- CVS Health (Des Moines, IA)
- …sources. Other responsibilities include, but are not limited to: + Review clinical documentation for qualification criteria as outlined by Medicare Part B guidelines ... Medicare Part B and Managed Medicare payors + Document clinical review in Epic, to include billing instructions and...staying updated on Medicare Fee for Service LCDs and Policy articles As a Senior you help develop the… more
- Tufts Medicine (Melrose, MA)
- …education for the patients and families and documents according to policy . 10. Coordinates activities related to financial/insurance issues, including providing ... clinical updates to insurance companies. 11. Coordinates insurance appeals...Memorial Hospital are distinguished by the range of high-quality clinical care and services. Our teams welcome everyone with… more
- Northwell Health (Nanuet, NY)
- …to families for support with individualized needs. + Appropriately documents all clinical activities and care coordination in the electronic health record with ... May facilitate caregiver support groups as appropriate. + Participates in reflective clinical supervision meetings. + Maintains accurate records of caseload data as… more
- Option Care Health (Austin, TX)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... Life Insurance -Award/Recognition Programs _Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to… more
- Devereux Advanced Behavioral Health (Fitchburg, MA)
- …parties. + Will complete QI responsibilities for programs as well as gather clinical information and complete documentation as assigned. + Serve as a member of ... to Friday, 8AM to 4PM, in Rutland, MA.** _Devereux has a zero-tolerance policy for abuse and maintains policies and procedures to systematically reduce the risk… more
- Highmark Health (Pittsburgh, PA)
- …services to patients, families, and other external customers upon arrival. Assume clinical and financial risk of the organization when collecting and documenting ... verification systems utilizing accurate plan code and COB order. Obtains limited clinical data based on service required. Collects and updates all necessary data… more
- Commander, Navy Installations (San Diego, CA)
- …San Diego is looking for the best, brightest and most adventurous non- clinical trainers to join our team as Embedded Integrated Prevention Coordinators (EIPC). ... such as engagement, implementation, evaluation, and integration. Serves as a non- clinical trainer/educator and is responsible for collaborating with the DRC and… more
- Highmark Health (Pittsburgh, PA)
- …to expect and have an understanding of their financial responsibilities. Assumes clinical and financial risk of the organization when collecting and documenting ... and verifies medical benefits, accurate plan code and COB order. Obtains limited clinical data based on service required. Corrects and updates all necessary data to… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. The Quality Outcomes/Improvement Specialist ensures the ... other healthcare related field (preferred) **Work Experience** 2 years of clinical experience (required) **Skills** Analyzing data and information Acquire data and… more
- Devereux Advanced Behavioral Health (Malvern, PA)
- …discipline **E** **XPERIENCE:** Experience is a plus Devereux has a zero-tolerance policy for abuse and maintains policies and procedures to systematically reduce ... Founded in 1912, Devereux operates a comprehensive national network of clinical , therapeutic, educational and employment programs that positively impact the lives… more