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This job works collaboratively to support of all risk and compliance assessment activities of Highmark Health across a broad range of frameworks including NIST, HITRUST, PCI, HIPAA, SOC, MAR, CMS, JCAHO, etc.
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Provides counsel on fraud cases and fraud management related policies, ensuring an autonomous review of policy compliance takes place annually. Accountable for end results, budgeting, planning, policy formulation and contribution to future strategy of the area(s.
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Ensures staff provides the highest quality of care and are in compliance with the Nurse Practice Act, NCQA, TJC, federal, state and local requirements. - Recommends, implements and evaluates processes to improve systems and patient care results across the continuum of care.
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Key Results: Coordinates Lean and Accreditation activities including compliance and surveys for Joint Commission, CMS and state Dept of Public Health Involved in planning and implementing process improvement programs within the organization using Lean methodology.
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Follow-up with patient as appropriate to ensure compliance with recommendations, medications, lab/x-ray results, special visits, PCP visits, dieticians, diabetes educators, etc. Role models and promotes a positive work environment that actively assists interprofessional care team to achieve optimal department results.
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Keeps the clinic in compliance with The Hydration Room inspections before and after each shift Understands great customer service and patient care Maintains a safe, secure and clean environment for customers Responsible for overseeing Wellness Coordinator II staff at clinics Maintains documentation of patient care services.
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CRITERIA B: Corporate Compliance - Employee demonstrates commitment to the Code of Conduct, Conflict of Interest Guidelines, and the GHS Corporate Compliance Guidelines. SPECIAL SKILL, LICENSE AND KNOWLEDGE REQUIREMENTS Current Louisiana RN licensure HIPAA REQUIREMENTS: Maintains knowledge of and adherence to all applicable HIPAA regulations appropriate to Job Position including but not limited to: Medical records without limitation both paper and electronic, patient demographics, lab and radiology results, patient information related to surgery or appointment schedules, information related to patient location, religious beliefs and/or public health records.
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Designs and evaluates processes and policies/procedures to improve systems and patient care results across the continuum of care. Ensures compliance in meeting all regulations and standards related to SNF, Medicare, TJC, Title 22, and other federal, state, and local requirements.
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The supervisor spot checks completed work for compliance with procedures, accuracy, and the nature and propriety of the final results. Harris County, Georgia, with a population of 36,000 and located in west central Georgia along the Alabama border 60 miles southwest of Atlanta and 30 minutes north of Columbus, is accepting applications for a full time Correctional Officer - Sergeant for the County Prison.
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The Laboratory Director is tasked with overseeing the daily operations and administration of a high-complexity laboratory, ensuring its financial performance, and timely, reliable, and clinically relevant test results are in compliance with applicable regulations and accreditation requirements.
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Models the Walmart values to foster our culture; holds oneself and others accountable; and supports Walmart’s commitment to communities, social justice, corporate social responsibility, and sustainability; maintains and promotes the highest standards of integrity, ethics and compliance.
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Accountable for the review and interpretation of authoritative guidance (including, but not limited to NIST, HITRUST, PCI, HIPAA, SOC, MAR, CMS, JCAHO reports) and performs qualitative and quantitative impact assessments based on physical, technical, and administrative safeguards as well as contractual requirements; conducts additional information gathering and risk assessments as-needed; documents and reports results.
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The Medical Laboratory Scientist (MLS) II evaluates, assists in the interpreting of results, and analyzes blood and body fluids using both automated and complex manual methods following established policies and procedures to ensure the highest quality of laboratory results within established timeframes.
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Requirements: PEOPLE ESSENTIAL FUNCTIONSRole models and promotes a positive work environment that actively assists interprofessional care team to achieve optimal department results. This position may also be required to schedule patient appointments, ensure medical necessity compliance, and verify eligibility for care.
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Job Summary:The surgical abstractor is responsible for obtaining surgical reports, tests, & evaluations and reviewing them for compliance and coding by the most recent guidelines. The surgical abstractor will summarize results to provide pertinent details to doctors and other medical professionals.
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