- Northern Light Health (South Portland, ME)
- …Hours Per Week: 40.00 Work Schedule: 8:00 AM to 5:00 PM Summary: The Clinical Assurance Specialist exercises independent judgement in analyzing clinical ... of care, clinical orders and State and federal regulations. The Clinical Assurance Specialist collaborates with staff, Clinical and General Education… more
- ASM Research, An Accenture Federal Services Company (Augusta, ME)
- …sanction data banks. + Collects professional/peer references and completed clinical privileges, demographics, military and civilian practice history (including ... + Accurately loads appropriate data in the DoD Centralized Credentials Quality Assurance System (CCQAS). Keeps records and documentation of the applications and… more
- Evolent (Augusta, ME)
- …Are you ready to make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular ... Specialist and use your expertise in interventional cardiology to...meaningful way to contribute to patient care beyond the clinical setting. + Opportunities for collaboration with a dynamic… more
- Elevance Health (South Portland, ME)
- …for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding ... and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical...of 5 years of experience in claims auditing, quality assurance , or recovery auditing. + Requires at least one… more
- Northern Light Health (Brewer, ME)
- …with Patient Flow Manager and House Managers on flow prioritization. + Provides clinical guidance to Transfer Center Operations Specialist (TCOS) colleagues in ... Transfer Center, the Transfer Center Nurse is responsible for obtaining clinical presentation data and coordinating the appropriate resources needed to care… more
- Northern Light Health (Bangor, ME)
- …for Performance Improvement and Patient Safety (PIPS), injury prevention, and clinical research. Responsibilities: * Performs manual data collection of demographics ... and coding of clinical and follow-up data from all sources into trauma...in real time and retrospectively. * Participates in quality assurance , data validation, and improvement activities to ensure accuracy… more
- Northern Light Health (Brewer, ME)
- …Program. The leader will provide service and guidance on all matters of clinical risk management and process improvement and will identify potential areas of ... by state and federal agencies, and compliance with the Joint Commission Clinical Risk Management standards. + Collaborates with legal and compliance with… more
- Northern Light Health (Bangor, ME)
- …a commitment to creating a culture of caring. Responsibilities: + Works with Clinical Manager and/or Program Specialist to bring forward curriculum based in ... team that works under the direction of the Inpatient Clinical Manager. This person works with unit leadership to...quality standards and strives for continuous improvement and quality assurance by reporting and encouraging others to report near… more