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The position creates accurate and timely records and documents the completion of processes of provider enrollment, contract execution, and maintains CCW files. This position reports to the Provider Services Coordinator and collaborates with the Quality Team to promote the Keystone STARS program and connect providers to resources to support best practices and quality improvement.
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Novant Health Medical Group is looking for a conscientious, compassionate, and skilled Surgical Advanced Practice Provider (APP) to join our local growing Urology practice of 13 physicians and 13 APPs in Winston-Salem, NC. This position would provide clinical care for urological patients in the acute and ambulatory setting.
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Calculate cost/expense during the year for Medicare Advantage plans to offset Provider bonuses via reporting, for VP of Finance review/approval. Evaluates Provider CME travel requests and reimbursement requests against policy for VP of Finance review/approval.
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Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Collaborates with Provider Relations and other provider facing teams to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters.
$25.97 - $46.68 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Expert practice management including privileging, provider enrollment, and billing and collections. ICC (Intensive Care Consortium) is looking for an experienced nocturnist acute care nurse practitioner to join HCA Florida Capital Regional Medical Center in Tallahassee, FL.
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Delivers, advises and educates provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with state, federal, and NCQA requirements.
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Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and strategize/coach on opportunities for provider improvement and gap closure.
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Develops, enhances and maintains provider clinical relationship across product lines. Ability to travel up to 75% of time to provider offices. One of the following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CBCS.
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Portland embraces cyclists, hikers, brewpubs, dogs, climbers, artisan coffee shops, book readers, foodies, professional soccer and basketball fans, award-winning wineries, concertgoers and paddle boarders.
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3+ years of experience in HEDIS record collection and risk adjustment (coding). Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.
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Pivot Physical Therapy is the premier provider of physical, occupational, speech, and sports medicine services with over 250 locations throughout the East Coast. Utilizing evidence-based practice and ongoing clinical successes, Pivot Physical Therapy is a preferred provider to top physicians.
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The Hydrocare Providers (HP/RN) are the heart of our business model who conduct the daily IV Hydration Treatments and Vitamin Injections that we focus on.
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Pivot Physical Therapy is now hiring a full-time Clinic Manager/Physical Therapist at one of its outpatient clinic locations in Nottingham, MD. 6 months of experience is required. Whether pre-op, post-op, sports, motor vehicle, or work comp related.
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Pivot Physical Therapy is now hiring a full-time Clinic Manager/Physical Therapist at one of its outpatient clinic locations in Sterling, VA. 6 months of experience is required. Pivot Physical Therapy.
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Memorial Hermann Medical Group , a large physician-employed network, is seeking an experienced full-time Acute Care Nurse Practitioner or Physician Assistant to fill a Hospitalist position at our Southeast campus.
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provider job Title: hospitalist Company: Commonspirit Health in Schuyler, Nebraska
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