- El Paso County (Colorado Springs, CO)
- …resources. + Conducts unscheduled client customer service reviews; reviews cases prior to Quality Assurance . + Assists with the monitoring and evaluation of the ... and attends appeal hearings; maintains and monitors requests for State Appeals log, Quality Assurance log, and Investigative Referral log. + Remains updated on… more
- LA Care Health Plan (Los Angeles, CA)
- …continuum of programmatic levels including those within National Committee for Quality Assurance (NCQA) scope or otherwise Complex/Catastrophic cases, which ... Care Management Specialist II - MCLA Team Job Category: Clinical...Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and… more
- NorthWest Senior & Disability Services (Salem, OR)
- …opportunities for continuous improvement in service delivery. 3. Regulatory Compliance and Quality Assurance + Ensure all programs comply with federal, state, ... to Protective Services Workers, Adult Foster Home Licensing Specialists, Compliance Specialist , Protective Services Worker -Screener, and Protective Services … more
- Centene Corporation (Jefferson City, MO)
- …and supports provider practice sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education for HEDIS measures, ... + Collaborates with Provider Relations to improve provider performance in areas of Quality , Risk Adjustment and Operations ( claims and encounters). + Assists in… more