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- SYRACUSE, NY

POSITION INFORMATION: Medical Billing Clerk (primary care out-patient health care, medical/clinical setting). CPC / Certified Professional Coder certification is a plus but not required. SCHEDULE: Full-time, 40 hours work week, Monday through Friday (approximately) 8:30 am to 5:00 pm. QUALIFICATIONS: One year of minimum work experience as a Medical Biller is required. POSITION SUMMARY: * Knowledge of HIPPA regulations, as well as, knowledge of the processes associated with the billing of....

- Cranford NJ & Buffalo NY, NJ

POSITION OBJECTIVE: Provide Statistical Programming Support for Clinical Data Analysis and Submission. Essential Job Functions/Responsibilities This role is expected to contribute to the quality of data analysis and reporting deliverables for phase I to III clinical trials. Provide programming support for the clinical study team by generating and maintaining patient profiles, tables, listings, figures and other types of outputsCreate annotated CRFs, mapping specifications and datasets per SDTM

- Syracuse, NY

Physical Therapist for a Strong regional 30 year old privately owned Home Care company Join a strong Therapy Team Primary Functions: Evaluate patient using diagnostic muscle, nerve, joint and functional ability tests.Prepare an assessment of the patient’s condition at the time of the initial evaluation & perform periodic re-evaluations.Develop a written problem list & plan of care.Write clinical/progress notes on the date of the visit and incorporate same in the patient’s record.Treat....

- Little Rock, AR

Registered Nurse (RN) Home Infusion Sales As part of the sales team working closely with the Regional Sales Manager the goal is to grow the business by recognizing opportunities to expand relationships with existing referral sources and partner with the medical community to understand their patient’s needs for a safe and smooth transition home. Support and assist physicians, social workers, discharge planners and other referral sources to facilitate appropriate home infusion candidates being....


...VP Health Services | Medical Management (RN) - KANSAS Exceptional analytic support – unlimited career growth .....Reporting to the CEO, experienced clinical leader will establish the strategic vision and drive initiatives around programs of care management and quality. Collaborative participation with the exceptional leadership team in this market is a strong platform for success. Established business and new product are rolling out in KS. Direct and coordinate activities of department and....


Director, Case ManagementINNOVATIVE health plan truly values their nurses . The Director will be engaged in creating, defining and directing a complete Case Management Program across a diverse population.This will encompass needs analysis and planning; working with executive leadership to ensure targets are met for the annual operating plan; ensuring compliance with Corporate, State and NCQA standards. Director will be asked to develop and implement methods, policies and procedures to improve....

- Milwaukee, WI

Case Manager II - RN Innovative health plan truly values their nurses. This health plan has received numerous awards for their programs of care ! They offer generous benefits and PLENTY of opportunity to grow in your career RN will coordinate continuum of care for select members with complex medical and/or behavioral health conditions to ensure they receive the highest quality most effective care while maintaining cost effectiveness. Activity will include advanced review of admissions through....

- SEATTLE/TACOMA/Wenatchee, WA

CARE MANAGER II (RN) - SEATTLEINNOVATIVE health plan is known for award winning programs of care. Join a growing team with exceptional leadership!Plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options Utilize....

- Columbus, Toledo, Akron, OH

Medical Director- Health Plan - OHIO Physicians seeking a purposeful career will appreciate the opportunity to guide and direct the care for the medically underserved population in OH as part of this expanding market. This national organization welcomes your innovative ideas and solutions for closing the gaps in care and quality. Physicians are encouraged to be actively engaged with their patient population and their physician peers in the community. Incredible opportunities for career....

- near Portland, OR

Director, Case Management- near Portland, OR New position offers a nice relocation package & excellent career growth. Bring your innovative ideas and success stories! Director is responsible for defining and directing a complete Case Management Program in conjunction with corporate goals and objectives - Direct the overall operational leadership of case management functions and staff - Perform and oversee needs analysis and planning - Collaborate with executive leadership to ensure targets


MANAGER, UM – Behavioral Health Perform duties to conduct and manage the day to day operations of the utilization management functions to include denials. Communicate with departmental and plan administrative staff to facilitate daily operations of the utilization management functions. - Ensure compliance with established referral, pre-certification and authorization policies, procedures and processes - Facilitate ongoing communication between care management staff, utilization management....

- Tacoma, WA

MANAGER, UM- Tacoma Growing team needs a strong leader and mentor for their UM nurses. Excellent communication with staff to enhance & facilitate daily department function is essential. GROWTH potential is excellent- rich benefit package! - Review analyses of activities, costs, operations and forecast data to determine progress toward stated goals and objectives. - Promote compliance with federal and state regulations and contractual agreements. - Develop, implement and maintain....


Job descriptionPosition Purpose: Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. Reports to Chief Medical Director. Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental....


Position Purpose: Responsible for defining and directing a complete Case Management Program in conjunction with corporate goals and objectivesDirect the overall operational leadership of case management functions and staffPerform and oversee needs analysis and planningWork with executive leadership to ensure targets are met for the annual operating plan/financial managementEnsure compliance with Corporate, State and NCQA standardsDevelop and implement methods, policies, and procedures to....

- Pittsburgh, PA

Registered Nurse's (RN) Our client company is a growing home health care / independent living / managed care agency. They have multiple openings for Registered Nurse's (RN) to work in the Pittsburgh, Pennsylvania and surrounding area. Including but not limited to: Monroe County, Allegheny County, Blair County, PA areas. (Monroeville, Altoona, Hollidaysburg, Duncansville, Pennsylvania.) The Home Health Care / Managed Care Registered Nurse (RN) administers skilled nursing care to patients in....


SIGN-ON BONUS AVAILABLE Join a fantastic Home Care and Hospice team in Seattle, WA! Bring your great leadership and nursing skills, and make a difference through the great work you do! This is a full-time “days” opportunity, generally working 8am - 5pm Monday - Friday! Travel is local to the greater Seattle area, up to 30%, conducting joint visits with our amazing Hospice RN's. The individual in this role will have a total of (21) direct reports from the Hospice and After-Hours Hospice teams,....


Supervisor Clinical Care (Variable Shift) to work for the Labor & Delivery Unit The Supervisor Clinical Care is accountable for assisting the Manager in the management of clinical and operational activities, and providing patient care. The Supervisor participates with the Manager and peers in establishing and enforcing standards of patient care and nursing practice pertaining to the Labor & Delivery Unit . Six-figure salary, full benefits, relocation expenses paid. No remote,....


Surgical Technologist - $3,000 Sign-on Bonus Join one of the largest healthcare system and largest private employer in Oregon. The facility is consistently ranked among the top 100 companies to work for in Oregon. It is also home to two of our award-winning Magnet medical centers. The hospitals and clinics are located in numerous areas, ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland. If you want a....


Reporting to the Director of Trauma Services, this is a hospital based position in the division of Trauma Services. The ACNP will provide care to trauma, surgical emergencies and surgical critical care patients in a Level II Trauma hospital. This is a new position. Excellent salary and full benefits. Relocation expenses paid. No remote, part-time or sponsorship is offered. Hours/Shift:This position will be scheduled to work 12 hours shifts, 7:00am-7:30pm and will have NO CALL requirements.....


Medical Center is looking for a Clinical Nurse Specialist (1.0 FTE, Days) to work in the Medical Oncology Department Located at a 600+ bed tertiary-care center. The facility has one of the most active and advanced birthing programs in Washington state and houses a Level III neonatal intensive-care unit. More surgeries are performed each year than at any other facility in the region; volumes include more total joint replacements than any other medical center in the state. This opportunity....

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