- InGenesis (Columbia, SC)
- …determinations. * Identify and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, ... criteria and assess and monitor medical necessity using your clinical proficiency and claims knowledge. This is a REMOTE opportunity for candidates living in the… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** Responsible for the attainment, effective management , and profitability of a designated book of business. This position ... review. This position works closely with Sales and Account Management to ensure that client needs are met without...needed. **ESSENTIAL FUNCTIONS:** + Works closely with the Account Manager and Underwriting Manager to provide alternate… more
- EMCOR Group (Highland, IN)
- …injuries (report to workman's comp, track workers comp cases, maintain reports from claims management ) + Submit incidents into EMCOR ACTS system (reporting and ... **Assist in staff management ** + Provide guidance (for case management , recordability, legal interpretations, industry standards) + Coaching/counseling… more
- Envista Holdings Corporation (Brea, CA)
- …The Sr. Quality Engineer will possess a deep understanding of quality management systems, regulatory requirements, and risk management principles. The Sr. ... Quality Engineer will report directly to the Quality Engineering Manager . **Job Requirements:** **ESSENTIAL DUTIES AND RESPONSIBILITIES:** + Actively participates in… more
- Covenant Health Inc. (Knoxville, TN)
- …and training for the coding staff. Working directly with the physicians, Manager of Corporate Coding Services, Director of Registration/Admitting, and medical staff ... education efforts, serves as the user advocate between Health Information Management (HIM), Clinical Effectiveness, and Registration. Other job duties include:… more
- HRDC IX (Bozeman, MT)
- …staff, and volunteers. 2. File & Data Maintenance: + Maintain customer files, case notes and appropriate documentation systems + Enter program data efficiently and ... uphold professional standards as a representative of the organization and manage case records within the agency and contract affiliate's record system following… more
- Interior, Bureau of Indian Affairs (Fort Defiance, AZ)
- …Bureau of Indian Affairs, Navajo Region, Branch of Forestry and Wildland Fire Management , Aviation Section, Duty Station in Fort Defiance, Arizona; and will be ... an experienced leader exercising supervision and leadership for and executing fire management activities in fire preparedness, fuels management and prevention,… more
- Air National Guard Units (Langley AFB, VA)
- …relevant support documentation to Air Force and/or Air National Guard mortuary program manager for inclusion in mortuary case file or records. Prepares, ... mobility requirements are accomplished. Coordinates directly with squadron Unit Deployment Manager to ensure all readiness and ancillary requirements are complete.… more
- Covenant Health Inc. (Knoxville, TN)
- …urology. Position Summary: Provides consulting services to the organization's management and staff and may coordinate requested coding investigations. Responsible ... staff. Serves as a resource to coders, CDI staff, Quality and Case Managers, Decision Support and physician office personnel regarding coding questions. Responsible… more
- Molina Healthcare (Cincinnati, OH)
- …to leading a team of investigators and analysts, the Team Lead will ensure the Manager is aware of any major case developments, and ensure cases are being ... **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager , SIU, the Team Lead is responsible to lead...utilization by providers and recipients. The position will review claims data, medical records, and billing data from all… more