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Responsible for coordinating with appropriate personnel to develop and meet operational goals, ensures compliance with state/federal health plan requirements, Medicare guidelines, and NCQA. Assist in providing long-term planning and oversight to ensure activities are appropriately integrated into strategic direction and operations, as well as the mission and values of the company.
$173,200 a yearFull-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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This position requires credentialing, following the National Committee for Quality Assurance (NCQA) guidelines. The Certified Registered Nurse Anesthetist (CRNA) has the responsibility to administer safe analgesia and anesthesia under the supervision of an anesthesiologist or physician.
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With 21 operating room suites and performing 30-40 surgical cases per day, we provide anesthesia for many surgical specialties including Cardiothoracic, Eye, Urology, Plastics, Podiatric, Vascular, Neuro, General, Bariatric, Orthopedic, GI, OB/GYN, GYN/Oncology, and Gynecology cases.
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Park Nicollet is looking to hire a Dietitian to join our Nutrition Services team! Position Summary:The Dietitian provides Medical Nutrition Therapy through screening, assessment and education with monitoring and follow-up of recommendations.
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Participation in Training regarding URAC, NCQA, Regulatory Compliance, Confidentiality, Conflict of Interest, HIPAA, and department specific training as applicable. Supports compliance with regulatory agency standards and requirements (e.g., CMS, NCQA, URAC, state / federal and third-party payers.
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Participate in External Audits, e.g. Health Plan Customers, CMS, DHS, NCQA, etc. Conduct initial file review for compliance with customer instructions and audit elements, i.e. NCQA, state and federal requirements.
$70,000 a yearFull-timeExpandUpdated Yesterday - UpvoteDownvoteShare Job
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10+ years of experience with demonstrated functional knowledge related to regulatory adherence of a quality management program (HEDIS, NCQA accreditation, EQRO auditing, reporting, committee management.
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