- CVS Health (Harrisburg, PA)
- … case management programs. + Serve as the final clinical authority on complex medical decisions, appeals, and grievances. Quality Improvement + Lead quality ... do it all with heart, each and every day. **Position Summary:** The Chief Medical Officer (CMO) serves as the senior clinical leader for the Pennsylvania CHIP health… more
- State of Colorado (Lakewood, CO)
- …and disseminating critical and timely operational information to staff Administrative Action Case Management + Review and analyze assigned cases for legal ... regulatory agency tasked with licensing and regulating the commercial Medical and Retail Marijuana industries in Colorado. First formed...all interactions. The MED operates in a dynamic and complex environment that requires members of our team to… more
- Rush University Medical Center (Chicago, IL)
- …management and complex care management. Our network includes Rush University Medical Center, Rush Oak Park Hospital, Rush Copley Medical Center, Riverside ... **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Rush Health Corporate… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …as an expert in reviewing medical coding and medical record review with ability to oversee complex assignments, challenging customers, and highly visible ... by independently utilizing DRG grouper, encoder, and claims processing platform. . Manages case volumes and review /audit schedules, prioritizing case load as… more
- Hartford HealthCare (Southington, CT)
- …with SNF to capture that patient once short-term rehab is completed -Assist transitioning complex case / high risk patients home in collaboration with Care ... families. Basic Purpose of the Position: Work in collaboration with hospital case managers and or social workers, skilled nursing facilities, Assisted living… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …regulatory requirements. * Provide clinical oversight for utilization management, appeals, and complex case reviews. * Participate in internal committees focused ... and Blue Shield of Minnesota Position Title: Associate Chief Medical Officer Location: Hybrid | Eagan, Minnesota Career Area:...discover more about what we have to offer, please review our benefits page. Role Designation Hybrid Anchored in… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Responsible for the review and coding of inpatient and/or ambulatory surgery records utilizing ICD-10-CM and ICD-10-PCS or CPT coding guidelines ... is utilized for reimbursement, clinical care assessment, education, research, case mix and health care statistical reporting. **Qualifications** **Education… more
- Rush University Medical Center (Chicago, IL)
- **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Group Hospital: Rush Copley Medical Center Department: Ogden - Orthopaedics ... Orthopedic Lead - Advanced Practice Provider Rush Copley Medical Center Aurora, IL **Rush Copley Medical ...and/or surgeons regarding the care of patients for more complex diagnosis. Dictates discharge and transfer summaries in a… more
- Summit Medical Consultants LLC (Pueblo, CO)
- Immediate opportunity for BC/BE Family Medicine & Internal Medicine. ABOUT SUMMIT MEDICAL CONSULTANTS Summit Medical Consultants is a rapidly growing Physician ... We are a physician founded in 2015 and led medical group. we have expanded to approximately 100 employees...Specialist physicians and surgeons, Physical, Occupational, and Speech Therapies, Case Management and Psychiatry at the facility level to… more
- Veterans Affairs, Veterans Health Administration (Salt Lake City, UT)
- …The Registered Nurse Remote Patient Monitoring- Home Telehealth Care Coordinators are case managers and health coaches who are highly skilled and have specific ... disease management, health care informatics, and remote patient monitoring technologies. Case management is the cornerstone of Remote Patient Monitoring -Home… more