- Trinity Health (Livonia, MI)
- …time **Shift:** **Description:** Trinity Health at Home is seeking an experienced RN remote Clinical Quality Review Specialist with ICD10 HCS-D ... 6 months of hire **Trinity Health at Home is seeking an experienced RN Clinical Quality Review Specialist for a remote position** **ICD10 HCS-D… more
- Tenet Healthcare (Detroit, MI)
- Clinical Improvement Specialist Clinical Quality Abstract RN Full Time Days - 2506000721 Description : DMC Sinai-Grace Hospital is DMC’s largest ... and coordinates all aspects of assigned registry including data collection. data submission, quality report issues, outcome report review and analysis Acts as… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- Summary The Clinical Pharmacy Specialist (CPS) will be assigned to the Community Living Center (CLC). Serves as the subject matter expert for Pharmacy services ... progress notes in computerized record systems. Interview patients and/or review patient medical record to identify or validate drug...of technical staff in all aspects of medication distribution. Clinical Pharmacy Specialist . The clinical … more
- Corewell Health (Southfield, MI)
- …and treatment of sepsis patients + 1 year of relevant experience with chart review , relevant clinical experience and/or Quality improvement experience + ... This role focuses on Sepsis registries and supporting the clinical and quality teams for process improvement...We are seeking a highly skilled and detail-oriented RN Clinical Data specialist to join our team… more
- Sedgwick (Detroit, MI)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : To perform clinical ... absence from work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims; documents decision... status, progress and work status. + Achieves appropriate quality audit scores on a consistent basis. + Acts… more
- Corewell Health (Royal Oak, MI)
- …to documented plans and programs including the Code of Excellence. Assists in the review of clinical regulatory standards, evaluation of the level of compliance, ... accreditation standards, laws, rules and regulations related to the clinical environment. Supports the resolution of compliance and/or accreditation investigations… more
- McLaren Health Care (Detroit, MI)
- … trials comply with therequirements of the protocol, the approving Institutional Review Board, Code ofFederal Regulations, Good Clinical Practice, Food and ... Provides clinical trials auditing and monitoring and follows established...studies and study close-out, drug, deviceand correlative specimen compliance review . + Reviews the accuracy, completeness andtimeliness of study… more
- McLaren Health Care (Detroit, MI)
- Acts as a quality consultant and subject matter expert. Responsible for uncovering opportunities for improvement through data collection/analysis and observation of ... processes of care. Accountable for data pertaining to assigned clinical outcomes. Assists with, and coordinates, ongoing data management and monitoring of … more
- Integra Partners (Troy, MI)
- …our Operations Training & Development team as an Operations UM Training Specialist , specializing in Utilization Management (UM) processes. The ideal candidate will ... have a strong nursing background combined with expertise in clinical documentation, medical necessity determination, regulatory compliance, and will be responsible… more
- Trinity Health (Livonia, MI)
- …with applicable rules and regulations. Coordinates projects to improve the quality and efficiency of the credentialing and privileging process. **ESSENTIAL FUNCTIONS ... to identify any potential controversial issues or concerns. Completes final review of recredentialing applications prior to Committee presentation to ensure complete… more
- Trinity Health (Livonia, MI)
- …Health Ministries (HMs) within their region. Provides direct oversight of the Clinical Documentation Specialist and Clinical Documentation Integrity ... Integrity, is directly responsible for the daily assessments of current Clinical Documentation Specialist staffing levels and processes. Ensures that… more
- Trinity Health (Livonia, MI)
- … reviews as outlined in the CDI quality plan, such as by Clinical Documentation Specialist (CDS), service line, focus area and as otherwise necessary to ... CMI as well as ICD-10 coding systems and the guidelines related to Clinical Documentation Integrity. Provides direction for daily review assignments and… more
- Molina Healthcare (Sterling Heights, MI)
- …Association** Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and...Long-Term Services & Supports issues. + Identifies and reports quality of care issues. + Prepares and presents cases… more
- Wayne State University (Detroit, MI)
- …participates in Medical Toxicology organizations, research, and poison center activities. Review and update clinical treatment guidelines, develop, maintain and ... Assistant Professor - Clinical - Department of Emergency Medicine Wayne State...where students from all backgrounds are offered a rich, high- quality education. Our deep-rooted commitment to excellence, collaboration, integrity,… more
- BioLife Plasma Services (Detroit, MI)
- …therapy Satisfactorily complete the FDA approved training requirements for BioLife Medical Support Specialist Two years in a clinical or hospital setting What ... day, the donors you meet will motivate you. The high- quality plasma you collect will become life-changing medicines. Here,...Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse) to support plasma center operations.… more
- BioLife Plasma Services (Detroit, MI)
- …+ Satisfactorily complete the FDA approved training requirements for BioLife Medical Support Specialist + Two years in a clinical or hospital setting **More ... day, the donors you meet will motivate you. The high- quality plasma you collect will become life-changing medicines. Here,...Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse) to support plasma center operations.… more
- Elevance Health (Dearborn, MI)
- …Coding Specialist , CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). + Requires minimum of 10 years experience ... all lines of business, and its clients. Specializes in review of DRG coding via medical record and attending...Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad, deep and niche… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The Remote Coding Specialist I - Ancillary Coding & Claim Edits is responsible for coding ... CPT codes for procedures. This position also is responsible for Claim Edits and will review and respond to NCCI, OCE, LCD & NCD edits during the coding process. The… more
- Corewell Health (Dearborn, MI)
- …resulting in fulfillment of learning needs. + The Nursing Professional Development Specialist will be expected to maintain clinical expertise in assigned ... of quality care. + Coordinates the establishment of the review /revision and evaluation of policies and procedures affecting hospital departments and nursing.… more
- Prime Healthcare (Garden City, MI)
- …award-winning team of dedicated professionals committed to our core values of quality , compassion and community! Garden City Hospital, a member of Prime Healthcare, ... pride ourselves on community involvement and commitment to preserving access to quality and compassionate healthcare. We are a state-of-the-art medical facility with… more