• Registered Nurse RN Care Manager

    AdventHealth (Hinsdale, IL)
    …Incorporates social determinants of health into transitions of care planning and applies risk mitigation interventions to meet the individual needs of each patient + ... the patient stay through the monitoring of each patients readmission risk scores and coordinating readmission mitigation interventions. + Consults Social Work… more
    AdventHealth (07/01/25)
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  • RN Registered Nurse Case Manager

    AdventHealth (Hinsdale, IL)
    …Incorporates social determinants of health into transitions of care planning and applies risk mitigation interventions to meet the individual needs of each patient . ... the patient stay through the monitoring of each patient's readmission risk scores and coordinating readmission mitigation interventions. . Consults Social Work… more
    AdventHealth (06/16/25)
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  • Physician Coding Auditor

    MedKoder (Mandeville, LA)
    …company offers services including inpatient and outpatient facility coding, medical risk adjustment management, DRG coding management, coding education, clinical ... and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare , Medicaid, and third-party payer guidelines to ensure receipt of… more
    MedKoder (06/12/25)
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  • RN Case Manager

    AdventHealth (La Grange, IL)
    …Incorporates social determinants of health into transitions of care planning and applies risk mitigation interventions to meet the individual needs of each patient + ... the patient stay through the monitoring of each patient's readmission risk scores and coordinating readmission mitigation interventions. + Consults Social Work… more
    AdventHealth (05/24/25)
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  • Medicaid Business Intelligence Engineer

    Humana (Des Moines, IA)
    …processes, reporting, and visualizations for all Humana Healthy Horizons Medicaid Risk Adjustment , prospective programs, and interoperability. Takes initiative ... Managed Care + Experience in Medicaid + Experience in risk adjustment + Experience with data mining...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
    Humana (07/24/25)
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  • Registered Nurse 3 Infection Control - EOA - Ibr

    New York State Civil Service (Staten Island, NY)
    …policies and procedures supportive of an infection control program that eliminates risk of infection to clients, facility personnel, and visitors through daily ... and policies to employees at all levels.* Identify areas demonstrating infection risk and initiate and maintain such programs to eliminate hazards of infection.*… more
    New York State Civil Service (07/23/25)
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  • Mgr CDI Quality & Educ / HIM Clinical Document…

    Hartford HealthCare (Farmington, CT)
    …collaboration with the Quality Management Department on mortality, PSI, HAC and other risk adjustment outcomes. . Shares accountability to present quarterly Key ... and Disease Process, strong clinical skills. . Knowledge of Medicare Part A and Part B regulations . Working...to understand and communicate the impact of CC/MCC's, PSI/HACs, risk adjustment , and other variables on the… more
    Hartford HealthCare (07/10/25)
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  • Director, Software Engineering

    reveleer (CA)
    …and health-plan organizations today. By unifying retrieval, clinical intelligence, risk adjustment , quality improvement, and member management solutions ... a Director of Engineering to lead the engineering functions of various modules in our risk adjustment and quality suite of applications. This is a key leadership… more
    reveleer (06/26/25)
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  • Manager, Clinical Quality Coding

    Sutter Health (Sacramento, CA)
    …workflows, data management, coding staff specific to clinical documentation improvement and risk adjustment coding initiatives. Manages the day to day operations ... related to Risk Adjustment Coding. Provides oversight to the...requirements, knowledge of Quality Coding requirements such as the Medicare Advantage Coding Program/Hierarchial Condition Category + (HCC), as… more
    Sutter Health (06/17/25)
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  • Social Worker MSW

    Dignity Health (Las Vegas, NV)
    …social and resource issues that impact individual patients, families and at risk populations. Social Workers are responsible for working collaboratively with all ... the Social Worker includes crisis intervention, patient /family intervention, high risk screening, brief counseling, referring for financial or other identified… more
    Dignity Health (07/19/25)
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