- AdventHealth (Ormond Beach, FL)
- …systems. + Identifies and reports occurrences with potential claims to the Director of Risk Management per established protocol. + Leads and coordinates ... contribute:** The Patient Safety Coordinator (PSC) under the direction of the Director of Risk Management is responsible for implementation and coordination… more
- Sunnyside Nursing and Post-Acute Care (Torrance, CA)
- …Description + The Health Information Manager (HIM) is responsible for the overall management of the Medical Records Department, including the development and ... the record completion rate to the Executive Team. + Management and oversight of employees in the Medical...+ At least 3-5 years of experience as a Medical Records Director / Health Information Manager of… more
- Cognizant (Annapolis, MD)
- …. Draft and submit the medical necessity determinations to the Health Plan/ Medical Director based on the review of clinical documentation in accordance with ... make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The… more
- Centene Corporation (Helena, MT)
- …everything for our 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization ... coding practices through a comprehensive review and analysis of medical claims , medical records, ...adjustments and miscellaneous/unlisted code review + Review cases with Medical Director to validate decisions and identify… more
- Rush University Medical Center (Chicago, IL)
- **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Revenue Cycle Revenue ... may vary depending on the circumstances of each case. **Summary:** The system director of provider education, working in a remote environment, will the provider… more
- Chevron Corporation (Houston, TX)
- …for both domestically and internationally. As a function, DM reports to the Regional Medical Director , Americas. The broad scope of the **Advisor, Disability ... between the disability management vendor and local management (supervisors, HR, etc.), Chevron medical clinics...cases (ie co-morbidities, stress & psychiatric illness & injury, claims of employees with a history of adverse action)… more
- Beth Israel Lahey Health (Plymouth, MA)
- …Risk Management office for BID-P including all phases of actual and potential claims management . Identifies exposures to loss and analyzes the impact on the ... + Prior experience in direct responsibility for regulatory affairs and claims management strongly preferred **Registration/Certification:** + Certification in… more
- AON (TN)
- This role is outsourced to Tractor Supply Client Director , Risk Management Department Work Type Hybrid - in office 3 days per week - location Brentwood, TN ... client, this position is responsible to assist the client Director , Risk Management in all aspects of...create, maintain, and administer safety solutions that address hazards, claims , and trends in the organization. Responsibilities + Manage… more
- CVS Health (Columbus, OH)
- …and arranges for health care service delivery under the direction of nurse or medical director in the most appropriate setting at the most appropriate expense ... + Promotes communication, both internally and externally to enhance effectiveness of medical management services (eg, health care providers, and health care… more
- Marriott (Koloa, HI)
- …**Schedule** Full Time **Located Remotely?** N **Position Type** Management **Bonus Eligible:** Y **JOB SUMMARY** As a member ... * High school diploma or GED; 3 years experience in the human resources, management operations, or related professional area. OR * 2-year degree from an accredited… more