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NYC Health + Hospitals/Gouverneur is a 295-bed Skilled Nursing Facility (SNF) with a 5-star CMS Quality Rating in Manhattan’s Lower East Side neighborhood. Under the direction of the Director of Admissions, the Sr. Admissions Nurse Liaison oversees admission clinical activities for 5 Skilled Nursing facilities.
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Identify LTC/Custodial Nursing Home and work with the Clinical team and NH providers to obtain budget letters for the purpose of identifying and collecting NAMI. This position is responsible for CenterLight’s billing and revenue cycle to analysis, reconciliation, and operational procedures while maintaining adherence to DOH and CMS guidelines.
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Our in-jail clinical services include medical, nursing, and mental health care; substance-use treatment; social work; dental and vision care; discharge planning; and reentry support. We are a network of 11 hospitals, trauma centers, neighborhood health centers, nursing homes, post-acute care centers, and correctional health services.
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Position SummaryExperienced/career level position responsible for overseeing quality review audits of medical records coded by internal team (CDQA and Sr Analyst CDQA) to ensure the ICD-10 codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures.
$67,900 - $149,300Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Directs all Organ Transplant Programs at UC San Diego Health, and is responsible for the administrative oversight of the Center including clinical workflow, regulatory oversight, patient experience, human resources, financial resources, capital planning, and quality assurance.
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Assesses patient and medical record documentation to identify medical necessity and appropriateness of admission and continued stay using pre-established clinical criteria (i.e., Milliman Care Guidelines, CMS) according to hospital policy.
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Saint Joseph's Medical Center is seeking a full time Clinical Director of Quality under the direction of the Vice President for Quality and Risk Management, the Director of Quality Improvement is responsible for implementing the organization's Performance Improvement plan and priorities consistent with regulatory standards and evidence based best practices.
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Performs routine and special compliance audit and monitoring as deemed necessary, including but not limited to, the management sanction screening, OMIG, CMS, and OIG compliance, and payer compliance.
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The Quality and Patient Safety Manager assists the regional director or assistant director in developing and implementing facility or regional programs that support: evidenced-based best practices, culture of safety, regulatory compliance, accreditation, process improvement, and policies that lead to improved clinical outcomes.
ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Clinical and Professional Development: We offer 7 different residency programs for our PTs with no reduction in pay or hours (Ortho - HSS, Sports-HSS, Pelvic, Vestibular, Oncology, Hand, and Pediatric), peer to peer learning, journal clubs, specialty teams/programs, unlimited CEUs, clinical career ladder, leadership development and coaching, in-house business school and so much more.
Full-timeExpandApply NowActive JobUpdated 17 days ago - UpvoteDownvoteShare Job
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Under general supervision of the Director of Case Management, the Utilization Review Nurse provides a clinical review of cases using medical necessity criteria to determine the medical appropriateness of inpatient and outpatient services.
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Assure that appropriate safety and clinical standards of care are met for care management in accordance with all applicable regulatory accreditation (CMS, applicable state licensing departments, CARF, The Joint Commission, etc.
ExpandApply NowActive JobUpdated 15 days ago - UpvoteDownvoteShare Job
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Educates nursing, medical and ancillary staff about care management role, relevant clinical criteria and resources available for patients, as well as regulatory and managed care requirements. Utilizes current literature to facilitate clinical/care management practice changes.
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Join DCI today to build relationships and gain fulfillment serving individuals in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers. Follow CDC/CMS infection control regulations.
$80,000 a yearFull-time/part-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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To be successful in this role, qualified candidates must have a doctoral degree (Psy. D/PhD) in clinical psychology, NYS licensed Clinical Psychologist or NYS licensed Behavior Analyst. Partnering and collaborating with a multidisciplinary team, ensures compliance with regulatory bodies, i.e. OPWDD, CMS, OMH, SSA etc.
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clinical cms jobs in Newark, NJ
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