- Centene Corporation (Jefferson City, MO)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical ... state, corporate, and accreditation requirements. + Assists the Chief Medical Director in the functioning of the...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- AccentCare, Inc. (Dunedin, FL)
- …for your first AccentCare-branded scrubs for patient-facing employees Qualifications Be the Best Director inpatient Center operations You Can Be If you meet ... Overview Director Hospice Inpatient Center / RN Position Type: FULL TIME Remote /Virtual Position: No Coverage Area: Mease Hospice Inpatient Center Find… more
- BayCare Health System (Charleston, SC)
- …**Shift:** 7:00 AM to 3:30 PM + **Days:** Monday through Friday The Advanced Inpatient Coding Specialist is a full-time remote position. _Sign on bonuses ... the Tampa Bay area. **Position Details:** + **Location:** Fully Remote (must reside in the state of Florida, Georgia,...Level II, and high acuity cases. Responsibilities + The Medical Records Advanced Inpatient Coding Specialist analyzes… more
- BayCare Health System (Tampa, FL)
- …as needed) + **Shift:** 8:00 AM to 4:30 PM + **Days:** Flexible The **Advanced Inpatient Coding Specialist** is a PRN remote position. This position requires 3 ... within the Tampa Bay area. **Position Details:** + **Location:** Remote (must reside in the state of Florida, Georgia,...Level II, and high acuity cases. **Responsibilities** + The Medical Records Advanced Inpatient Coding Specialist analyzes… more
- Datavant (Providence, RI)
- …Trauma Level 1 facility. SMART software experience preferred. **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and ... to realize our bold vision for healthcare. As an ** Inpatient Auditing Specialist** you will be instrumental in addressing...presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help… more
- Veterans Affairs, Veterans Health Administration (Battle Creek, MI)
- Summary The Battle Creek VA Medical Center's Psychiatry Service is hiring a Psychologist to serve on the inpatient mental health units. This position has ... primarily clinical duties in an inpatient unit. The incumbent diagnoses mental disorders, conducts psychological...of modalities, and provides adjunctive interventions for treatment of medical disorders. Responsibilities Due the to nature of the… more
- Independent Health (Buffalo, NY)
- …of the hospital audit process. + Responsible for the ongoing management of Inpatient Medical Admission and Readmission audits to include trends of clinical ... for all reconsideration clinical appeals to include review of records, consultation with Medical Director , response to facilities as well as coordination of all… more
- Martin's Point Health Care (Portland, ME)
- …been certified as a "Great Place to Work" since 2015. Position Summary The Medical Director (MD) provides clinical leadership and direction to the utilization & ... drive short and long-range clinical programming, quality management, and external relationships. The Medical Director reports to the Vice President Health Plan … more
- AccentCare, Inc. (Newark, DE)
- Overview LPN, Hospice Inpatient Nights Location: Christiana Newark Position: Nurse LPN IPC, Hospice Position Type: Full-Time Remote /Virtual Position: No Coverage ... Area: Christiana Newark Accent Care Hospice Inpatient Unit Find Your Passion and Purpose as an...certification + Requires previous experience in hospice, home health, medical -surgical, or patient-specific care such as geriatrics or pediatrics… more
- Stanford Health Care (Palo Alto, CA)
- …of America) **This is a Stanford Health Care job.** **A Brief Overview** The Director of Performance Excellence and Results Management will play a crucial role in ... continuously improved to align with the organization's strategic objectives. The Director will focus on driving progress, fostering accountability, and ensuring that… more
- Ochsner Health (Lafayette, LA)
- …clinic patients of the organization. This job works under the supervision of the Medical Director or approved staff physician and in association with the PCCs, ... nurses, and discharge coordinator in the planning, implementation and evaluation of medical and nursing care; and assumes responsibility for primary and urgent … more
- Humana (Washington, DC)
- …Information** Typically reports to a Lead Medical Director . The Medical Director conducts post-service, inpatient care reviews for accurate billing ... caring community and help us put health first** The Medical Director actively uses their medical...to internal associates. The clinical scenarios predominantly arise from inpatient or post-acute care environments. A remote … more
- Tufts Medicine (Burlington, MA)
- …May require additional hours on weekends/off hours as needed. **Location:** Primarily remote . May require occasional travel to local facilities including Tufts ... Medical Center, Melrose Wakefield Hospital, Lowell General Hospital, and...1. Master's in Nursing 2. Fluent in CMS Two-Midnight, Inpatient -Only, Condition Codes 44 & W2, MOON/IMM, and payer-specific… more
- Humana (Montgomery, AL)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external… more
- Molina Healthcare (Kenosha, WI)
- …including 2 years in a manager role. * Experience reviewing all types of medical claims (eg HCFA 1500, Outpatient/ Inpatient UB92, Universal Claims, Stop Loss, ... Surgery, Anesthesia, high dollar complicated claims, COB and DRG/RCC pricing). 2 years supervisory/management experience with appeals/grievance processing within a managed care setting. **Required License, Certification, Association** N/A **Preferred… more
- University of Michigan (Ann Arbor, MI)
- …physicians in the HCAH virtual command center and ensures provision of high-quality virtual inpatient care. The medical director will also work closely with ... Hospital Care at Home Medical Director and Clinical Faculty Apply...that offers eligible patients the opportunity to have their inpatient -level hospital care needs met from the safety and… more
- Humana (San Juan, PR)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare… more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare… more
- Medical Mutual of Ohio (OH)
- …and perform pre-employment substance abuse and nicotine testing._ **\#LI-CS1 #LI- REMOTE ** **Title:** _Assistant Medical Director_ **Location:** _Ohio_ ... Founded in 1934, Medical Mutual is the oldest and one of...the achievement of clinical excellence; quality ratings improvement, appropriate inpatient and outpatient utilization, affordability, compliance, growth and focused… more
- Humana (Denver, CO)
- …Solutions as needed + Other activities as assigned by the managing Medical Director Travel: While this is a remote position, occasional travel to Humana's ... caring community and help us put health first** The Medical Director relies on fundamentals of CMS...subject matter contribution Preferred Qualifications + Experience in an inpatient environment and/or related to care of a Medicare… more