- Elevance Health (WA)
- …Post Acute Solutions** , formerly myNEXUS, is the leader in health resource optimization, focused on transforming how healthcare is delivered and promoting the ... ensuring appropriate, consistent administration of plan benefits by reviewing clinical information and assessing medical necessity under relevant guidelines and/or… more
- MyFlorida (Bradenton, FL)
- …TO WORK IN THE OFFICE. The Behavioral Health Consultant (BHC) provides clinical expertise within the child welfare system, supporting the identification, engagement, ... and service resources of parents/caregivers with behavioral health needs-particularly those involving...* Provide critical information to the Regional Manager and Director of Regional Operations and Initiatives. Knowledge, Skills and… more
- HCA Healthcare (Tampa, FL)
- …coverage, moving assistance, pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k) Plan with a ... sessions. + Contribute to the development of documentation education and training resources for providers as defined by CDI standards. + Review documentation data… more
- Option Care Health (Birmingham, AL)
- …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 ... **Job Description Summary:** Under the direction of the Regional Sales Director , Health Systems Solutions (RSD, HSS), manages the development and execution… more
- RWJBarnabas Health (West Orange, NJ)
- …to Administrative Director , One Source EAP + Work closely and receive clinical supervision from the Assistant Director + Full participation in Team Meetings ... market -competitive Total Rewards package provides comprehensive benefits and resources to support our employees' physical, emotional, social, and financial… more
- Chiesi (Boston, MA)
- …planet. This is what drives us as we research, develop, and market innovative drugs across our main therapeutic areas. Discover more here. ... for Purpose The Lead role reports to the Senior Director of Global Medical Affairs HIDO and is part...+ Participate in long-range planning, manage project plans, assess resource needs, and develop and implement processes and standards… more
- Fresenius Medical Center (South Ogden, UT)
- …care in an independent home therapy program while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory ... reports to maintain an engaged and productive workforce; partnering with Human Resources on employee matters. + Technically proficient in the specific department and… more
- Huron Consulting Group (Chicago, IL)
- …Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new ... partnerships, clinical services and technology is not enough to create...create your future. The Huron Managed Services Coding Operations Director oversees a portfolio of clients and is responsible… more
- Elevance Health (Columbus, OH)
- …serves as a subject matter expert for appeals/grievances/quality of care issues and is a resource for clinical and non clinical team members in expediting ... medical necessity. + Extrapolates and summarizes medical information for medical director , consultants and other external review. + Prepares recommendations to… more
- Community Health Systems (Franklin, TN)
- …process re-engineering, architecture, analytics, contract management, financial management, and resource management. + Actively partner with market ... a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking… more
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