- Northeast Georgia Health System, Inc (Gainesville, GA)
- …About the Role:Job SummaryUnder the general direction of the Executive Director , Corporate Controller, responsible for the coordination of all CMS reporting ... Requirements: Masters degree or CPAPreferred Experience: Operational experience as a Director in a health systemOther: Job Specific and Unique Knowledge, Skills… more
- The Armes Family Cancer Care Center (Findlay, OH)
- … Office Assistant training. Previous office/unit administration experience. Knowledge of Medical Billing and ICD-10 codes. Medicare experience. Electronic ... PURPOSE OF THIS POSITION The Clinical Support Associate is responsible for the smooth...revenues. Collaborates with the Department RNs, Supervisor, Physician and Director . JOB DUTIES/RESPONSIBILITIES Duty 1: Enters all patient demographics,… more
- Option Care Health (Brooklyn, NY)
- …nursing department. Coordinates all patient care and services in cooperation with the Director of Pharmacy. Facilitates a clinical networking system for the ... and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health...will be contingent upon proof of vaccination, or approved medical or religious accommodation. Proof of vaccination will be… more
- Option Care Health (Florham Park, NJ)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... the Nursing Supervisor to train and oversee pertinent competencies. Clinical competency is maintained by providing direct patient care...direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also… more
- Atrium Health (Charlotte, NC)
- …guidelines and standards of compliance to improve overall quality and completeness of clinical documentation within the patient electronic medical record using a ... and supports the performance improvement process in conjunction with the Clinical Documentation Director . Aligns department with system strategy, vision,… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …admission criteria and in consultation/coordination with attending physician and hospice medical director . Completes the admission visit utilizing specialized ... complete and thorough assessment. Collaborates with the attending physician, hospice Medical Director , referral source, and hospice intake department. Delivers… more
- ProKatchers (Bowling Green, NY)
- …primary function of the Clinical Quality Reviewer is to assess and audit medical charts for compliance with a focus on HEDIS, QARR, Medicare Advantage Star ... of duties to meet internal and regulatory standards and requirements. Perform clinical audits via EMR, in-house paper medical records, on-site provider… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …admission criteria and in consultation/coordination with attending physician and hospice medical director . Completes the admission visit utilizing specialized ... complete and thorough assessment. Collaborates with the attending physician, hospice Medical Director , referral source, and hospice intake department. Delivers… more
- Alternate Solutions Health Network LLC (Detroit, MI)
- …of care based upon assessment and collaboration with the Attending Physician or Medical Director .MAJOR AREAS OF RESPONSIBILITY: Plan of Care: Implement care to ... of funeral home, etc. according to agency policy.Policies: Completes all clinical documentation following agency protocol and Medicare /Federal guidelines.… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …admission criteria and in consultation/coordination with attending physician and hospice medical director . Completes the admission visit utilizing specialized ... complete and thorough assessment. Collaborates with the attending physician, hospice Medical Director , referral source, and hospice intake department.Delivers… more
- Option Care Health (Cincinnati, OH)
- …and delivering presentations within Option Care and externally with customers (ex. medical director , head of case management, executive c-suite individuals). ... oncology, or transplant.Basic understanding of billing and reimbursement procedures for hospital, medical offices, and Medicare (B/Dbenefits) as well as … more
- Dialysis Clinic, Inc. (Albuquerque, NM)
- …build relationships and gain fulfillment serving individuals in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers.The ... and ensures the patients' charts are in order in accordance with Medicare and company policies and procedures.Schedule: Full-time, five 8-hour shifts starting at… more
- Elevance Health (Richmond, VA)
- …Health office locations Work schedule: Monday - Friday, standard business hours.** The Medical Director Clinical Programs is responsible for designing and ... of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative...implementing clinical programs with specific medical condition focus for all lines of business enterprise… more
- CVS Health (Hartford, CT)
- …based (work at home) based anywhere in the US.**Responsibilities of this Medical Director role are related to Medicare Appeals.* Direct daily work on part C ... of experience in a Health Care Delivery System eg, Clinical Practice or Health Care Industry * Medical...Board Certified in ABMS Recognized Specialty Preferred Qualifications * Medical Management - Medicare Complaints, Grievance &… more
- CVS Health (Hartford, CT)
- …Enterprise Economics, the Strategy team supporting Medicare , as well as the core Medicare Finance team. This Executive Director will also: + Be a strategic ... analysis. + Collaborate with constituent areas including Actuarial, Enterprise Economics, Clinical , Network, Related Parties (Shared Services) and Medical … more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director works on problems of diverse...+ Excellent communication skills + 5 years of established clinical experience + Knowledge of the managed care industry… more
- CVS Health (Buffalo Grove, IL)
- …to make health care more personal, convenient and affordable. Position Summary The Sr. Clinical Pharmacist, Medicare - Medical Affairs leads within the ... Affairs and key stakeholders across the organization to support customer needs. The Sr. Clinical Pharmacist, Medicare - Medical Affairs is responsible for… more
- Somatus (Mclean, VA)
- Overview The Director , Medicare Risk Adjustment (MRA) will lead the execution strategy and implementation of the organization's Risk Adjustment Programs to ... optimize the programs' clinical benefit, financial accuracy and ensure program compliance with...compliance with governing bodies' regulations, including the Center for Medicare and Medicaid Services. This role will partner with… more
- UCLA Health (Los Angeles, CA)
- … Director of Pharmacy Benefits Management! Reporting directly to the Chief Medical Officer of Medicare Advantage, you'll spearhead the development and ... desired + Two or more years of experience in Medicare programs, preferred + Degree from an accredited school...throughout Southern California. We're also home to the world-class medical research and clinical education capabilities of… more
- UCLA Health (Los Angeles, CA)
- …ancillary locations throughout metro Los Angeles. We're also home to the world-class medical research and clinical education capabilities of the David Geffen ... do all this and more at UCLA Health. As an important member of our Medicare Advantage team, you will provide strategic oversight and leadership for our Member and… more
