- Commonwealth Care Alliance (Boston, MA)
- …claims adjudication, clinical coding reviews for claims, settlement, claims auditing and/or utilization review required + 7+ years experience with Optum Claims ... Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr....regulations. The role will also be responsible for timely review and research, as necessary on all new and… more
- Beth Israel Lahey Health (Milton, MA)
- …Beth Israel Milton is currently seeking a full-time Emergency Department Nurse . POSITION FUNCTION: In collaboration with the Director oversees daily operations, ... nursing care delivery, and staff management within the Emergency and Respiratory Therapy Departments. This...Director supports and supervises with-in the framework of the RN license, maintains the standards of practice and evaluates… more
- HCA Healthcare (Denver, CO)
- …midpoint of the range. **_$20,000 Sign-on bonus for experienced OR RN candidates_** **_(Sign-on bonus not eligible for internal candidates)_** **Introduction** Rose ... passionate about delivering patient-centered care?** Submit your application for Operating Room Nurse position and spend more time at the bedside with the patient.… more
- HCA Healthcare (Austin, TX)
- …and retrospective review of patient medical records for purposes of utilization review , care coordination compliance with requirements of external review ... qualifications you will need:** **EXPERIENCE REQUIRED** + **2 - 5 years Case Management Experience within the last year** + **Other required experience: Minimum of… more
- University of Miami (North Miami, FL)
- …strategic planning and departmental expansion. Assists with the development/revision and review of clinical policies and procedures. Financial Management : Assist ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Accountabilities (For Non-exempt… more
- Fresenius Medical Center (Olmito, TX)
- …Preparedness Plan; ensure maintenance of equipment + Ensure proper medical records management and HIPAA compliance + Oversees the continuous and data driven Quality ... and policies, and then developing and implementing an associated center specific management plan. + Ensure adverse events are reported, documented and necessary… more
- Fresenius Medical Center (Olmito, TX)
- …Preparedness Plan; ensure maintenance of equipment . Ensure proper medical records management and HIPAA compliance . Oversees the continuous and data driven Quality ... and policies, and then developing and implementing an associated center specific management plan. . Ensure adverse events are reported, documented and necessary… more
- Beth Israel Lahey Health (Danvers, MA)
- …application of Quality Assurance and Customer Service Programs, implementation of Utilization Review mechanisms; structuring clinical supervision; provision of ... 1 Benefits!** + **Schedule: Monday - Friday, days** The Nurse Manager is responsible for the management ...daily operations of the program by providing supervision to RN 's and LPN's. This is a great opportunity to… more
- Catholic Health Services (Melville, NY)
- …members + Strong problem solving and investigative skills Essential Responsibilities (Project Management , Chart Review , Education) + Coordination with ProFee CDI ... The ProFee CDS will focus on pre-visit provider support, post-visit provider review , and collaboration and education with providers. Pre-visit provider support -… more
- HCA Healthcare (Austin, TX)
- **Description** $5,000 Sign-On Bonus Available for Experienced OR RN 's **Introduction** Surgicare of South Austin is committed to investing in the latest technology ... passionate about delivering patient-centered care?** Submit your application for Operating Room Nurse position and spend more time at the bedside with the patient.… more