- Mount Sinai Medical Center (Miami Beach, FL)
- …clinical denial management process, ensuring that all denials related to medical necessity and delays in service /discharge are identified and addressed ... (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services , including cancer care, 24/7 emergency care, orthopedics,… more
- Ethos Risk Services (Fresno, CA)
- …US: Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data that translates into ... our Medical Management division to provide field-based medical case management services for workers' compensation claims. You will conduct patient… more
- Actalent (Fort Lauderdale, FL)
- …Utilization review Utilization management InterQual Milliman Commercial Guidelines Medicaid Medical management Medicare Managed care Patient care Medical ... of service authorization requests, ensuring the utilization of appropriate services . The UMN assists in complex cases, develops internal processes, and educates… more
- West Gables Rehabilitation Hospital (Miami, FL)
- …significant PI findings pertaining to adverse drug reactions, drug usage evaluation, medical management of acute transfers and other CQI indicators. ... Medical * Location: Miami, FL $10,000 Sign-on Bonus Director of Quality Management (DQM) Responsibilities Position Summary Coordinates the Medical Quality … more
- Advocate Aurora Health (Milwaukee, WI)
- … directors to assure appropriate communication and System response. Provides support for the medical center Medical Management program. Guides and supports ... activities of the hospital and assures that the performance improvement and utilization management plans of the medical center meet the requirements of the… more
- CenCal Health (Santa Barbara, CA)
- …depending on business needs. Duties & Responsibilities Provides clinical leadership for medical management functions; assists subordinate managers in resolving ... medical claims review, grievances, appeals, and other medical management issues Works closely with the... issues Works closely with the CMO and other medical directors to identify medical service… more
- CareOregon (Portland, OR)
- …home in the Western United States. We are proving every day that in home medical services for homebound and chronically ill patients can improve health outcomes, ... team, guiding the work of those who provide direct medical services (RN, NP, PA, LPN, CNA),...physician or after normal business hours. Renders the necessary medical management , in consultation with the attending… more
- Regal Medical Group, Inc. (Northridge, CA)
- …work flow and time management Understand, promote and review with the principles of medical management to facilitate the right care at the right time in the ... right setting Understand all Regal Medical Management policies and procedures Communicate effectively and interact with the department managers, nurses,… more
- Elevance Health (Chicago, IL)
- …Clinical Operations Associate Medical Director is responsible for supporting the medical management staff ensuring timely and consistent medical ... Title: Associate Medical Director Job Description: Clinical Operations Associate Medical Director Carelon Medical Benefits Management Radiology Benefit… more
- SaVida Health (Burlington, VT)
- …alcohol addiction treatment services . SaVida Health's care model includes medical care, counseling, comprehensive toxicology testing, case management and ... Medical Assistant/ Medical Receptionist South Burlington VT...timely manner. Coordinating delivery of supplies with the courier service as needed Tracking and assigning unassigned lab reports… more
- Novant Health Urgent Cares LLC (Aiken, SC)
- …UCI Medical Affiliates, Inc. (UCI), located in Columbia, South Carolina, provides non- medical management and administrative services to 50+ Doctors Care ... Title: Medical Assistant Location: Doctors Care North Aiken Status:...patient into EMR system. They also assist with patient services duties at the front desk taking phone calls,… more
- North American Partners in Anesthesia (NAPA) (Brooklyn, NY)
- …and coordinating of activities in the Anesthesia Department Responsible for the medical management of patients who are rendered unconscious ad/or insensible ... Brooklyn,NY - USA Position Requirements Anesthesiologist role with Wyckoff Heights Medical Center, a dedicated teaching and community hospital in historic Brooklyn,… more
- Molina Healthcare (Long Beach, CA)
- …implementation of policies and procedures that guide and support the provisions of medical staff services . Maintains a working knowledge of applicable national, ... medical oversight and expertise in appropriateness and medical necessity of healthcare services provided to...medical personnel, not influenced by fiscal or administrative management considerations, and that the care provided meets the… more
- GoHealth Urgent Care (Martinsburg, WV)
- …through a variety of tasks, including but not limited to patient care management , organization, and communication. The Medical Assistant completes all activities ... Certified Nursing Assistant Additional Knowledge, Skills and Abilities Required Knowledge of medical office management systems and procedures Excellent time … more
- GoHealth Urgent Care (Livonia, MI)
- …Heart Association (AHA). Additional Knowledge, Skills and Abilities Required Knowledge of medical office management systems and procedures Excellent time ... systems and our communities. In a collaborative manner, the Medical Assistant will provide support to the Medical...of tasks, including but not limited to patient care management , organization, and communication. This role is responsible for… more
- Optum - San Antonio (San Antonio, TX)
- …for medical necessity and benefits determination coding *Assists in development of medical management , care management , and utilization management ... Offering Physician Profession Family Medicine Specialty General Job ID 15462705 Job Title Medical Director Shift Details Shift Full Time Days Scheduled Hours 40 Job… more
- North American Partners in Anesthesia (NAPA) (Niagara Falls, NY)
- …and coordinating of activities in the Anesthesia Department Responsible for the medical management of patients who are rendered unconscious and/or insensible ... The Medical Center offers a full range of medical , surgical, rehabilitation, and laboratory and imaging services in the Niagara Falls, NY campus as well as… more
- Agiliti Health, Inc. (Henrietta, NY)
- Who We Are Agiliti is a nationwide company of passionate medical equipment management experts who believe every interaction has the power to change a life. We ... proudly serve within hospitals, healthcare facilities, and our 90+ local service centers to ensure quality medical equipment is in the right place at the right… more
- The Travelers Indemnity Company (Diamond Bar, CA)
- …1 What Is the Opportunity? Under moderate supervision, provide office based telephonic medical case management with emphasis on early intervention, return to ... - oral and written. Keep injured worker apprised of claim status. In-person medical case management may be required to support Concierge locations, where… more
- American Healthcare Resources (Nashville, TN)
- …operation . This role is responsible for patient registration, insurance verification, medical record management , billing, and payment collection. The Patient ... the flow of administrative tasks while delivering exceptional customer service . This role will have a 3-to-4-day work week...and provide patients with payment plan options as needed. * Medical Records Management : Maintain, file, and retrieve… more
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