Quality Compliance Nurse Professional Jobs in Pittsburgh

... Information Humana Medicaid Associate Director, Compliance Nursing in Pittsburgh Pennsylvania Description ... Pennsylvania Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..

... they are receiving the best quality of care possible. You will ... communication with members Adhere to compliance standards, state and federal regulations ... individual licensing boards Participate in..

... and processes necessary to maintain compliance with NCQA and MMOC standards ... leadership to achieve and maintain compliance. Collect and analyze data daily, ... of SCM nurses queues for..

Job Information Centerwell Nurse Practitioner, Implementation and Training Team ... and more productive in their professional and personal lives. We encourage ... train primary care providers in quality-based, senior-focused medicine..

... is committed to providing personalized, high-quality primary care combined with an ... and more productive in their professional and personal lives. We promote ... environment for all. Responsibilities The..

Description The Senior Accreditation Professional works in a team environment ... performing complex tasks related to compliance with accreditation standards across multiple ... Home Anywhere The Senior Accreditation Professional works..

Job Information Humana Senior Accreditation Professional in Pittsburgh Pennsylvania Description The ... Pennsylvania Description The Senior Accreditation Professional works in a team environment ... performing complex tasks related to compliance..

Description Responsibilities The Compliance Professional 2 has responsibilities for performing ... on medical record documentation for quality and clinical compliance with contract requirements as outlined ... CPT Codes. KEY ACCOUNTABILITIES..

Description The Learning Facilitation Professional 2 (LFP2) plans, coordinates, conducts ... company training requirements for company, quality, and regulatory compliance. The LFP2 provides guidance and ... Social Worker, Licensed Therapist,..

... and identification and resolution of quality issues. Monitors and analyzes the ... are within the care manageru2019s professional discipline. Effectively functionu00a0in accordance with ... state, federal laws and regulatory..

... and more productive in their professional and personal lives. We encourage ... is committed to providing personalized, high-quality primary care combined with an ... and more productive in their..

Job Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in Pittsburgh Pennsylvania ... Pennsylvania Description The Risk Management Professional 2 identifies and analyzes..

... and processes necessary to maintain compliance with NCQA and MMOC standards ... leadership to achieve and maintain compliance. Collect and analyze data daily, ... of SCM nurses queues for..

... lab associates to enjoy more professional challenges, promotional opportunities, and career ... and written instructions to perform quality control checks, preventive maintenance, and ... in areas of procedures, methods,..

... is committed to providing personalized, high-quality primary care combined with an ... and more productive in their professional and personal lives. We promote ... based care provider focused on..

... your personal attention and kindness, professional insight, and a generosity of ... the best possible outcomes and professional satisfaction. While our extensive organization ... of camaraderie, emphasizing friendly collaboration,..

... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... policy requirements. Ensure provision of quality patient care while maintaining cost-effective ... in accordance with all legal,..

Description The Senior Clinical Business Professional is a clinical partner to ... team. The Senior Clinical Business Professional work assignments involve moderately complex ... business reviews in accordance with compliance..

... is committed to providing personalized, high-quality primary care combined with an ... and more productive in their professional and personal lives. We promote ... based care provider focused on..

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

... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... policy requirements. Ensure provision of quality patient care while maintaining cost-effective ... in accordance with all legal,..