Search Results: 6,833 vacancies
...everything for our 28 million members as a clinical professional on our Medical Management/... ...**Position Purpose:** Performs clinical reviews needed to resolve and process appeals by... ...guidelines, and National Committee for Quality Assurance (NCQA) standards.
+ Prepares...
Quality
Hourly pay
Holiday work
Remote job
Work from home
Flexible hours
...everything for our 28 million members as a clinical professional on our Medical Management/... ...team.**
**Position Purpose:** Performs reviews of member's care and health status of... ...+ Analyzes BH member data to improve quality and appropriate utilization of services...
Quality
Hourly pay
Holiday work
Remote job
Flexible hours
...new staff. Updates internal documentation tools to reflect State and County Medi-Cal guidelines.
Attends all County Utilization Review meetings and implements recommendations.
Is responsible for conducting monthly on-site Internal Utilization Reviews.
Acts as...
Quality
Monday to Friday
...LVN Outpatient Utilization Review - River City Medical Group
Shift- Monday-Friday day shift
Description:
The Clinical Case Manager coordinates all systems/services needed for an organized, multidisciplinary, patient centered team approach, and cost-effective care...
Suggested
Contract work
Temporary work
Shift work
Day shift
Monday to Friday
...Head of Quality
About the Company
Successful biotechnology firm specializing in cell & gene therapies
Industry
Biotechnology... ...as overseeing all quality assurance (QA) activities from early clinical to commercial phases. This role involves being the primary...
Quality
Overview :
Flatiron is seeking a well-qualified Quality Manager for upcoming work. Given the type of projects in the Northern California... ...specifications and Company standards. We recommend you review our website to learn about currently building projects as it is...
Quality
Contract work
Flexible hours
...Job Description
Job Description Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business.
This is a remote position. Must reside in or near Folsom, CA.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Responsible for...
Suggested
Hourly pay
Minimum wage
Full time
Local area
Remote job
Flexible hours
...on outpatient requests for treatment
Determine if additional clinical treatment sessions are needed
Manage behavioral health cases... ...the entire treatment plan
Administer benefits and review treatment plans in collaboration with interdisciplinary care team...
Quality
Work experience placement
Local area
...We are looking for
Quality Associate III
to join our growing team! In this role, you'll support the California High Speed Rail... ...responsibilities include:
Lead internal task 7b team on QMDP reviews and efforts as part of acceptance of completed structures.
Lead...
Quality
Holiday work
Flexible hours
...offices throughout the country to provide top-quality ABA therapy across all populations.... ...95742
POSITION OVERVIEW:
The Clinical Supervisor is responsible for all clinical... ...needed for funding meetings (i.e., IEP, peer reviews)
•Stay up to date on best practices for...
Quality
Full time
Outdoor
...Job Description Summary As a Quality Control Specialist I working for Taylor Morrison you will support and assist the quality control... ...team in preparing loan production files for the Pre and Post QC review in accordance with the QC program and accepted agency...
Quality
Holiday work
Full time
Flexible hours
...blood disorders as well.
The QA Specialist II supports the quality management system (QMS) through performing raw material release... ...•Support batch record release activities
•Support review of logbooks, procedures and protocols
•Act as a system administrator...
Quality
Local area
Remote job
...Job Description and Duties
The Children Services Quality Management Branch (CSQMB) is responsible for maintaining the integrity of... ...CWS System Improvements, Continuous Quality Improvement, Federal Reviews, Training Support, and Critical Incidents.
The Case Review...
Quality
Holiday work
Permanent employment
Full time
Contract work
Temporary work
Remote job
Trial period
**_What Quality Compliance contributes to Cardinal Health_**
Quality develops and implements quality policies, procedures, and processes... ...updates all required CSMP applications to reflect customer review status.
+ Effectively manages competing priorities and multiple...
Quality
Hourly pay
Temporary work
Local area
Remote job
Flexible hours
...Folsom, CA 95630
Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business.
This is a remote position. Must reside in or near Folsom, CA.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Responsible for auditing medical...
Suggested
Hourly pay
Minimum wage
Full time
Local area
Remote job
Flexible hours
...environment, keep reading! We are searching for a result-oriented Quality Manager to join our Elevator Controls team at Vantage Elevation... ...management system (QMS)
Facilitates monthly Management Review Meetings and reports/discusses Key Performance Indicators (KPIs...
Quality
Full time
Local area
Day shift
...Director of Clinical Operations
Job no: 538070
Work type: Management (MPP)... ...The Director provides leadership to ensure quality service is delivered that meets the evolving... ...ability to compile, prepare, write, and review error-free reports.
# Excellent verbal...
Quality
Full time
Monday to Friday
...staff is well-trained and highly skilled qualities that are vital to maintaining excellence... ...Foundation inpatient admissions and concurrent review for appropriate level of care and medical... ...Medical Director’s specialists clinic staff and Inpatient care coordination to...
Quality
Casual work
Seasonal work
Immediate start
About the job MANAGER OF CLINICAL OPERATIONS (MCO)
HireNow Staffing is actively... ...accurate and timely Performance Planning & Reviews (PP&R) of Center Managers with specific... ....
Conduct routine and quarterly quality assurance and corporate compliance audits...
Quality
Local area
...motivated to give pediatric and/or adult patients a more positive quality of life we encourage you to apply today!
Responsibilities
+... ...them
+ Reporting progress and changes in condition to the clinical staff as well as to clients and their family members
+ Collecting...
Quality
Relief
