- Centene Corporation (New York, NY)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... monitor care for behavioral health and/or substance abuse problems according to clinical information given by providers and internal criteria for medical necessity… more
- US Tech Solutions (May, OK)
- **Summary:** Participates in the member and provider outreach, collection, and review of medical records to abstract clinical information for HEDIS quality ... (SDoH) barriers and provide helpful resources * Outreach to members and clinical providers to effectively coordinate care, obtain medical records and ensure patients… more
- Kelly Services (Melbourne, FL)
- …offers ** **Supplemental Income:** Earn extra revenue without taking on additional clinical shifts or compromising your current patient load. This opportunity is ... for you! That also means our team of expert Government and Science & Clinical recruiters will have access to your profile, making your opportunities limitless. As… more
- Catholic Health (Buffalo, NY)
- …3-5 years Medical Surgical experience required. + 3-5 years Home Care clinical experience preferred (CHHA, licensed, long term home care) KNOWLEDGE, SKILLS, ABILITY ... + Strong computer skills required (Microsoft Office, Access) + Excellent verbal and written communication skills + Strong organization and time management skills + Ability to apply judgment independently, discretion in handling confidential information +… more
- Wolters Kluwer (Colonie, NY)
- … Content Specialist - Nursing, you will work closely with the PreView & ReView Manager/Senior Clinical Content Specialists to plan and deliver high quality NCLEX ... virtually or in person. + Run evaluations, send to facilitator PreView & ReView Content Management Consultant/Senior Clinical Content Specialist and file. +… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ... collaborates with healthcare providers to facilitate efficient patient care. The Clinical Utilization Review Specialist monitors adherence to hospital… more
- BAYADA Home Health Care (Austin, TX)
- …company match, direct deposit, and employee assistance program **Responsibilities:** + Review clinical information for appropriateness, congruency, and accuracy ... immediate opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work...for this role (Please note, while this is a clinical opening, BAYADA does have non- clinical openings… more
- BAYADA Home Health Care (Orlando, FL)
- …about BAYADA Benefits, click here (https://www.bayada.com/benefits/) . **Responsibilities:** + Review clinical information for appropriateness, congruency, and ... Home Health Care is hiring a full time OASIS Review and Coding Manager. The OASIS and Coding ...and meeting business and development goals. This is a **non- clinical ** role (Note: Clinical opportunities are also… more
- LifePoint Health (Henderson, NC)
- …awards programs . And much more *Position Summary* Conducts chart audits/reviews for clinical practice guidelines, death review , blood review , core measures ... of CMS, TJC when performing chart abstractions for these entities. Performs clinical concurrent review , conducts team meetings, and coordinates internal… more
- HCA Healthcare (Brentwood, TN)
- …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Clinical Denials Coding Review Specialist with Parallon you can be a ... to succeed in our organization. We are looking for an enthusiastic Clinical Denials Coding Review Specialist to help us reach our goals. Unlock your potential!… more
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