- Intermountain Health (Las Vegas, NV)
- **Job Description:** The goal of the Clinical Documentation Specialist- Consultant is to educate leaders, physicians, advanced practice providers (APP), and other ... Coding Clinics, and other guiding references for coding accuracy and compliance . + Knowledge of clinical criteria, pathophysiology, evidence-based practice… more
- CVS Health (Austin, TX)
- …care more personal, convenient and affordable. Position Summary The Quality Assurance Consultant fulfills the company purpose of helping people on their path to ... health by driving quality execution of PBM functional area performance. The Consultant will perform some monitoring activities. However, this position requires a… more
- CVS Health (Hartford, CT)
- …at the nearest CVS Health or Aetna office. Core duties: + Partner with Medicaid Care Management, NCQA, Compliance and Audit leads to analyze and support ... technology and data analytics for CM process integration + Oversee and ensure compliance with all applicable Federal and State regulations relevant to the plans… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- Laboratory Consultant (35 Hour) Hybrid Recruitment # 240319-5609HC-001 Location Hartford, CT Date Opened 3/22/2024 12:00:00 AM Salary $73,639 - $99,512/year Job Type ... qualified individual to join our team as a Laboratory Consultant . This position will be apart of our...and federally certified by the Centers for Medicare and Medicaid Services (CMS). See below for additional information on… more
- WellSense (Boston, MA)
- Provider Relations Consultant (Boston/Northeast MA) - $5000 sign on bonus! WellSense Health Plan is a nonprofit health insurance company serving members across ... Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, we provide… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** The Coding Operations Education and Appeals Consultant is responsible for assisting in the efficient and effective design, ... to understand, meet, and exceed customer expectations and needs. The Education Consultant is responsible for assisting in the development of the Quality Assessment… more
- City of New York (New York, NY)
- …hire one (1) City Medical Specialist (Per Diem) to function as a Medical Consultant who will: - Indirectly supervise contracted clinical staff, share policies ... as Cash, Food and Rental Assistance as well as Medicaid . The Office of the Medical Director aims to...and decrease morbidity and mortality; and improve food safety, compliance with NYC Food Standards and the overall nutritional… more
- Trinity Health (Livonia, MI)
- …focused than clinical . Ideal candidate would offer a background in consultant for product development and payer strategy. Serves as a subject matter expert ... existing relevant coverage policies available through public payers (Medicare and Medicaid , where available). Collaborates with Trinity Health Community Health &… more
- VHC Health (Arlington, VA)
- …the organization in four essential domains which include Patient Safety, Clinical Quality Management, Regulatory Compliance , and Performance Improvement. Key ... Quality Consultant Job Description Purpose & Scope: The Quality...analysis is required. One year of experience in regulatory compliance and continuous quality improvement is preferred. Certification/Licensure: None… more
- UCLA Health (Los Angeles, CA)
- …recommendations, denial prevention strategies, improved patient experiences, and reduced compliance risks. You will: * Elevate leadership's understanding of current ... complex department-specific reporting packages * Translate patient access data and clinical application data to our professional fee billing systems to complete… more
- Beth Israel Lahey Health (Lawrence, MA)
- …crisis team with adherence to the "wrap around philosophy". The Clinical Supervisor will provide rapid and effective assessment, support, hospitalization, when ... the flow and pacing of client care, by maintaining clinical and administrative oversight of the clinicians. 4. Acts...oversight of the clinicians. 4. Acts as first line consultant to clinicians for dispositions, especially for complex cases.… more
- Beth Israel Lahey Health (Lawrence, MA)
- …Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) Clinical Supervisor (LICSW / LMHC) - Community Behavioral Health Center located in ... **Day 1 Benefits!** The Adult Urgent Care / MCI Clinical Supervisor oversees the day to day operations of...oversight of the clinicians. 4. Acts as first line consultant to clinicians for dispositions, especially for complex cases.… more
- LA Care Health Plan (Los Angeles, CA)
- …collaborates with the team to develop and execute mitigation efforts. Serves as a consultant to the organization's Compliance team on an ad hoc basis. Perform ... and Medicaid Services (CMS) audit. Background in teaching and/or clinical education. Skills Required: Superior verbal and written communication skills. Advanced… more
- SSM Health (St. Louis, MO)
- …Group, a member of SSM Health is seeking an anatomic and clinical pathologist for service at an academic campus. Other subspecialties, especially hematopathology ... or cytopathology, are welcome. Responsibilities include anatomic and clinical pathology, with hematopathology or cytopathology desirable but not required. Teaching… more
- Highmark Health (Charleston, WV)
- …with all divisions and departments within the corporate structure to provide clinical consultation and support with regard to program development, compliance ... utilized. As such, the incumbent's role is to provide clinical input into health care management services' activities including...familiar with network issues and how to act as consultant to physicians at hospitals and health care management.… more
- Community Wellness Partners (New Hartford, NY)
- …integrity. + Audits and monitors resident medical record for completeness and compliance . + Performs the clerical tasks for all admissions, transfers and/or ... required. + Obtains physician signatures if missing. + Brings clinical documents to the HIS office as needed. +...Maintains chart audits and monitoring as directed to assure compliance . + Maintains up to date Nursing assignment sheets… more
- SSM Health (Wentzville, MO)
- …for patient population. + Responsibility for maintaining a private office and all clinical decision making within the office during times of service. + Acts as ... an advisor and consultant in the establishment of operational policies of the...care plan participation; (3) Budget and practice expenses; (4) Medicare/ Medicaid participation; (5) Billing and collection of professional fees;… more
- Aveanna (Elkins Park, PA)
- …Aveanna Education Services, please connect to aveanna.com Essential Job Functions Clinical * Complete evidence based assessments and documents accordingly in ... electronic or paper medical records. * Provide clinical behavioral consultation to staff, school professionals, and parents/guardians, including case… more
- SSM Health (St. Louis, MO)
- …responsibilities + Join a collaborative team under the Dept of Cardinal Glennon + Clinical Consultation for patients of all ages throughout the state of MO + ... Poison Center for the state of Missouri + Acts as an advisor and consultant in the establishment of operational policies of the practice to include: (1) Purchasing… more
- Trinity Health (Albany, NY)
- …with leadership to direct and coordinate the planning, implementation and evaluation of clinical process related to regulatory compliance . Leverages clinical ... **Provides leadership and expertise in the areas of accreditation and regulatory compliance , quality and patient safety standards as it relates to associates, staff,… more