- Sutter Health (Sacramento, CA)
- …patients are in the appropriate level of care with supporting documentation of regulatory compliance and accurate coding. The Physician Advisor (PA) conducts ... clinical reviews on cases referred by UM/CM staff and or other healthcare professionals to meet regulatory requirements in accordance with the hospital… more
- CenterWell (Tallahassee, FL)
- …Administrative Coordinator 2 is responsible for providing high-quality support to healthcare providers contacting the call center to initiate referral authorizations ... and authorization inquiries in accordance with organizational policies and regulatory guidelines. The UM Administration Coordinator 2 provides non-clinical support… more
- Sutter Health (Emeryville, CA)
- …patients are in the appropriate level of care with supporting documentation of regulatory compliance and accurate coding. The Physician Advisor (PA) conducts ... clinical reviews on cases referred by UM/CM staff and or other healthcare professionals to meet regulatory requirements in accordance with the hospital… more
- Growth Ortho (Lexington, KY)
- …to align physical therapy services with overall care strategy and patient outcomes. Regulatory Compliance & Clinical Quality Ensure full compliance with ... in P&L ownership, operational turnarounds, or growth initiatives. Strong knowledge of healthcare regulatory requirements and best practices in outpatient rehab… more
- Insight Global (Richardson, TX)
- …complex projects Experience in the Healthcare /Insurance Industry Experience on regulatory or compliance projects preferred Solid understanding of Scrum and ... Job Description Our client, a Fortune 5 healthcare company is seeing a Project Manager to...company is seeing a Project Manager to work on regulatory and compliance projects tied to medicare/medicaid… more
- Lilly (Indianapolis, IN)
- …to make life better for people around the world. We are a global healthcare leader headquartered in Indianapolis, Indiana. Our employees around the world work to ... two critical digital systems: **Kneat** , used for managing validation and compliance documentation, and **Batascript,** used to track and document fit and finish… more
- Help at Home (Brooklyn, NY)
- …and evaluating clinical initiatives to ensure optimal service delivery, quality, and regulatory compliance . **_*Regular onsite presence required in Industry City ... and cluster home care services across the New York market. This role ensures compliance with New York State Department of Health (DOH) regulations, Managed … more
- Guthrie (Sayre, PA)
- …patients, using outcomes-based approaches. The Acute Case Manager supports the healthcare team in assessing, planning, and facilitating individualized continuum of ... Works closely with the Medical Director and other members of the healthcare team to provide appropriate medical management and resource utilization utilizing… more
- CommonSpirit Health (Englewood, CO)
- …will be responsible for transforming, building and leading an industry leading healthcare Planning & Design management program. This will include developing the ... 3rd party partners to effectively deliver an industry leading healthcare Planning & Design program across the entire CommonSpirit...both mid project and completion surveys + 100% SSOT compliance within 6 weeks of project completion (all materials… more
- CVS Health (Plainfield, IL)
- …of Care** - Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and ... position is critical to meet contractual requirements. Facilitate appropriate healthcare outcomes for waiver/LTSS members by providing care coordination, support… more