- CenterWell (Jacksonville, FL)
- …(clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and clinical ... improvement and coaching initiatives are precise + Identify critical issues for high- risk patients during case reviews & other forums, and modeling and driving… more
- New York State Civil Service (Hauppauge, NY)
- …Crisis Team Meetings* Write Meeting Minutes for Crisis Team meetings* Attend Weekly High- Risk Meetings* Record High Risk meeting minutes* Prepare weekly High- ... for sending to outside teams* Copy and distribute High Risk presentation packets to perspective HRC members* Send out...you must successfully complete a set training and development program . Upon satisfactory completion of the 12-month training at… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- …on core metrics, including: + Preventative and Chronic Disease Management. + Risk adjustment , cost, utilization, and value-based performance. + Access, including ... health, Enhanced Care Management (ECM), including Street Health, and risk management, including compliance, credentialing and privileging to ensure comprehensive… more
- St. Luke's University Health Network (Allentown, PA)
- …patient as healthy as possible in the outpatient setting, minimizing the risk of readmissions. . Issues applicable state/federal regulatory notices as applicable ... ie.) Important Message from Medicare (IMM), Medicare Outpatient Observation Notice (MOON),...(MOON), Bundle Payment Care Initiative (BPCI) notification. . Monitors risk assessment using available tools and implements discharge interventions… more
- 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
- Corewell Health (Grand Rapids, MI)
- …CPC or Certified Coding Specialist CCS + Project Management Professional PMP certification + Medicare and ACA Risk Adjustment experience + Proven leadership ... implementation of clinical pilots to ensure practice commitment to program goals and deadlines. + Monitors results of pilot...- 1231 E Beltline - Grand Rapids Department Name Risk Adjustment Executive Employment Type Full time… more
- New York State Civil Service (NY)
- …and treatment, your duties may include: * Clinical leadership. * Program Management. * Psychological services requiring expertise in neuropsychology, child and ... treatment and expert testimony. * Specialized assessment (functional, personality, risk , competency, vocational, education) * Design and application of behavioral… more
- AdventHealth (Orlando, FL)
- …out-of-pocket tuition expense) *For eligible positions* + Nursing Clinical Ladder Program *For eligible positions* + Whole Person Well-being and Mental Health ... social determinants of health into transitions of care planning and applies risk mitigation interventions to meet the individual needs of each patient Identifies… more
- SSM Health (MO)
- …scoring. + Collaborates with others regardingclinical documentation improvement (CDI) and risk adjustment (mortality) findings. + Maintains knowledge of Centers ... the current health status of network patients against ever-changing risk adjusted models. Responsible for achieving improved documentation results...for Medicare and Medicaid Services (CMS) requirements related to clinical… more
- CenterWell (Fort Worth, TX)
- …(clinical, financial, operational) meetings on key topics such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and clinical ... performance improvement and coaching initiatives are precise *Identify critical issues for high- risk patients during case reviews & other forums, and modeling and… more
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