- Rush University Medical Center (Chicago, IL)
- …Schedule:** 8 Hr (8:00:00 AM - 4:30:00 PM) **Summary:** Reporting to the Director /Manager of Clinical Trials Research Revenue Cycle, this position will create ... coverage analyses in accordance with Medicare 's Clinical Trial Policy (NCD 310.1) and...regulatory documents to prepare a billing plan for all medical procedures and services required in a clinical… more
- AbbVie (Chicago, IL)
- …medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's ... Twitter, Facebook, Instagram, YouTube and LinkedIn. Job Description The Regional Director , BOTOX(R) Therapeutic - Neurosciences leads the sales performance and… more
- Rush University Medical Center (Chicago, IL)
- …requirements specific to Research Billing. * Maintain a detailed understanding of Medicare 's Clinical Trial Policy (NCD 310.1) and related guidance documents. ... and OnCore reports for analysis and communicates findings to Director and team. * Provides resolution of escalated issues,...clinical trial management system(s) (CTMS) as well as medical billing software (ie OnCore, EPIC). * Excellent verbal… more
- CVS Health (Chicago, IL)
- …Drive regular conversations and collaborations with cross-functional teams including pharmacy, clinical , PBM, Finance, health plan leadership, Medical Economics, ... results with multi-functional teams **Preferred Qualifications:** + Prior Commercial, Medicare or Medicaid experience **Education** Bachelor or equivalent experience… more
- Fresenius Medical Center (Chicago, IL)
- …tracking and monitoring of Coordination of Benefit period and ensures that the Medicare applications are processed 90 days prior to the 30-month coordination period ... for compilation in Division monthly reports + Provides IC Director with monthly reports in the absence of the...other FKC Management teams. Provides education to Operations and clinical staff and area/regional management as to the IC… more
- AdventHealth (La Grange, IL)
- …Manager ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The RN Care Manager is under the general ... supervision of the Care Management Supervisor or Manager or Director of Nursing and is responsible for patient evaluations of post-hospital needs; development of a… more
- AdventHealth (La Grange, IL)
- …ensures efficient and cost-effective care through appropriate resources monitoring and clinical care escalations. The Social Worker is under the general supervision ... and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care coordination. The Social… more
- ChenMed (Glenwood, IL)
- …referrals/authorizations for multiple payers strongly preferred. Healthcare experience in a clinical setting, preferably within the Medicare HMO population is ... management in PMR and delegated utilization management in ChenMed Medical Centers. **Primary Duties and Responsibilities** + Daily review...+ Provide insights to the PMR team and Network Director and work with them to take action. +… more
- Aveanna (Tinley Park, IL)
- …to internal and external clients as it relates to branch location's clinical operational support activities. Essential Job Functions Payroll Activities: Weekly time ... certifications) Creating and providing monthly evaluation and skills report to Director (s) Coordinate with Corporate Risk Management and Leave of Absence Specialists… more