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Participate as needed in providing documents for Human Rights Committees, serves as the primary contact to the LHRC/HRC/BMC/Incident Management Coordinator/Incident Review Committee and provide all relevant clinical information.
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Plan Ob-Gyn PAC fundraising events and organize PAC efforts and materials for Congressional Leadership Conference, Annual Clinical and Scientific Meeting, State Legislative Roundtable, and Annual District Meetings.
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Lead/co-lead PSR groups each week; conduct initial psychology assessment of patients admitted/transferred to assigned team; assess/make recommendations for patients who exceed behavioral criteria for complex cases; attend treatment planning and review meetings to provide input and recommendations from a psychological perspective; completes TPC and progress notes; and perform forensic evaluations in according with applicable legal and professional standards.
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The Research Claims Specialist will support the Clinical Research billing and account review needs of the Providence Health System. Main responsibilities include, but not limited to, the review of charges, processing and tracking of on-going research related clinical billing, and regular review of research related billing process for accuracy and compliance.
$16.7 - $37.84 an hourFull-timeRemoteExpandApply NowActive JobUpdated 25 days ago - UpvoteDownvoteShare Job
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Track and manage metrics and goals related to finance, revenue cycle, productivity, clinical performance, value-based care and customer experience. Review data, share best practices and coach Care Center teams on strategies to succeed in value-based care agreements with payers.
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Responsible for championing the designated care manager concept throughout the neighborhood, assisting in the recruiting, hiring, and training of team members, completing staffing, scheduling and timekeeping review, team member recognition, engagement, and performance management.
Full-timeExpandApply NowActive JobUpdated 28 days ago - UpvoteDownvoteShare Job
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Partners with RSD ensuring that Sunrise clinical indicators are met and are below established benchmarks in restraint free environment, weight management, anti-psychotics, and behavior management.
$62,100 - $74,520 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines.
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Assist with drafting Medical Affairs Policy Memo's for the Surgical Clinical Community and Medical Affairs Leadership review. Review and adjudicate edits/comments for clinical health best practice documentation received from the clinical health community.
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Consult physicians/providers with questions, interpret clinical guideline criteria, and render/review coverage determination for prior authorization cases. Work is computer based and include receiving phone calls from prior authorization pharmacy technicians and/or providers for clinical information.
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Chart Review with aim to promote evidence based medical practice and adherence to DispatchHealth clinical pathwaysWork as part of a clinical care team with a DHMT (Medical Technician) and individually, as appropriate for the service line to deliver care in the patient’s home through our innovative in-home care service lines.
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Coordinate and collaborate with cross functional teams (Management team, CAPA review board, Product Support, etc) to provide technical support. As one of the top five life science companies, we are a global leader in developing, manufacturing, and marketing a broad range of high-quality research and clinical diagnostic products.
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Utilize clinical expertise to identify the salient points within a case review. CorroHealth provides data-driven solutions combined with clinical operations support to hospitals and health systems to help them enhance Medicare compliance and improve financial performance.
Part-timeRemoteExpandApply NowActive JobUpdated 24 days ago - UpvoteDownvoteShare Job
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Requests clinical validation queries for Clinical Documentation Integrity (CDI) review and follow-up. Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS.
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B.A./B.S. degree in Psychology, Social Work, Rehabilitation or related field required; Master’s preferred, Licensed clinical professional (LICSW, LPC, BCBA preferred) Supervise QIDP/QDDP staff; evaluate, monitor, hire and terminate staff; review and approve staff time records; attend job fairs to recruit new staff.
Full-timeExpandApply NowActive JobUpdated 20 days ago
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