- Dignity Health (Stockton, CA)
- …from insurance companies to pay for services coordination of mental health- care benefits for clients and other behavioral health patients and referrals ... comply with health plan and contractual requirements Participates in peer review upon request. **Qualifications** **Experience:** + One (1) years post-licensure… more
- State of OK JD McCarty Center (Norman, OK)
- …challenging behaviors presented by assigned patients. Provides training to Direct Care Staff on implementation of behavior plan and interventions. Updates behavior ... plans as necessary and provide training to Direct Care Staff on implementing behavioral interventions. + Participates as needed, depending on training, in completing… more
- BAYADA Home Health Care (Orlando, FL)
- …order to be considered, there is no flexibility around this requirement.** BAYADA Home Health Care is hiring a full time OASIS Review and Coding Manager. The ... Review and communicate OASIS edit recommendations to each clinician to promote OASIS accuracy. + Perform final ...Minimum of 1 year experience with coding and OASIS review . + Knowledge of OASIS, Home Care … more
- Commonwealth Care Alliance (Boston, MA)
- …and monitor overall trends on a weekly basis + Provide education to internal care management and clinician staff + Provide clinical input to specific projects ... the Senior Medical Director of Medical Policy and Utilization Review , the Utilization Review Medical Director will...role in helping our organization provide high quality, equitable care to our rapidly growing membership. The incumbent will… more
- BAYADA Home Health Care (Austin, TX)
- …and CMS guidelines. + Review and communicate OASIS edit recommendations to each clinician to promote OASIS accuracy. + Perform final review and lock OASIS. + ... is no flexibility around this requirement.** BAYADA Home Health Care has an immediate opening for a **Full Time,**...immediate opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work… more
- Commonwealth Care Alliance (Boston, MA)
- …Algorithm Identified Patient Referrals, Health Plan Referrals and Palliative Smart List to review CCA Health Plan members identified with Care Delivery needs in ... explain services and schedule initial visits for the assigned clinician . The RN in this role will also be...as well as with internal and external providers. * Review members identified for Care Delivery in… more
- Dartmouth Health (Lebanon, NH)
- …'s written instructions, notifying patients of normal test results following clinician review and sign off, greeting/discharging and assisting patients, ... a variety of administrative and clinical tasks that promote optimum patient care and satisfaction while enhancing clinician and practice effectiveness. *… more
- US Tech Solutions (Chicago, IL)
- …objectives **Responsibilities:** + Reviews documentation and evaluates Potential Quality of Care issues based on clinical policies and benefit determinations. + ... clinical policy, regulatory and accreditation guidelines. + Responsible for the review and evaluation of clinical information and documentation. + Reviews… more
- US Tech Solutions (May, OK)
- …objectives Responsibilities: . Reviews documentation and evaluates Potential Quality of Care issues based on clinical policies and benefit determinations. . ... clinical policy, regulatory and accreditation guidelines. . Responsible for the review and evaluation of clinical information and documentation. . Reviews… more
- Stanford Health Care (Palo Alto, CA)
- …Advanced Practice Provider (APP) plays a pivotal role in the Transitions of Care Program (TOC), a collaborative initiative between the Geriatrics Clinic and the ... rates for aging adults with multiple comorbidities and complex care needs who are at moderate to high risk...high risk for readmission and are discharging to home. Clinician support is essential to achieving the program's goals… more