- Elevance Health (South Portland, ME)
- ** Diagnosis Related Group Clinical Validation Auditor-RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of ... by law. **Work Shift:** Monday - Friday 8AM -5PM (local time) The ** Diagnosis Related Group Clinical Validation Auditor** is responsible for auditing… more
- Veterans Affairs, Veterans Health Administration (Togus, ME)
- …and/or case management. Ability to incorporate complex multiple causation in differential diagnosis and treatment within approved clinical privileges or scope of ... with VISN for referrals to RRTP Programs in VISN 1.Position will oversee clinical case management in Domiciliary to ensure compliance and clinical expectations.… more
- Genesis Healthcare (Kennebunk, ME)
- …position is $60 - $62 / hour. AlignMed Partners is a national medical group dedicated to improving health outcomes among residents of skilled nursing and senior ... (NPs) and physician assistants (PAs) are supported by a clinical leadership team with a decades-long track record of...This process includes: * Assessment of health status * Diagnosis of patients * Interpreting labs and diagnostics *… more
- IQVIA (ME)
- …of Prussia). This is an exciting opportunity to join a fast-moving start-up style group within one of the world's leading human data science companies. The primary ... answering ambitious life science questions (eg can we predict a rare disease diagnosis or an optimal dosing frequency in patients?) along with solutions for applying… more
- Veterans Affairs, Veterans Health Administration (Bangor, ME)
- …and/or case management. Ability to incorporate complex multiple causation in differential diagnosis and treatment within approved clinical privileges or scope of ... for mental health services and makes appropriate referrals for individual, group marital and family treatment services. Conducts crisis management intervention to… more
- ThermoFisher Scientific (Augusta, ME)
- …instruments to clinical monitoring across disease stages - improves the diagnosis and management of blood cancers and immune system disorders. Your determination ... development and execution of global HEOR activities to support the Specialty Diagnostics Group (SDG) existing portfolio and pipeline products as part of the COE.… more
- Elevance Health (South Portland, ME)
- …for auditing inpatient medical records to ensure the accuracy and compliance of Diagnosis - Related Group (DRG) assignments. This role plays a critical ... best practices and payer-specific requirements. + Collaborates cross-functionally with clinical , compliance, provider engagement, and data analytics teams to align… more
- Cardinal Health (Augusta, ME)
- …Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and ... effective CPT code management, the upkeep of the ICD-10 diagnosis directory, and insurance plan management. The specialist will...is attributed to the correct contract based on provider, group and plan type + Use analytics to identify… more
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