gov/ accreditation . If you are using… more
- CVS Health (Richmond, VA)
- …requirements. Evaluates documentation/information to determine compliance with clinical policy, regulatory and accreditation guidelines, and maximize compliance ... ensure compliance. Pro-actively and consistently applies waiver program requirements, accreditation standards, and HEDIS specifications to assure that activities are… more
- Baystate Health (Springfield, MA)
- …throughout Baystate Health, including all licensed sites. The Senior Director, Regulatory Affairs develops a comprehensive accreditation program to ensure: ... not limited to, functioning as an expert resource and consultant to the organization, as a liaison between the...the organization, as a liaison between the organization and accreditation or regulatory bodies, and as a… more
- Sutter Health (Modesto, CA)
- …navigate an electronic health record required.** **In-depth Knowledge of accreditation and regulatory standards** **Must demonstrate written/verbal interpersonal ... processes for outcomes management, performance improvement, patient safety and regulatory compliance. Develops and coordinates components of the Sutter Health's… more
- Sutter Health (Los Banos, CA)
- …to navigate an electronic health record required. + In-depth Knowledge of accreditation and regulatory standards + Must demonstrate written/verbal interpersonal ... processes for outcomes management, performance improvement, patient safety and regulatory compliance. Develops and coordinates components of the Sutter Health's… more
- Sutter Health (Modesto, CA)
- …to navigate an electronic health record required. + In-depth Knowledge of accreditation and regulatory standards + Must demonstrate written/verbal interpersonal ... processes for outcomes management, performance improvement, patient safety and regulatory compliance. Develops and coordinates components of the Sutter Health's… more