- Elevance Health (Chicago, IL)
- …the afternoons. Candidates must be able to work Eastern Time Zone hours. The ** Medicare Medical Director ** is responsible for the administration of physical ... ** Medical Director - Medicare (Part-time)** Location: This role enables associates to work virtually full-time, with the exception of required in-person… more
- R1 RCM (Chicago, IL)
- …enhancing the patient experience. As the Government Navigation Services (GNS) Business Development Director , you will focus on engaging and targeting new Tier 1 and ... in addition to prospecting and networking initiatives, the GNS Business Development Director will partner with the Business Development teams of in-house and… more
- AdventHealth (Bolingbrook, IL)
- …Glendale Heights, IL) **The role you'll contribute:** The Care Management Facility Director has full accountability and oversight for the overall operations of the ... including but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge Planning, Social… more
- Bayer (Chicago, IL)
- …minds to make a real difference, there's only one choice.** **Associate Director , Field Reimbursement, Oncology - Great Lakes Region** **Associate Director , ... HCPs and Office staff in navigating therapy Prior Authorizations (PAs), Medical Necessity documentation and therapy PA denial appeals. Develop collaborative working… more
- R1 RCM (Chicago, IL)
- …transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise ... sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Director , Regulatory Compliance & Regulatory Affairs, you will be responsible… more
- Robert Half Finance & Accounting (Chicago, IL)
- Description We are looking for an experienced Director of Reimbursements to oversee and coordinate essential financial operations related to net patient revenue. ... filings and resolve appeals. * Coordinate reimbursement audits conducted by Medicare and third-party auditors, preparing federal appeal position papers as necessary.… 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 ... to): + This role takes leadership for UnitedHeath Group / OptumRx Medicare and other Government channels across the Neuroscience, Oncology, GI Care, Established… more
- Rush University Medical Center (Chicago, IL)
- **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Rush Health Contracting ... to disease management and complex care management. Our network includes Rush University Medical Center, Rush Oak Park Hospital, Rush Copley Medical Center,… more
- ChenMed (Chicago, IL)
- …and runs referral team meeting- Create agenda for meeting. Gather info from Medical Director /Network Director /Referral Manager. + Prepares Referral ... Team Meeting Minutes and send minutes to Operation Director , Market Medical Director , Market...experience/understanding + Understanding of cost as it relates to Medicare parts A, B and D + Proficient in… more
- AdventHealth (Hinsdale, IL)
- …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; ... Care coordination, discharge planning, transitions of care planning and understanding of medical necessity are core competencies of this role. The RN Care Manager… more
- AdventHealth (Hinsdale, IL)
- …and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care coordination. The Social ... not limited to the following: Home Health, Infusion Services, Durable Medical Equipment, Palliative Care, Hospice, Outpatient Services, Transitions of Care Clinics,… more
- AdventHealth (La Grange, IL)
- …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; ... Care coordination, discharge planning, transitions of care planning and understanding of medical necessity are core competencies of this role. The RN Care Manager… more
- The Joint Commission (Oakbrook Terrace, IL)
- …appropriate judgment to seek assistance from others, including Central Office, the Field Director on call, the program specific Field Director , the Standards ... periodic performance reviews, evidence of standards compliance reports, complaints, and Medicare out-of-compliance reports. + Collaborate in a productive manner with… more
- Trinity Health (Maywood, IL)
- …suburbs. The three-hospital system includes Loyola University Medical Center (https://www.loyolamedicine.org/location/lumc) , Gottlieb Memorial Hospital ... coordinates the administrative aspects of a healthcare professional residency program ( medical , surgical, dental, podiatric) with special focus on becoming expert in… more
- R1 RCM (Chicago, IL)
- …transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise ... and client relationship that ensures the maximum collection for medical services. The position is in a fast-paced environment...and remote resources, while reporting directly to the Senior Director of Revenue Cycle Operations. With a keen sense… more