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SUMMARY: Management Business Solutions is actively seeking an Acute Care Nurse Practitioner for a Healthcare service in Cincinnati, Ohio. The ACNP will work under the direction of a clinical manager or nursing director and under the supervision of a collaborating physician for designed clinical outcomes by assisting in admitting patients, evaluating consultations and performing physicals. The ideal candidate will be working with cardiovascular care team. RESPONSIBILITIES: Assess patient health


Are you a Nurse Practitioner with a strong background in Acute Care? Especially as it relates to Trauma cases? If yes, we want to speak with you! There is one opening. Perhaps you have a colleague, like you, who would also be interested. Please be sure to share our posting with those who are qualified. Our client facility is located centrally of Chicago, Detroit, Indianapolis and 3 miles from Michigan State Line. This is a college community experiencing economic growth and offers diverse....


....SVP of Health Services (RN) | Executive Leader - Health Plan - Chicago HIGHLY VISIBLE opportunity working closely with the CEO. GENEROUS RELOCATION - strong analytics support- collaborative team! You will establish the strategic vision for this plan, directing and coordinating the medical management, clinical services, and quality improvement and credentialing functions across the IL market. - Team - building and collaboration with internal and external constituents will be key. -....


Operations Director | Government Liaison - Health Plan Open due to promotion, this multi-faceted role will interface with external and internal stakeholders to maximize outcomes, quality, and profitability for national health insurer. Exceptional boss - strong growth potential. Director is responsible for the oversight of the many moving parts of enrollment, claims, and all other essential administrative components, with a focus on continuous improvement of operational efficiency as well as....


Director, Clinical Operations (Behavioral Health) Be part of the leadership team for a market expansion. Talented team and strong opportunity to make a difference in your career and in the lives of the medically underserved. Director will oversee clinical functions in all service areas including: intensive case management (ICM), utilization review (UR), provider training and care coordination in collaboration with other senior leaders. Director will work to manage complex behavioral health....


...MEDICAL DIRECTOR- LTC and Medicare - FLORIDA! ..........National health plan is growing and diversifying in the FLORIDA market. A physician seeking a purposeful career with an opportunity to make a difference in the quality of care and access to care will thrive in this role. - Medical Director will collaborate with the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the FL health plan. Provides medical leadership....


Are you a BC MD or DO BC by an Approved ABMS Board in Psychiatry (and familiar with Medicare patients) who is ready for a change? This is and outstanding opportunity for someone who is interested in working a Utilization Review role in the Las Vegas region. It is required you have a Nevada license that is in good standing. It is a plus if you have Medical Director experience or even experience working with a health plan company. REQUIREMENTS:5+ years experience working in a behavioral....


Top Tier Pharmaceutical company is growing and needs a Strong Clinical Research Associate for the East Coast (must be located in the Danbury, CT area to be in house, Headquarters when needed) leading developer, manufacturer and supplier of premium molecular diagnostic products and services that are used to diagnose human diseases, screen donated human blood and to aid in biomedical research. Our business is dedicated to impacting the lives of people across the globe through the early detection


High Profile Drug Development Pharmaceutical Company is expanding: Global Category Director- Drug Development Services Are you looking for a patient-focused, innovation-driven company that will inspire you and support your career? If so, be empowered to take charge of your future Join us as a Global Category Director – Outsourced Drug Development in our Cambridge, MA office. Here, everyone matters and you will be a vital contributor to our inspiring, bold mission. As a Global Category Director

- Corona, CA

The Clinical Supervisor is responsible for ensuring that patient care is coordinated and managed appropriately. The Clinical Supervisor is responsible for the clinical activities of the field staff. The clinical supervisor plans, implements and evaluates patient's plan of care for appropriateness to the individual patients needs. Great promote from with in opportunity too!Assesses and supervises the delivery of nursing servicesPerforms home supervisory visits of nursing services delivered by....


