- Community Health Systems (Franklin, TN)
- …that identify payment discrepancies, revenue opportunities, and performance metrics for management review. + Collaborates with financial, clinical , and ... **Job Summary** The Payment Compliance & Contract Management (PCCM) Analyst is responsible for maximizing reimbursement by identifying variances between posted and… more
- Intermountain Health (Ogden, UT)
- **Job Description:** The Care Management Assistant - Medical Units, is a patient-focused role that manages and optimizes patient care in collaboration with nurses ... regulatory or payer notifications. **Job Specifics** + Pay Range Clinical : $19.87 - $28.31 Non Exempt + Benefits Eligible:...is at McKay Dee Hospital in the Hospital Care Management Department. This position supports our team of nurse… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary… more
- Humana (Richmond, VA)
- … Management Professional 2 is a vital contributor to Humana's Workforce Management team, supporting the Clinical Intake and Support Medicare Inpatient ... appropriate courses of action. They are a vital contributor to Humana's Workforce Management team, supporting the Clinical Intake and Support Medicare Inpatient… more
- Ascension Health (Pensacola, FL)
- …This role leads the strategy, operations, and performance of our case management program-driving evidence-based care, reducing clinical variation, and improving ... **Details** + **Department:** Case Management + **Schedule:** Full time Day Shift +...ensure delivery of evidence-based care and reduction of avoidable clinical variation in care. Collaborate with a larger multidisciplinary… more
- Prime Healthcare (Garden City, MI)
- …risk-related activities in this area. Provides assistance with claims investigation, management and litigation. Facilitates reporting of safety data /events. ... risk management program(s) through the use of data capture, follow up and trend analysis and presents...or Diplomat of American Society of Healthcare Risk Managers Associate in Risk Management (ARM) or Certified… more
- Prime Healthcare (Chino, CA)
- …risk-related activities in this area. Provides assistance with claims investigation, management and litigation. Facilitates reporting of safety data /events. ... risk management program(s) through the use of data capture, follow up and trend analysis and presents...or Diplomat of American Society of Healthcare Risk Managers Associate in Risk Management (ARM) or Certified… more
- Virtua Health (Stow, OH)
- … management logistics, inventory management , and supply channel management to clinical departments. Leads inventory control procedures for optimal ... Services to include shipments, receiving, distribution, inventory, and materials management . Position Responsibilities: + Communicates on a consistent bases with… more
- CenterWell (Washington, DC)
- …performance of the offshore coding team and creates strategies to maximize associate output. The **Program Management Lead, Offshore Coding Operations** works ... of our caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records… more
- Ventura County (Ventura, CA)
- …California Department of Consumer Affairs Board of Behavioral Science Examiners (BBS) as an Associate Clinical Social Worker; OR + Be within six months of ... clinical level assigned more leadership responsibilities and complex clinical and case management responsibilities. A PSW...Affairs Board of Behavioral Science Examiners (BBS) as an Associate Clinical Social Worker, AND + At… more