Trabajos ncqa en California (CA) State

LocumJobsOnline is working with The Inline Group to find a qualified Family Practice MD in Fallbrook, California, 92028! About The Position Community Health Systems, Inc. - Full Time 8 AM-5 PM or 8:30 AM-5:30 PM; Rotate 1 Saturday per Month 8 AM-5 PM | Weekday Off if Working Saturday Employed New...

Job Summary: Coordinates quality, utilization and risk management activities for the Home Care Agency; provides technical, educational, consultative, and coordinating support to assigned areas. Essential Responsibilities: Assists in the coordination of the quality management/utilization managemen...

Job Summary: Assists in managing a single department or multiple small departments providing ambulatory patient care services by supervising daily operations and patient care activities. Ensures staff provides high quality, accessible, cost effective care and patient focused services to members a...

Your Compassion and Care are Needed in North Coastal San Diego!.TrueCare is a federally qualified health center, recognized by the NCQA as having achieved the highest level Patient Centered Medical Home.With 13 locations around North San Diego and Riverside County, we offer comprehensive programs...

NCQA Accreditation requirements * Health Risk Assessment and Health Needs Assessment timelines * Mailing timelines * Participates in workgroups that address both clinical and non-clinical activities ...

Collaborates across medical management and other departments to ensure that the Quality program meets or exceeds NCQA and regulatory standards.Collaborates with internal and external stakeholders to ...

TrueCare is a federally qualified health center, recognized by the NCQA as having achieved the highest level Patient Centered Medical Home. With 13 locations around North San Diego and Riverside ...

Collaborate with the Manager of Utilization Management to implement and supervise all UM processes for continuous and sustained compliance with all applicable state, federal and NCQA regulatory ...

The medical director serves as a role model for other clinical staff and is a knowledgeable resource in Medi-Cal and Medicare regulatory requirements, NCQA guidelines, and measurement of health care ...

Ensures staff provides the highest quality of care and are in compliance with the Nurse Practice Act, NCQA, TJC, federal, state and local requirements. * Implements and maintains patient care and ...

Literally all systems are in place to run efficiently and down to a science and all quality measures are in place, EMR, quality recording, highest recognition NCQA, etc., hr, super high tech patient ...

... NCQA as a level 3 Patient-Centered Medical Home. - EMR: Nextgen

Maintaining current knowledge of NCQA, State and Federal requirements * Performing data entry in and maintaining currency of the database for tracking practitioner / HDO credentialing and re ...

General understanding and knowledge of the Center for Medicare and Medicaid Systems (CMS), the Joint Commission (TJC), the National Association for Quality Assurance (NCQA), and the Massachusetts ...

Complex cases that require interpretation of policies and guidelines such as DMHC, NCQA, Health plan medical necessity, etc. (approximately 1-3 hours/month). * Partner with clinical team and CCIO on ...

Experience with Health/ Medical standards such as HEDIS, NCQA etc. * Health related call center experience is a plus * Must have minimum 2 years' experience Position Summary: Under the supervision of ...

... NCQA requirements, CMS guidelines, and Medicaid/Medicare contracts and benefit systems. ● Full and current COVID-19 vaccination. ● Current DEA ● Access to reliable transportation. ● The ...

Salary Range: $24 - $27/ hour Summary Responsible for assisting with tasks to ensure that all files and processes are in accordance with NCQA (and other regulatory agency) credentialing standards and ...

Knowledge of CA regulatory guidelines, Medi-Cal guidelines, Medicare guidelines, NCQA requirements. * Skilled in group facilitation and managing effective discussion and dialogue to enhance the ...

Experience working in a NCQA Patient-Centered Medical Home highly preferred * Experience working in a Joint Commission Accredited health care organization highly preferred Desired Skills

Top-Tier Patient Satisfaction Scores | Largest Teaching Health Center FQHC | 11 Locations offering 44 Specialties | NCQA Patient-Centered Medical Home Level 3 Certified Multi-Site Approved for NHSC ...

Assists in the identification, planning and execution of strategies that drive and support corporate objectives, ensures compliance with the DHCS, DMHC and CMS regulatory requirements and NCQA ...

Responsible for achieving programmatic requirements with other entities and payors such as the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid services (CMS), and ...

Certification from National Committee on Quality Assurance (NCQA) preferred Additional Qualifications(Knowledge, Skills and Abilities) * Excellent verbal and written communication skills, including ...