- Bon Secours Mercy Health (Springfield, OH)
- …we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical ... for provider visits. In this position, the LPN will observe, record, and report patient responses to medical care provided during appointments. Will also be… more
- Molina Healthcare (Columbus, OH)
- …progress toward desired outcomes with quality care that is medically appropriate and cost -effective based on the severity of illness and the site of service. The ... staff workload for adherence to the Policies, Procedures, Guidelines, Medicare Model of Care, and deadlines. Assures oversight and...with UM Leadership to ensure the Daily Auth Reconciliation Report (DARR) is run every workday and cases found… more
- ChenMed (Cincinnati, OH)
- …strategic planning for referral coordination that contributes to medical cost reduction and improves organizational performance. + Interviews Referral Manager ... EMR, BI Tools (RITS) etc. + Oversees referral disenrollment. Reviews disenrollment report and analyzes who disenrolled due to referral issues. Recommends actions to… more