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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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Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. 3+ years of experience in HEDIS record collection and risk adjustment (coding.
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Employee takes an active role in performance improvement teams that may include NPSG, HCAHPS and core measures or other process improvement activities. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.
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You'll be responsible for the management of our IT security systems and applications, incident response, digital forensics, loss prevention, and eDiscovery actions, conducting risk and vulnerability assessments, and developing and implementing security controls.
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Florida Administrative Code, (Internal Risk Management Program), and URAC compliance program, internal controls, quality improvement, and risk management standards.
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Working in a hospital, outpatient center, private practice, imaging center or other healthcare facility, you'll prepare patients for echocardiograms, operate equipment, process images for radiologists and physicians and handle patient records.
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Create, revise and develop policies and procedures as necessary and ensure that all communications surrounding these policies are clear and documentedWork with the EHS Supervisor to manage all work related or non-work related leave of absence cases, claims, and the coordination of the RTW process when necessaryManage and administer the attendance management programWork closely with Payroll & Benefits to ensure compliance with all payroll and benefits related issues.
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Additional Coding certification preferred (CCS, CPC, or RHIT) Must be credentialed through AAPC or AHIMA. 2+ years in Risk Adjustment Coding Experience working in a variety of EMRs and the ability to navigate and pick up EMR applications agree Strong understanding and knowledge of CMS Coding and Documentation Guidelines agree Demonstrated competency in HCC coding practices.
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Develop collaborative clinical pathways for the management cross-disciplinary conditions including high-risk obstetrics, cardio-oncology, nuclear imaging, and invasive cardiology. Nature and Scope Develop and grow a dedicated to women’s cardiovascular clinic that will address unmet needs in the Northern Nevada/California region including high-risk obstetrics and peripartum cardiomyopathy, cardio-oncology (with a particular focus on breast cancer therapies), ANOCA/MINOCA, SCAD, and POTS/autonomic spectrum disorders.
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Assist in budget preparation and delivery Risk Management Ensure compliance of Risk Management items through the following of the FPI Standard Operating Procedures. Skills Required: Google Mail (GMail) Google Drive RealPage Internet Use Basic Computer Skills Management Customer Service Additional Information ESSENTIAL ATTRIBUTES Embracing and exemplifying our HEART core values and incorporating them into every task performed and every interaction with clients, supervisors, team members, colleagues, residents, vendors, etc.
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Provide an exceptional customer experience throughout the full cycle of the loan or pawn process by educating consumers and making recommendations based on their financial needs. Essential Responsibilities Provide an exceptional customer experience throughout the full cycle of the loan or pawn process by educating consumers and making recommendations based on their financial needs.
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JOB DESCRIPTION Job Description:The primary responsibility of this role is to lead the Royal Canin team assigned to this DC specifically and manage processes, metrics, reporting, data, and continuous improvement projects in relationship with our 3PL provider at the Regional Distribution Hub. This role will be responsible for the logistics operations management associated with a region or distribution center.
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Free and stress-free credentialing with major insurers: We have streamlined the credentialing process and handle all the hard stuff for you so that you can expand your practice by accepting insurance from major payors in your state in weeks, not months.
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The Cardiac Management Solutions division of ZOLL, manufacturer of the LifeVest®, is seeking a Patient Service Representative (PSR) in an independent contractor role to train patients on the use and care of LifeVest.
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As part of their daily responsibilities, this role works with community partners, student services faculty, staff, and students to address food insecurity; develop on campus and off campus partnerships and donations; grant writing and management; donor engagement; and executes a successful program to include detail management, program finance oversight, and learning outcomes assessment.
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risk management process improvement alternate solutions jobs Title: project manager in Reno, NV
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