Hospital Compliance Jobs in Vancouver

Medical Assisting Program Director Duties: Effectively manage the program within the required guidelines while ensuring compliance with academic, regulatory and fiduciary requirements. Conduct all management functions and direct supervision within their ..

Senior Contracts Specialist The candidate will be responsible for contracts meeting compliance with OHSU Policy and Procedures, Legal requirements, Risk Management Standards, Federal and State requirements. Will negotiate various contracting aspects ..

Description The Quality Compliance Professional 2 completes annual quality ... reviews and research. The Quality Compliance Professional 2 work assignments are ... of action. Responsibilities The Quality Compliance Professional 2..

Associate Legal Counsel Duties: Manages the organization’s contracts and contracting process with, but not limited to, clients, payers, manufacturers, health systems, distributors, technologies, and vendors. Drafts, reviews, interprets and negotiates client ..

... Safety/Environmental Health Manager - Risk Compliance And Safety (1.0 FTE, Days) ... Safety/Environmental Health Manager - Risk Compliance And Safety that will be ... ensure work place safety and..

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..

Description The DRG Validation Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..

**Peer Support Specialist - Providence Portland Medical Center** **Fulltime, Days (Tues-Fri: 9:30am-7pm, and Sat: 10:00am-2pm)** The Peer Support Specialist will be an essential part of the Behavioral Health Team. Provides telephonic ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

... procedures, and training and in compliance with regulations set forth by ... systems incorporated into training, including compliance with ethical business practicesMaintain environmental ... patient care experience in a..

Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Vancouver Washington Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..

The position is accountable to manage and oversee the complete lifecycle of a diverse portfolio of contracts including: staffing, provider, residential, ancillary, vendor, information technology and other contracted services required for ..

**Acute Care Rehab Aide - Hospital - Providence St Vincent Medical Center** The Aide-Rehab Therapy assists therapists and therapist assistants with therapy treatments. Performs general department maintenance and maintains inventory of ..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Vancouver Washington Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..

Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..

Job Information Humana CMO - Regional VP, Health Services - Intermountain Region in Vancouver Washington Description The Regional VP, Health Services relies on medical background and reviews health claims. The Regional ..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

Description The Quality Compliance Professional 2 completes annual quality ... reviews and research. The Quality Compliance Professional 2 work assignments are ... of action. Responsibilities The Quality Compliance Professional 2..

The Clinic RN provides comprehensive nursing care for patients in an ambulatory care environment based on individual physical, emotional, and spiritual needs, and appropriate care strategies throughout the lifespan. This position ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..