- Providence (Beaverton, OR)
- …Coordination of Outpatient Care) + Utilization Management Experience (EX. Concurrent Review , Prior Authorization, Medical Audits, Appeals or Delegation) + ... Medicare / Medicaid who will:** + Provide care coordination, case management and care management services to Providence Health...to members and their families who have acute and complex health care needs; members with chronic conditions at… more
- J&J Family of Companies (Raritan, NJ)
- …Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less ... PA. Remote work options may be considered on a case -by- case basis and if approved by the...global submissions for (new) In Vitro Diagnostics (IVD) and Medical Devices (MD) to Health Authorities (HAs). + Maintain… more
- Veterans Affairs, Veterans Health Administration (Minneapolis, MN)
- …treatment plan. Ability to evaluate incumbent's own practice through professional peer review , case conferences and other organizational means. Incumbent can ... group, and/or family counseling or psychotherapy and advanced level psychosocial and/or case management. (b)Ability to incorporate complex multiple causation in… more
- Sedgwick (Sacramento, CA)
- …guidance related to memorandums of coverage, risk transfer, the litigation process, case strategy, and additional covered parties' issues. + Reviews member contracts ... introductions, addresses concerns involving members, third-party administrator (TPA) or case development. + Provides training materials and presentations for members… more
- Integra Partners (Troy, MI)
- …appeals; coordinate with Medical Director when required. + Generate and review daily/weekly reporting on productivity and case timeliness. + Manage team ... first point of escalation for staff questions, operational challenges, or case -related concerns. + Promote a culture of collaboration, accountability, and continuous… more
- Tufts Medicine (Burlington, MA)
- …Accountable for execution of program objectives including improving the accuracy of the medical record to facilitate an accurate case mix index (CMI), expected ... plan, organize, implement, and evaluate the CDI program. This includes management of case mix index (CMI), length of stay (LOS), Observed versus Expected mortality… more
- UnityPoint Health (Waterloo, IA)
- …the oversight of local care delivery including clinical quality, patient safety, peer review and engagement and Medical Staff relationships and governance. The ... UnityPoint Health - Allen is recruiting for a Chief Medical Officer to join our team in Waterloo, Iowa....capacity for achieving results. + Change Agent. Creates the case for transformation by articulating the rationale for the… more
- Global Foundries (Malta, NY)
- …consultative and communication skills with the ability to partner and articulate complex details to colleagues at varying levels of seniority. Conduct consultations ... criteria, and potential challenges. + Document Preparation: Prepare and review immigration documents, including visa applications, petitions, and supporting… more
- J&J Family of Companies (Orlando, FL)
- …Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less ... modules including CARTOMERGE (TM) , CARTOSOUND (TM) and the Stockert RF generator) during case procedures within an assigned geography, and in a manner that leads to… more
- Mendocino County Sheriff's Office (Fort Bragg, CA)
- …crisis intervention, therapeutic intervention, assessment evaluation, and moderately complex , professional-level case management, including visiting with ... and the use of testing procedures. + Participate in case conferencing with multiple service providers for the purpose...and child counseling. + DSM IV Diagnostic Criteria. + Medical chart documentation procedures. + Philosophy and history of… more