MSO Compliance

The Managed Care Compliance and Audit Coordinator will assist with compliance and auditing functions of PHP/ MSO (Management Services Organization), including, but not limited to, internal and external audit activities to the Claims, UM, Credentialing, CM functions, and quality improvement initiatives. This role will also be responsible for monitoring...

The Managed Care Compliance and Audit Coordinator will assist with compliance and auditing functions of PHP/ MSO (Management Services Organization), including, but not limited to, internal and external audit activities to the Claims, UM, Credentialing, CM functions, and quality improvement initiatives. This role will also be responsible for monitoring...

The Managed Care Compliance and Audit Coordinator will assist with compliance and auditing functions of PHP/ MSO (Management Services Organization), including, but not limited to, internal and external audit activities to the Claims, UM, Credentialing, CM functions, and quality improvement initiatives. This role will also be responsible for monitoring...

The Care Management Nurse Educator works with the Care Management Director to facilitate quality improvement initiatives in the practice and learning environment to assist with staff and department development. Is responsible for department quality metric reports to demonstrate effectiveness of programs and performance in accordance with regulatory standards...

The Care Management Nurse Educator works with the Care Management Director to facilitate quality improvement initiatives in the practice and learning environment to assist with staff and department development. Is responsible for department quality metric reports to demonstrate effectiveness of programs and performance in accordance with regulatory standards...

Description: Position: Credentialing Specialist -Hybrid: Remote & In-office (as needed) This position reports to the Director of Provider Services and is responsible for full cycle credentialing of Providers and Facilities. Position must have experience with facility credentialing of Hospitals, SNF, Home Health, Radiology etc. The role will work closely...