- NORTH EAST MEDICAL SERVICES (Burlingame, CA)
- …oversight and leadership for UM processes, ensuring timely and evidence-based medical decision-making. Review and approve prior authorization requests, appeals, ... we will consider for employment qualified applicants with arrest and conviction records . NEMS BENEFITS: Competitive benefits, including free medical , dental and… more
- Beth Israel Lahey Health (Boston, MA)
- …management, including but not limited to: intake information, patient assessment, medical record documentation, data management, patient satisfaction, care plan ... Administrator in verifying and approving payroll, ensuring accurate time records and payments. Hiring, Training and Oversight/Staffing *Interviews, hires, orients,… more
- Cano Health (Jupiter, FL)
- …to justify their recommendations. Duties & Responsibilities Essential Duties & Responsibilities Review medical record information to identify all appropriate ... coding based on CMS HCC categories Prepare the medical charts and track patient information via Excel spreadsheets....Primary Care Providers and Care Coordinators for MRA coding, HEDIS and STARS Monitor coding changes to ensure that… more
- Molina Healthcare (TX)
- …which includes ongoing review of records submitted by providers and the annual HEDIS medical record review . + Leads meetings with vendors for the ... Improvement Lead Abstractor conducts data collection and abstraction of medical records for HEDIS projects,...lead role in the coordination and preparation of the HEDIS medical record review… more
- Molina Healthcare (Cincinnati, OH)
- …includes ongoing review of records submitted by providers and the annual HEDIS medical record review . + Participates in meetings with vendors ... team functions to conduct data collection and abstraction of medical records for HEDIS projects,...minimum over read standards. **Job Duties** + Coordinates the HEDIS medical record review… more
- TEKsystems (Long Beach, CA)
- Description The Clinical Quality team oversees and is responsible of HEDIS medical record review pursuit and overall HEDIS submission. The HEDIS ... will be responsible for conducting provider outreach during the HEDIS season for medical record ...provider offices & hospitals to request medical records for Medicare PPO population. * Record … more
- US Tech Solutions (May, OK)
- …the screenings. * Search for relevant HEDIS records from databases, review medical records using HEDIS technical specification criteria or ... collection, and review of medical records to abstract clinical information for HEDIS ...offices as needed to schedule/confirm appointments, follow up on medical record submission, and provide patient rosters… more
- Somatus (Mclean, VA)
- …related to the outreach, collection, and accurate data entering of medical records and service data according to HEDIS / Somatus Technical Specifications. ... be to analyze and process the information collected and review the applicable medical records ...or Vocational Nurse. + 1-3 years experience working in HEDIS or medical records . +… more
- NTT DATA North America (IL)
- …Summary: Participates in the collection and review of medical records to abstract clinical information for HEDIS quality reporting. Training will be ... the assignment. This position interprets relevant clinical criteria through review of medical records , annotates...offices as needed to schedule/confirm appointments, follow up on medical record submission, and provide patient rosters… more
- UCLA Health (Los Angeles, CA)
- …including inspections of clinical areas, patient care practices, and administrative processes + Review medical records of services in preparation for health ... Key responsibilities include: + Travel to various clinic sites and schedule and conduct medical record and facility site audits + Conduct thorough facility site… more
- Community Health Systems (Naples, FL)
- …on performance improvement of the UR KPI's. Ensures proper and accurate medical record documentation. **Essential Functions** + Reviews new admissions using ... Primarily responsible for the collection and confirmation of accurate documentation in the Medical Record + Works with healthcare providers to ensure complete… more
- Dignity Health (Bakersfield, CA)
- …action plans to address the needs and barriers in collaboration with providers. - Performs medical record review or audits as needed. - Document provider, ... Liaison provides education and acts as a resource for HEDIS measures, appropriate medical record ...work experience of 2 years related HEDIS record collection and measures improvement with analytical review… more
- CVS Health (Tallahassee, FL)
- …care of patients with severe, complex, and/or treatment resistant illnesses through peer review and educational interventions. * Work with medical director teams ... focusing on inpatient care management, clinical coverage review , member appeals clinical review , ...multiple stakeholders. * Help achieve or exceed all applicable HEDIS , Stars and local state performance targets and goals… more
- Prime Therapeutics (Lincoln, NE)
- …to support the Centers for Medicare & Medicaid Services (CMS) Star and HEDIS quality measure programs, including but not limited to: Medication Therapy Management ... qualified members' medications and disease states related to the Star and HEDIS quality measures programs and processes. **Responsibilities** + Receive inbound and… more
- CVS Health (Lansing, MI)
- …enablement. 4. Have oversight of the design, development, and deployment of Care Models and review medical care provided to Enrollees and medical aspects of ... driving clinical excellence, achieving measurable health outcomes, and supporting quality and medical management in a highly matrixed environment. The CMO will also… more
- Defense Health Agency (Fort Irwin, CA)
- …and routes of administration. Review requires transcription of information to medical records and official school forms. Documents administration on required ... ( HEDIS ) metrics, procedure preparation, wellness screening paperwork, etc. Review patient appointments, 24-78 hours prior to scheduled appointment and identifies… more
- AmeriHealth Caritas (Washington, DC)
- …informally as needed + ; Thoroughly documents all care coordination activity in the member medical record in the electronic medical management system + ; ... to contractual obligations; + ;Performs clinical case reviews in conjunction with Medical Excellence Department responsible for HEDIS performance + ;Maintains… more
- Veterans Affairs, Veterans Health Administration (Hampton, VA)
- …in the clinic unit area. Responsibilities VA Careers - Lead Medical Support Assistant: https://youtube.com/embed/UJO\_XH5uCLs Total Rewards of a Allied Health ... assessments, assigning work, and assuring proper staffing coverage; evaluating training records ; and determining training needs of MSAs. Responsible for scheduling… more
- Trinity Health (Boise, ID)
- …Population Health Team is now hiring for a compassionate and adaptable Medical Assistant! This position will support the Boise area family medicine clinics! ... initiatives (Gaps In Care Closure) focused on Quality measures ( HEDIS ). + This position will be primarily located at...be flexible day to day. + The Saint Alphonsus Medical Group is a multi-specialty, physician-led organization focused on… more
- Adelante (Goodyear, AZ)
- …to find additional resources to support patient care. Administrative Responsibilities + Obtain medical records , labs & diagnostics results as needed. + Align ... individuals with the education and resources necessary for managing their medical conditions effectively. EXPECTATIONS Every Adelante Healthcare employee will strive… more
