• American Health Quality Association (Madison, WI)
    assistant - clinical -director-critical-care-full-time-night Toms River, New Jersey, The Assistant Clinical Director provides leadership to the MICU, ... SICU, CCU and newly designed Stepdown Unit start up. The Assistant Clinical Director will work closely with the Director of Patient C Sat, 08 Dec 2018 02:58:38… more
    American Health Quality Association (12/20/18)
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  • Arthur J. Gallagher & Co. (Rolling Meadows, IL)
    …an undue hardship on the operation of our business. GBCARE Advisor/ Assistant Vice President Rolling Meadows, Illinois, United States New Sales/Production 49675 ... against the AM skill continuum. * Prior experience in workers compensation, clinical and/or managed care role. * Approximately 30% travel. * Proficient with… more
    Arthur J. Gallagher & Co. (01/20/19)
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  • Transition Coordinator

    Blue Cross of Idaho (Meridian, ID)
    …through the transition from one setting to another. * Experience: Three years clinical nursing or medical assistant work which includes patient care and ... unrestricted Idaho Licensed Practical Nurse (LPN) License; OR Valid/Unrestricted Medical Assistant Certification or must obtain within 6 months of hire Knowledge,… more
    Blue Cross of Idaho (01/11/19)
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  • Physician Assistant - Urgent Visit

    Landmark Health (Boston, MA)
    …Monday - Friday (Non-Holiday). This position also participates in gathering clinical information for medical necessity determinations for service requests. Works ... in the development and/or implementation of medical management policy, clinical protocols, utilization management guidelines, and quality management programs.… more
    Landmark Health (01/03/19)
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  • CLN ( Clinical ) Investigations Auditor- RN

    Blue Cross and Blue Shield of Illinois, Montana, N (Chicago, IL)
    …Department and other fraud control functions including utilization of clinical nursing, coding, and auditing knowledge and multifaceted investigative techniques ... *3 years nursing experience in a hospital, physician office or clinical setting. *2 years medical claims review, utilization management/case management or… more
    Blue Cross and Blue Shield of Illinois, Montana, N (11/29/18)
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  • GBCARE Advisor/ Assistant Vice President

    Gallagher (Rolling Meadows, IL)
    …against the AM skill continuum. + Prior experience in workers compensation, clinical and/or managed care role. + Approximately 30% travel. + Proficient with ... our business._ **Job:** _Sales/Production_ **Organization:** _GB US Operations_ **Title:** _GBCARE Advisor/ Assistant Vice President_ **Location:** _Illinois-Rolling Meadows_ **Requisition ID:**… more
    Gallagher (01/18/19)
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  • Patient Access Rep, Hospice

    UPMC (Pittsburgh, PA)
    …of insurance and managed care requirements. Notifies Authorization and Verification Assistant for necessary clinical follow-up with insurance. + Demonstrate ... office equipment. + Document and communicate all contacts and relevant clinical information to appropriate Agency staff, physicians, families, and/or insurance… more
    UPMC (01/18/19)
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  • AVP, Population Health Analytics

    Scripps Health (San Diego, CA)
    …if you're open to change, go ahead and unlock your potential. As Assistant Vice President, Population Health Analytics, you will provide Executive leadership and ... subject matter expertise to ACO leadership, health plan, care management and clinical care lines. Align with Scripps Information Services to establish and maintain… more
    Scripps Health (01/19/19)
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  • Quality Mgmt Spec III

    Blue Cross and Blue Shield of Illinois, Montana, N (Chicago, IL)
    Description: BASIC FUNCTION:This position is responsible for facilitating BCBSTX clinical quality improvement projects and evaluation of PCP/MG/IPA compliance with ... BCBSTX clinical practice guidelines; consulting with MG/IPAs, physicians, providers, members,...(LPN), Respiratory Therapist, or other medical specialty, ie Physicians Assistant , Corpsman with unrestricted license in state.* Medical specialty… more
    Blue Cross and Blue Shield of Illinois, Montana, N (01/18/19)
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  • Quality Mgmt Spec II

    Blue Cross and Blue Shield of Illinois, Montana, N (Albuquerque, NM)
    …Spec II BASIC FUNCTION: This position is responsible for facilitating BCBS clinical quality improvement projects and evaluation of PCP/MG/IPA compliance with BCBS ... clinical practice guidelines; consults with MG/IPAs, physicians, providers, members,...(LPN), Respiratory Therapist, or other medical specialty, ie Physicians Assistant , Corpsman with unrestricted license in state. * Medical… more
    Blue Cross and Blue Shield of Illinois, Montana, N (01/15/19)
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  • Quality Mgmt Spec II

    Blue Cross and Blue Shield of Illinois, Montana, N (Richardson, TX)
    …Texas BASIC FUNCTION: This position is responsible for facilitating BCBS clinical quality improvement projects and evaluation of PCP/MG/IPA compliance with BCBS ... clinical practice guidelines; consults with MG/IPAs, physicians, providers, members,...(LPN), Respiratory Therapist, or other medical specialty, ie Physicians Assistant , Corpsman with unrestricted license in state. *3 years… more
    Blue Cross and Blue Shield of Illinois, Montana, N (01/12/19)
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  • Quality Management Specialist III

    Blue Cross and Blue Shield of Illinois, Montana, N (Chicago, IL)
    …IL BASIC FUNCTION: This position is responsible for facilitating BCBSIL clinical quality improvement projects and evaluation of PCP/MG/IPA compliance with BCBSIL ... clinical practice guidelines; consulting with MG/IPAs, physicians, providers, members,...(LPN), Respiratory Therapist, or other medical specialty, ie Physicians Assistant , Corpsman with unrestricted license in state. * Medical… more
    Blue Cross and Blue Shield of Illinois, Montana, N (01/04/19)
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  • Insurance Collections Specialist

    Tennessee Orthopaedic Alliance, PA (Nashville, TN)
    …insurance payer are processed accurately and timely. This position reports to our Assistant Director of Revenue Cycle, and is located at our Central Business Office ... follow up + Collaboration, working closely with Central Business Office and clinical colleagues and administrative team mates to develop a cohesive, high performing… more
    Tennessee Orthopaedic Alliance, PA (01/17/19)
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  • Hedis Coordinator

    Kelly Services (Monterey Park, CA)
    …and review medical records for completeness and content prior to sending for Clinical review and abstraction. + Receive invoices for medical records and submit for ... background working in the Medical/Health Insurance industry + Certified Medical Assistant is beneficial but not required + HEDIS abstraction/collection of medical… more
    Kelly Services (01/11/19)
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