- Select Medical (Madison, WI)
- **Overview** **Critical Illness Recovery Hospital** **Case Manager (PRN)** _Requires a current licensure in a clinical discipline either as a Nurse or a Respiratory ... care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, discharge planning, treatment… more
- Bluestone Physician Services (Franklin, WI)
- …conditions, address social determinants of health, manage transitions to and from inpatient settings, provide behavioral health support and more. Under our model of ... savings per Medicare beneficiary. Position Overview: The Memory-Care Case Manager / Behavioral Health Care Manager is...Memory-Care Case Manager / Behavioral Health Care Manager is a core member of the collaborative care… more
- Ascension Health (Mequon, WI)
- …Social Work obtained prior to hire date or job transfer date. + Case Manager credentialed from the Commission for Case Manager Certification (CCMC) preferred. ... experience required. **Additional Preferences** **Previous experience in a Long Term Care or Inpatient Rehab in a hospital setting is highly preferred. Ability to be… more
- Cardinal Health (Madison, WI)
- …the annual enterprise risk assessment and audit and monitoring plan. The Manager has supervisory responsibility for all Compliance Audit staff. **_What is expected ... and adequacy of documentation and coding related to physician or hospital ( inpatient and outpatient) billing and/or medical necessity reviews. + Manages focused… more
- Datavant (Madison, WI)
- …to realize our bold vision for healthcare. As a Sr. Client Coding Project Manager , you will plan, forecast, and manage client-facing coding projects. You will work ... of coding experience. + Minimum 5 years managing coders in an outpatient or inpatient setting. + Current CCS, CRC, or CPC required. + Previous Medicare Advantage… more
- Marshfield Clinic (Marshfield, WI)
- …bonus!**_** **JOB SUMMARY** The Hospital Coding Specialist III accurately codes inpatient conditions and procedures as documented in the International Classification ... (All Patients Refined Diagnosis Related Groups) for complex, multi-specialty inpatient services. This individual understands and applies applicable medical… more
- Marshfield Clinic (Marshfield, WI)
- …types in accordance with Coder II job descriptions, as assigned **Hospital Inpatient Coding:** The Hospital Coding Specialist II accurately codes inpatient ... (All Patients Refined Diagnosis Related Groups) for complex, multi-specialty inpatient services. This individual understands and applies applicable medical… more
- Datavant (Madison, WI)
- …For** A Coding Supervisor capable of overseeing the daily operations of the inpatient and outpatient coding team to ensure timely, accurate, and compliant coding of ... hospital inpatient encounters. This role includes staff supervision, quality assurance,...+ Comprehensive training led by a credentialed professional coding manager . + Exceptional service-style management and mentorship (we're in… more
- Elevance Health (Waukesha, WI)
- …medical-expense spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the ... where additional recoveries may be available, such as re-admissions, Inpatient to Outpatient, and HACs. + Suggests and develops...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Waukesha, WI)
- …Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions ... coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions (HACs). + Suggests and… more