City / Los Angeles, CA Case Manager (CM) - Full Time (on-site) Registered Nurse (RN) or Licensed Clinical Social Worker... in Case Management include: Clinical Interventions/Discharge and Care Planning Management; Fiscal Management; and Payer...
for better? Job Description The Lead Clinical Quality Documentation Specialist reflects the mission, vision, and values of Northwestern Medicine (NM..., procedures, guidelines and all other regulatory and accreditation standards. The Lead Clinical Quality Documentation Specialist...
General Summary of Position The Pharmacy Technician, Clinical Coordinator serves as a crucial link between healthcare... to patients with unique healthcare needs. The Clinical Coordinator may assist in all areas of clinical operations, including...
denials that are received from the insurer/auditor. Successful appeals result in our upholding the clinical support and the... and compose a comprehensive rebuttal via the appeal process in a timely manner to the DRG denial claims for clinical and coding...
supportive documentation for appeals. Report any issues to the department managers and compliance team. Provide clinical... must complete several pre-employment requirements prior to starting. to learn more! RN Clinical Coding Specialist FINANCE...
Clinical Documentation Specialist - Auditor (CDS) performs review of inpatient medical records to identify... team; and by active participation in physician/clinical staff engagement and education. Monitors internal key indicator...
Now Hiring Assistant Clinical Director, South Jersey NJ PURPOSE: This position will supervise, schedule, implement... and evaluate the clinical operations and all related activities for patients and staff of Grace Healthcare Services' clinical...
Overview: NaphCare Pharmacy is seeking a highly skilled and motivated Clinical Pharmacist to join our dynamic team.... Responsibilities: Key Responsibilities Conduct and manage formulary reviews, including prior authorization evaluations and appeals...
you will use your clinical expertise to provide coverage determinations and complete appeals requests based on established criteria, guidelines... to join our Clinical Pharmacy team as Supervisor Prior Authorization. In this position you will play a crucial role in ensuring the...
, or Ambulatory Manager as applicable. Under the supervision of the Pharmacist-In-Charge, Pharmacy Supervisor, Senior Clinical... Pharmacist Specialist, or Clinical Coordinator is responsible for the interpretation, evaluation, preparation, and dispensing...
you will use your clinical expertise to provide coverage determinations and complete appeals requests based on established criteria, guidelines... to join our Clinical Pharmacy team as Supervisor Prior Authorization. In this position you will play a crucial role in ensuring the...
Overview NaphCare Pharmacy is seeking a highly skilled and motivated Clinical Pharmacist to join our dynamic team.... Responsibilities Key Responsibilities Conduct and manage formulary reviews, including prior authorization evaluations and appeals...
inpatient medical records for identified payor populations. Ensures that clinical documentation reflects the appropriate level... of service. Utilizes both clinical and coding knowledge effectively. Performs initial inpatient chart reviews. Manages...
Clinical Transplant Coordinator, Miami Transplant Institute, Kidney Acquisition, Full Time, Days Jackson's Miami... consistently rank among the nation's best in terms of patient outcomes. Job Summary The Clinical Transplant Coordinator...
Utilization Management Utilization Review and Care Transitions & Coordination Providing clinical information to payers... reimbursement, evidenced by standardized measures for length of stay and acuity level status designation. Demonstrates clinical...
Summary We are currently hiring for a Clinical Training and QA Coordinator to join BlueCross BlueShield of South... Carolina. In this role as Clinical Training and QA Coordinator, you will coordinate the quality control program for the medical...
Employment Type: Full time Shift: Day Shift Description: The purpose of the Clinical Integration Specialist... of Inspections and Appeals (IDIA), The Joint Commission (TJC),etc.), in conjunction with the hospital’s leaders, colleagues...
clinical program for U.C. Berkeley Law School, and one of the Bay Area's largest and most effective systems disrupters... Opportunity EBCLC is excited to recruit a Staff Attorney/Clinical Supervisor to join its Health and Welfare Program. The Staff...
Clinical Transplant Coordinator, Heart Acquisition, Miami Transplant Institute (MTI), Per Diem, Days Jackson's Miami... among the nation's best in terms of patient outcomes. Job Summary The Clinical Transplant Coordinator is a professional...
Clinical Quality Nurse Specialist 40hrs/week If you are longing to put everything you’ve learned as a nurse... into practice, we hope you will consider joining us as a Clinical Quality Nurse Specialist. If you want something “more than...