Utilization Review and Regulatory Compliance Coordinator

Utilization Review and Regulatory Compliance CoordinatorLIFE (Living Independence for the Elderly) is a program that helps people meet their health care needs in the community instead of going to a nursing home or other care facility. At an Albright LIFE location, you’ll work with a team of health care professionals providing exceptional, coordinated...

Utilization Review and Regulatory Compliance CoordinatorLIFE (Living Independence for the Elderly) is a program that helps people meet their health care needs in the community instead of going to a nursing home or other care facility. At an Albright LIFE location, you’ll work with a team of health care professionals providing exceptional, coordinated...

Coordinator of Utilization Review and Compliance StandardsAlbright LIFE is dedicated to assisting individuals in fulfilling their healthcare requirements within the community, promoting independence and well-being. As part of the Albright LIFE team, you will collaborate with a diverse group of healthcare professionals to deliver exceptional, coordinated...

Healthcare Utilization and Compliance CoordinatorAlbright LIFE is dedicated to assisting individuals in fulfilling their healthcare requirements within the community, thereby avoiding the need for nursing homes or similar facilities. At Albright LIFE, you will collaborate with a team of healthcare experts to deliver exceptional, coordinated services daily,...

Position OverviewThe Regulatory Compliance and Utilization Review Specialist at Albright LIFE is tasked with overseeing utilization review functions and managing reporting protocols to ensure adherence to regulatory requirements while enhancing participant outcomes. Key ResponsibilitiesThis role is essential in:1. Analyzing performance metrics to identify...

Job OverviewCompany Overview:Albright LIFE (Living Independence for the Elderly) is dedicated to assisting individuals in fulfilling their healthcare requirements within the community, allowing them to maintain independence rather than transitioning to nursing homes or similar facilities. At Albright LIFE, you will collaborate with a dedicated team of...

Position OverviewAre you interested in performing autonomous duties within a distinctive law enforcement environment that spans several counties? The Pennsylvania Utility Commission (PUC) presents a remarkable opportunity for a Utility Regulation Compliance Officer.Key ResponsibilitiesConduct thorough investigations and inspections related to utility...

Company Overview: Avera Health Plans is seeking a Utilization Review Registered Nurse to join our team! Job Summary: The Utilization Review RN will be responsible for authorization processes, care coordination, and review of outpatient/inpatient care to ensure members receive the right care at the right time and place. Requirements: Bachelor's degree in...

POSITION OVERVIEWAre you interested in a fulfilling career that allows you to utilize your expertise to enhance educational services for residents? The Commonwealth of Pennsylvania is in search of a dedicated Compliance Administrator to join our team. This role offers a distinctive opportunity to support individuals attending institutions regulated by the...

Job DescriptionJob DescriptionJob Summary/ObjectiveThe Director, Quality & Regulatory, is responsible for assuring that the highest quality standards are met & maintaining a strong quality and regulatory adherent culture; monitoring and reporting on compliance results; providing guidance on matters relating to quality in all lines of business; and ensuring...

Safety and Compliance Coordinator Environmental, Health & Safety Management Position Overview This position is dedicated to ensuring adherence to safety standards and regulations within Gulf Oil. The primary responsibilities include managing the safety program, facilitating training sessions, and overseeing compliance initiatives. Occasional...

Join the team at Avera! Award Winning Health Care: Avera has been named among the nation’s 15 Top Health Systems, Forbes list of America’s Best-in-State Employers and Level 10 Most Wired Health Care Organization by CHIME. Culture: Be part of a multidisciplinary team built on teamwork, with compassion and the goal of Moving Health Forward for...

Job Title: Senior IT Governance, Risk and Compliance Analyst Location: Remote Duration: 6 Months Position Overview: As a Senior IT Governance, Risk and Compliance Analyst at ObjectWin Technology, you will play a pivotal role in advancing our governance, risk, and compliance (GRC) initiatives. Your primary focus will be to develop, implement, and oversee a...

Job DescriptionJob DescriptionCompany SummaryCompliance Management International (CMI) is a premier global provider of environmental, health, and safety (EHS) services, serving clients of all sizes for over 30 years. We collaborate closely with organizations, including Fortune 500 companies and governments, to enhance performance by offering integrated...

Company DescriptionAbout Veolia North AmericaA subsidiary of Veolia Group, Veolia North America (VNA) offers a full spectrum of water, waste and energy management services, including water, and wastewater treatment, commercial and hazardous waste collection and disposal, energy consulting and resource recovery. VNA helps commercial, industrial, healthcare,...

Job DescriptionJob DescriptionCompany DescriptionAbout Veolia North AmericaA subsidiary of Veolia Group, Veolia North America (VNA) offers a full spectrum of water, waste and energy management services, including water, and wastewater treatment, commercial and hazardous waste collection and disposal, energy consulting and resource recovery. VNA helps...

Company :Highmark HealthJob Overview :POSITION SUMMARY:The RN Care Coordination Specialist is accountable for securing insurance precertification and recertification, acting as a liaison with insurance providers, conveying clinical details as required, and addressing any potential or actual denials. This role is integral to the care coordination team.KEY...

Care Manager Job DescriptionAt the University of Pittsburgh Medical Center, we are seeking a highly skilled Care Manager to join our team. As a Care Manager, you will play a critical role in coordinating the clinical and financial plan for patients, ensuring seamless transitions and optimal outcomes.Key Responsibilities:Coordinate Clinical and Financial...

Job OverviewCompany Overview:Albright LIFE is dedicated to assisting individuals in managing their health care needs within the community, allowing them to maintain independence and avoid institutional care. Our team of health care professionals collaborates daily to provide exceptional, coordinated services that promote health and well-being.Position...

Health and Safety Specialist Compliance Management International (CMI) is a premier global provider of environmental, health, and safety (EHS) services, serving clients of all sizes for over 25 years.We collaborate closely with organizations, including Fortune 500 companies and governments, to enhance performance by offering integrated support that...