- 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
- Gentiva (Merrillville, IN)
- …most. We are passionate about what we do because our care matters. **Overview** The ** Medical Director ** will report directly to the National Medical ... Experience demonstrated by Hospice & Palliative Medicine board certification, Hospice Medical Director Certification Board certification, or substantial practice… 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
- Little City Foundation (Grayslake, IL)
- ASSISTANT DIRECTOR OF DAY SERVICES-GRAYSLAKE Job Details Job Location Grayslake - Grayslake, IL Position Type Full Time Education Level BA/BS Human Srvcs, 3yrs exp ... and Resume. Salary range: $ 50,000- 63,000/ year PURPOSE: The Assistant Director is responsible for providing leadership, direction, and operation oversight of… 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
- AbbVie (Mettawa, 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 join us. The individual hired as the Associate Director , Payer Contract Analytics - National Accounts, within the...+ Support all channels of payer contracting including Commercial, Medicare Part D, Medicaid and other Government channels +… more
- Walgreens (Deerfield, IL)
- …including disability/veterans". \#LI-TO1 **Job ID:** 1414700BR **Title:** National Director , Consultant Relations - Remote **Company Indicator:** Walgreens ... Systems, various other providers, etc), the various lines of business (Commerical, Medicare , Medicaid, etc) and the various healthcare services provided in the… 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
- Walgreens (Deerfield, IL)
- …pharmacy and payer segments. In addition, experience with billing procedures for hospital, medical offices and Medicare (B / D benefits). + Experience with ... with buy and bill practices, reimbursement and billing issues within oncology medical practices, particularly with Medicare . Should have experience with current… more
- All-Stat Portable (Skokie, IL)
- …Reimbursement management + Identify opportunities for insurance credentialing + Related to medical record request and CERTs + Work closely with All-Stat's Finance ... health information management issues and regulations + Comply with medical billing and coding policies and guidelines + Report...+ Report all department concerns and issues to the Director of Revenue for prompt necessary action. + Partner… 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
- 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
- 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
- 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
- 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
- AdventHealth (Hinsdale, IL)
- …as needed **The role you'll contribute:** Under general supervision of the Director of Clinical Documentation Integrity and in some situations the supervision of ... in the management of resources entrusted to them. * Reviews concurrent medical record for compliance including completeness and accuracy for severity of illness… more