• Sr Compliance RCM & Coding Auditor

    Humana (Phoenix, AZ)
    …with metrics and reporting **Additional Information** **Work-At- Home Requirements:** To ensure Home or Hybrid Home / Office associates' ability to work ... to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance,...effectively, the self-provided internet service of Home or Hybrid Home / Office associates… more
    Humana (08/23/25)
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  • Remote Revenue Integrity Charge Specialist

    Trinity Health (Livonia, MI)
    …reflects honest, ethical, and professional behaviors. **Purpose** This position operates in a typical office and/or home office environment. The area is well ... including but not limited to, appending modifiers, and checking clinical documentation. Provides feedback to intra-departmental Revenue Integrity colleagues… more
    Trinity Health (09/06/25)
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  • Associate Director, Training & Assessment (CAPS)…

    Emory Healthcare/Emory University (Atlanta, GA)
    …and the provision and management of assessments (eg, psychological testing, clinical outcome measures, service, and program evaluation, etc.). + This position ... will also provide primary supervision to trainees as well as clinical staff under training/provisional licenses. + In consultation with the Executive Director of… more
    Emory Healthcare/Emory University (08/23/25)
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  • Environmental Epidemiology Faculty Position

    University of Utah (Salt Lake City, UT)
    …as geography, statistics, epidemiology, public health, and/or health equity. The academic home will depend upon the candidate's background but would be either DFPM ... and demographic datasets and have a clear understanding of data systems and data linkage. + Strongly...In addition, the University of Utah and HCI are home to superb shared resources, such as the Utah… more
    University of Utah (08/07/25)
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  • Quality Compliance Professional

    Humana (Richmond, VA)
    …(ILR) test as provided by the Federal Government. **WAH Internet Statement** To ensure Home or Hybrid Home / Office employees' ability to work effectively, the ... corrective action plan. + Reviews medical records for supplemental data and enter data in supplemental ...self-provided internet service of Home or Hybrid Home / Office employees… more
    Humana (09/11/25)
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  • Claims Research & Resolution Professional

    Humana (Lansing, MI)
    …dispute resolution. **Additional Information** **Work at Home Requirements** To ensure Home or Hybrid Home / Office employees' ability to work effectively, ... is responsible for tracking and trending Michigan Medicaid claims data and completing root cause analyses of claims denials...the self-provided internet service of Home or Hybrid Home / Office employees… more
    Humana (09/11/25)
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  • Referral & Prior Auth Rep III

    University of Rochester (Rochester, NY)
    …Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910132 Neurosurgery Clinical Support Work Shift: UR - Day (United States of America) Range: UR ... determined by considering factors including, but not limited to, market data , education, experience, qualifications, expertise of the individual, and internal equity… more
    University of Rochester (08/09/25)
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  • Nurse Practitioner

    State of Massachusetts (Middleboro, MA)
    …related information through educational trainings to agency staff both at the Core office and residential homes. . Collects data to identify trends, areas ... needs. The Nurse Practitioner is part of the Core Clinical Team who is responsible for the management and...individuals receiving supports/services. . Consults with Agency and Area Office Staff regarding DNR's, Health Care Proxy issues and… more
    State of Massachusetts (08/29/25)
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  • Staff Psychologist (Program Manager)

    Veterans Affairs, Veterans Health Administration (Dayton, OH)
    …years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities Total Rewards of ... atypical cases in areas of patient treatment assignment, consistent with approved clinical privileges and type of hospital appointment, with evidence of acceptable… more
    Veterans Affairs, Veterans Health Administration (08/14/25)
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  • Huntsman Cancer Institute Pre-Service Case…

    University of Utah Health (Salt Lake City, UT)
    …that are integral to our mission. EO/AA_ + This position provides clinical case management services aimed at enhancing patient-centered care and maximizing outcomes ... care team design. + May be required to complete home or site visits as required by the department....verbal communication skills. + Knowledge of funding resources and clinical standards and outcomes. + Ability to provide care… more
    University of Utah Health (08/07/25)
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