- Genesis Healthcare (East Moline, IL)
- …among residents of skilled nursing and senior living facilities. Our physicians, nurse practitioners (NPs) and physician assistants (PAs) are supported by a clinical ... assigned Centers and AlignMed Partners managers to oversee the implementation, utilization , and outcomes measurement of AlignMed Partners Clinical Programs and… more
- Humana (Canton, IL)
- …reports trends and implement appropriate actions to control trends. + Develop audit plans and tools for teams to ensure compliance with state contracts ... Monitors performance of staff including service performance and adherence to established utilization and care coordination benchmarks. **Use your skills to make an… more
- Rush University Medical Center (Chicago, IL)
- …Coder. * 2 years of experience with hospital denial or case management or nurse audit . * Knowledge of hospital revenue cycle and compliant coding/billing ... an overturned denial or has escalated through the proper channels. 5. Assist Utilization Management on implementing a strong process that will help prevent claim… more