- Elevance Health (St. Louis, MO)
- …relevant billing and processing guidelines and to identify opportunities for fraud and abuse prevention and control. + Review and conducts analysis of claims ... that may pose potential risks associated with fraud and abuse . **How you will make an impact:** + Performs...of 1 year experience in a Clinical Fraud and Abuse Investigation area; or any combination of education and… more
- Centene Corporation (Jefferson City, MO)
- …+ Review and analyze state program integrity, including fraud, waste and abuse detection, investigation and prevention requirements. + Review reports for ... program integrity related regulatory requirements, assess data collection and management processes, and recommend or develop enhancements to optimize accuracy and compliance. + Review and analyze proposed contracts for program integrity reporting and other… more
- SSM Health (St. Louis, MO)
- …into pain management plan. 3. Implement pain management techniques. Focus on prevention rather than treatment. 4. Include patient and/or family members in developing ... of care: massage, repositioning, immobilization, and music therapy. J) Abuse Assessment 1. Is aware of abuse ...that all interventions related to Fall and Skin Injury Prevention are in place. 1. Completes Fall and Skin… more
- Peoples Health Centers Family of Companies (St. Louis, MO)
- …treatment with the PHASES team. 15. Complete crisis intervention and relapse prevention plans, progress notes and significant data. 16. Provide individual mental ... health, relapse prevention , harm reduction and substance use counseling based on...is certified or registered (not recognized) as a substance abuse professional by the Missouri Sub-stance Abuse … more
- CVS Health (Jefferson City, MO)
- …pursue the prevention , investigation and prosecution of healthcare fraud and abuse , to recover lost funds, and to comply with state regulations mandating fraud ... Job Description **A Brief Overview** Oversees corporate activities related to the prevention , investigation, and prosecution of health care fraud to recover lost… more
- SSM Health (St. Louis, MO)
- …into pain management plan. 3. Implement pain management techniques. Focus on prevention rather than treatment. 4. Include patient and/or family members in developing ... of care: massage, repositioning, immobilization, and music therapy. C) Abuse Assessment 1. Is aware of abuse ...C) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments. 2.… more
- SSM Health (St. Louis, MO)
- …into pain management plan. 3. Implement pain management techniques. Focus on prevention rather than treatment. 4. Include patient and/or family members in developing ... of care: massage, repositioning, immobilization, and music therapy. C) Abuse Assessment 1. Is aware of abuse ...C) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments. 2.… more
- SSM Health (St. Louis, MO)
- …thinker through the performance of everyday job duties. L. Assist with the prevention of ventilator associated pneumonia as indicated by the latest evidence based ... pain into pain management plan. 3.Implement pain management techniques. Focus on prevention rather than treatment. 4. Include patient and/or family members in… more
- SSM Health (St. Louis, MO)
- …into pain management plan. 3) Implement pain management techniques. Focus on prevention rather than treatment. 4) Include patient and/or family members in developing ... of care: massage, repositioning, immobilization, and music therapy. C) Abuse Assessment 1) Is aware of abuse ...C) Abuse Assessment 1) Is aware of abuse recognition criteria and incorporates it into assessments. 2)… more
- SSM Health (St. Louis, MO)
- …into pain management plan. 3. Implement pain management techniques. Focus on prevention rather than treatment. 4. Include patient and/or family members in developing ... of care: massage, repositioning, immobilization, and music therapy. C) Abuse Assessment 1. Is aware of abuse ...C) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments. 2.… more