The Government Reimbursement Compliance Director is responsible for directing the implementation of an effective compliance program to ensure compliance with state and federal laws and regulations, as well as organizational policies and procedures, relating to risk adjustment, encounter reporting, billing, and reimbursement activities for all lines of business paid by or overseen by the government. This position reports directly to the VP, Government Audit, and Reimbursement Compliance....

- Binghamton, NY

Nurse Practitioner or Physician Assistant opportunity at an urgent care/walk-in clinic in affordable upstate New York. Join a financially stable healthcare organization affiliated with a teaching hospital and enjoy top benefits and competitive compensation! Relocation assistance and other perks! Requirements: Certification as an NP or PA, with NY license or eligible. One year experience minimum. Ability to work independently. Please email resume and the best times to reach you.

- Washington, DC

Our client is building multi-disciplinary clinical teams to care for the most complex patients in the DC/VA metro. They currently serve over 150,000 patients in eight states across Medicare, Medicaid, and commercial populations. There are 5 openings in this group. They are known for their excellent clinical acumen; an advanced practice clinician with a desire to practice as a confident generalist across family medicine and behavioral health A true patient-centered approach, from a bedside....


Vice President, Actuarial Services & Risk Management (Medicare) Job descriptionPosition Purpose: Provide expertise and actuarial support to ensure efficient and effective operations of the commercial product lines.Develop actuarial pricing models for commercial and Exchange products to calculate the required premium levels in the open enrollment environment.Deliver pricing models that reflect the impact of ACA structural rating rules and develop various scenarios to identify pricing....


What's Exciting About This Opportunity? Join our team and live in beautiful Potsdam, NY where the Village of Potsdam is nestled in the St. Lawrence River Valley near the northern foothills of the Adirondack Mountains. Enjoy the scenic Racquette River where it bisects the community and provides residents and visitors with panoramic riverine views, convenient recreational access and is a source of renewable energy for the Village's generation of hydro-electric power. Potsdam is recognized as one

- Oatfield, OR

Quality Coding Auditor (RELOCATION & SIGN-ON BONUS ELIGIBLE!) Job description The Quality Coding Auditor of Revenue Cycle will conduct monthly quality coding audits and report to the Program Manager. The audit will contain both a qualitative and quantitative focus, correct assignment of ICD-10-cm PCS 10-cm and CPT codes and clinician documentation to ensure that medical records meet all federal/state mandatory regulatory guidelines as well as internal controls. Essential....


Job description Looking for a Change Agent/Managed Care experience/RN License/Familiar with Provider/Payor side/ Company doubling/Rapid Growth/ Medicaid & Fostercare ProductReporting to the Plan President, the VP Medical Management will perform duties to direct and coordinate the medical management, quality improvement and credentialing functions for the assigned health plan based on, and in support of the company’s strategic plan; establishing the strategic vision and attendant policies....


Manufacturer of Hemodialysis Equipment has an exceptional opportunity for a Hemodialysis Clinical Specialist to join their growing team. The Hemodialysis Clinical Specialist will help to educate and support distributors and individual dialysis clinics with hands-on training as well as assist in sales support. The Hemodialysis Clinical Specialist will cover the Southeastern region, a territory that includes Alabama, Florida, Georgia, Kentucky, North Carolina, South Carolina, Tennessee, Virginia

- Outside of Wichita, KS

TITLE: Director Care Management LOCATION: Outside of Wichita, Kansas Are you looking for a new position where you can live and work in a community that offers big city conveniences in a micropolitan atmosphere so you can have the best of both worlds. Would you be interested in working for a healthcare leader in the region? Would you like to live in an area that is affordable and has low crime? Do you like to have a work life balance and live in an area with beautiful scenery and friendly....

- Sherman Oaks, CA

The Clinical Supervisor is responsible for ensuring that patient care is coordinated and managed appropriately. The Clinical Supervisor is responsible for the clinical activities of the field staff. The clinical supervisor plans, implements and evaluates patient's plan of care for appropriateness to the individual patients needs. Great promote from with in opportunity too!Assesses and supervises the delivery of nursing servicesPerforms home supervisory visits of nursing services delivered by....

61-80 of 226 results