- University of Rochester (Rochester, NY)
- …**Fiscal/Data Management** **Billing and Reports** + Collaboration with Dept. Billing Manager regarding billing operations procedures + Analyze, review and ... Child and Adolescent Acute Services including Brighter Days Urgent Care , CA Partial Hospital Service, Child CPEP and the...on resolving discrepancies. + Utilize Tableau reports for operations, utilization , and revenues. + Build/edit and review … more
- State of Colorado (Canon City, CO)
- …right to legally mandated healthcare by ensuring appropriate and cost-effective utilization of medical resources and personnel. + Establishes systems for the ... coordination of care among multi-disciplinary health care providers; +...assessment, written performance assessment or it may include a review of your application material and your responses to… more
- STG International (Bloomington, IN)
- …+ Participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... FOR A FUTURE OPENING Physician/Medical Director STGi is currently seeking a Primary Care Physician to provide services at our Community Based Outpatient Clinic. The… more
- Northeast Family Services (Manchester, NH)
- …position, but must reside in RI, MA, NH, or NY. Responsibilities: + Collaborate with QA Manager to review , quality check, and clean data sets + Provide a high ... Data and Quality Coordinator, in partnership with the QA Manager , will be the in-house expert for all EHR...role, as well as establishing KPIs, QA Plans, data utilization , monitoring, and reporting on compliance. If you're looking… more
- Elevance Health (Wilmington, DE)
- …within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure ... **Telephonic Nurse Case Manager II** **Location:** This role enables associates to...claims or service issues. + Assists with development of utilization / care management policies and procedures. **Minimum requirements:**… more
- Nuvance Health (Poughkeepsie, NY)
- …Brothers Medical Center in New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of ... cardiology care . Non-acute care is offered through various... to an assigned group of patients through the utilization Standards of Practice and policies and procedures and… more
- Beth Israel Lahey Health (Burlington, MA)
- …, Clinical Manager , Supervisor/Clinical Leader, as well as the Primary Care Director of Nursing Receive general supervision, daily work assignments, and issue ... in the delivery of high quality and safe clinical care . S/he will assist with patient care ...issues as well as to unsafe working conditions. Notifies manager of concerns. Participates in unit based QI activities… more
- HCA Healthcare (Wichita, KS)
- …auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling ... with Progyny and adoption assistance. + Referral services for child, elder and pet care , home and auto repair, event planning and more + Consumer discounts through… more
- Hartford HealthCare (Farmington, CT)
- …manager with other tasks as necessary, provides coverage and back up when manager is absent. **Documentation Review ** . Day to day clinical documentation ... specialists (CDS), coding professionals, providers, nursing staff and other patient care givers to ensure accurate and timely clinical documentation in the… more
- Sharp HealthCare (Chula Vista, CA)
- …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... high level of efficiency of operations and customer service while providing quality care to a designated patient population. Serves as a technical nursing expert for… more