Healthcare Quality Compliance Jobs in Omaha

Risk- Patient Safety Manager - Nebraska Spine Hospital - FT (0.8 – 32 hrs/wk) Days, Monday-Friday','Full-time','Risk Management','Days','Days','64','64','None','None','NEBRASKA-OMAHA-NEBRASKA SPINE HOSPITAL','','!*! Nebraska Spine Hospital - Nationally Recognized Spinal Care. The choice for complex ..

SR RECRUITER','Full-time','Professional Non-Clinical','Days','Days','80','80','None','None','NEBRASKA-OMAHA-MCAULEY FOGELSTROM CENTER','','!*!The Organization:           CHI Health is a regional health network with a unified mission: nurturing the healing ministry of the Church while creating healthier communities. Headquartered in Omaha, ..

DIRECTOR-CRITICAL CARE','Full-time','Director/Manager/Supervisor','Days','Days','80','80','None','None','NEBRASKA-OMAHA-LAKESIDE','','!*!CHI Health is a regional health network with a unified mission: nurturing the healing ministry of the Church while creating healthier communities. Headquartered in Omaha, the combined organization consists of ..

Coder Denials Revenue Cycle - Service Center (Omaha)','Full-time','Professional Non-Clinical','FT days','FT days','80','80','None','None','NEBRASKA-OMAHA-SERVICE CENTER-NORTH BLDG','','!*!CHI Health is a regional health network with a unified mission: nurturing the healing ministry of the Church while ..

Description Responsibilities The Compliance Professional 2 has responsibilities for ... on medical record documentation for quality and clinical compliance with contract requirements as outlined ... CPT Codes. KEY ACCOUNTABILITIES 95%..

Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..

... within a context of regulatory compliance, and work is assisted by ... whether services provided by other healthcare professionals are in agreement with ... meeting departmental expectations, and meets..

Denial Specialist-Coding - Revenue Cycle – FT Days - Service Center (Omaha)','Full-time','Professional Non-Clinical','Days','Days','80','80','Occasional','Occasional','NEBRASKA-OMAHA-SERVICE CENTER-NORTH BLDG','','!*! CHI Health is a regional health network with a unified mission: nurturing the healing ministry of ..

... performing complex tasks related to compliance with accreditation standards across multiple ... performing complex tasks related to compliance with accreditation standards across multiple ... the development and implementation of..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description The Principal Quality Leader will lead testing and ... Leader will lead testing and quality collaboration between Business and IT, ... tools and assure adherence to quality standards. Serves..

... Information Humana Medicaid Associate Director, Compliance Nursing in Omaha Nebraska Description ... Nebraska Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..

... is committed to providing personalized, high-quality primary care combined with an ... based care provider focused on quality of care for the patients ... nurses, MAs, behavioral health specialists,..

... action.5. Leads strategy, growth and quality initiatives for both departments, utilizing ... level of understanding, awareness and compliance with all applicable Joint Commision, ... professional standards. 9. Provides high..

... Member Plan (EFMP), auditing for quality and clinical compliance, and case management. Serve as ... ABA treatment plans for policy compliance. Assist with analysis of necessary ... Review outcome..

... business reviews in accordance with compliance requirements advise Commercial Product of ... recommend opportunities to optimize vendor quality Facilitate the measurement of success ... and/or service level oversight including..

... within a context of regulatory compliance, and work is assisted by ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..

Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..

COORD-CLINICAL-HEMA-COAG- Full Time- Reference Lab- CHI Health','Full-time','Clinical Support','0700-1930 Days','0700-1930 Days','80','80','Every Other','Every Other','NEBRASKA-OMAHA-REFERENCE LAB','','!*!Day Shift- 0700-1930 Reference Lab   CHI Health is a regional health network with a unified mission: nurturing the healing ..

... for ensuring optimal 340B Program compliance, quality, and operations at each covered ... including supply chain, finance, legal, compliance, IT/BI, and advocacy within the ... with representatives from pharmacy,..

Coder Denials - Revenue Cycle - FT days - Service Center (Omaha)','Full-time','Professional Non-Clinical','FT days','FT days','80','80','None','None','NEBRASKA-OMAHA-SERVICE CENTER-NORTH BLDG','','!*!CHI Health is a regional health network with a unified mission: nurturing the healing ministry ..

... on medical record documentation for quality and clinical compliance with contract requirements as outlined ... for this position . 75% Quality Monitoring Audits. Review and assess ... ensure all..

... is committed to providing personalized, high-quality primary care combined with an ... based care provider focused on quality of care for the patients ... Nurse, MA, Behavioral health specialist,..