- The Cigna Group (Houston, TX)
- …business needs. The role will work under the direction of Risk Adjustment & Stars Provider Education Regional Manager in conjunction with matrix partners. ... principles and guidelines. **Core Responsibilities:** + In partnership with Risk Adjustment & Stars Provider Education Regional Manager , support the training… more
- Carle (Urbana, IL)
- Risk Adjustment Education Specialist - HYBRID + Department: FCC - Case Mgmt + Entity: FirstCarolinaCare + Job Category: Professional + Employment Type: Full - ... Requirements: None Email a Friend Save Save Apply Now Position Summary: The Risk Adjustment Education Specialist consults with providers and their office staff… more
- CenterWell (Tallahassee, FL)
- …our caring community and help us put health first** The Associate Director, Risk Adjustment oversees quality assurance audits of medical records, ICD-10-CM, CPT, ... and over government agencies. In addition, the Associate Director, Risk Adjustment oversees all medical coding education... ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and… more
- Beth Israel Lahey Health (Wakefield, MA)
- …Implement and manage projects and performance improvements initiatives that support clinical documentation improvement/acuity/ risk adjustment , including, but ... opportunities, supporting day to day issues, and monitoring performance related to acuity/ risk adjustment . This will involve high levels of collaboration,… more
- LA Care Health Plan (Los Angeles, CA)
- …Performance Management QI/QPM and Health Information Management (HIM) analytics support, Risk Adjustment , other plan operations business units, and network ... Clinical Quality Program Manager III Job...not limited to QI, Pharmacy, Care Management, Utilization Management, Risk Adjustment , Products, Customer Solution Center (CSC),… more
- Zeiders Enterprises, Inc (Woodbridge, VA)
- …successful reintegration and to ensure mission readiness. SAIL provides rapid-assistance clinical case management services addressing risk management, care ... for Other Conditions That May Be a Focus of Clinical Attention and Adjustment Disorders. Conduct intake,...information about the SAIL program. + Provide an initial clinical assessment and ongoing risk assessments using… more
- Elevance Health (Wilmington, DE)
- …a PulsePoint location. The **Business Strategy Plan Director-Use Case Lead for Risk Adjustment ** is responsible for collaborating with business stakeholders and ... our IT department to ensure we are leveraging our clinical data (HealthOS) assets to drive downstream use cases...data (HealthOS) assets to drive downstream use cases for Risk Adjustment . This role will ensure that… more
- BronxCare Health System (Bronx, NY)
- Overview The Nurse Manager is responsible on the night shift (4 ten hour shifts), for quality and safety of outcomes consistent with the philosophy and goals of the ... insttitution. The Nurse Manager facilitates employee and patient satisfaction through professional oversight. Responsibilities 1. CUSTOMER PATIENT FOCUS * Establish… more
- LA Care Health Plan (Los Angeles, CA)
- …Experience Required: At least 6 years of experience in HEDIS, quality improvement, risk adjustment analytics, research, or related work within a healthcare ... Manager , Clinical Quality Analytics Job Category: Clinical Department: Quality Improvement Location: Los Angeles, CA, US, 90017 Position Type: Full Time… more
- Commander, Navy Installations (Norfolk, VA)
- …consultation to military and civilian agencies about counseling services, FAP, risk assessment, clinical issues, treatment, and Incident Determination Committee ... Summary Serve as a Non-medical Clinical Counselor within Commander, Navy Installations Command (CNIC), Fleet and Family Readiness Department (N9), Family Readiness… more
- The County of Los Angeles (Los Angeles, CA)
- …full professional level and under the general direction of a licensed clinical program manager , supervises and coordinates multidisciplinary and ancillary ... allocable to this class report to a higher-level licensed clinical program manager and are assigned to...health care setting involving problems of mental or emotional adjustment and the use of psychiatric consultation. Option II:… more
- University of Michigan (Ann Arbor, MI)
- …- Combined C&W Pediatric Specialty/OB Social Work Supervisor and Pediatric Specialty Clinical Social Worker Apply Now **Job Summary** This position is a combination ... C&W Pediatric Specialty/OB Social Work Supervisor as well as clinical tasks with the Pediatric Specialty Clinics. As the...often causes significant psychosocial challenges and can lead to risk for complications and safety needs. Due to the… more
- The County of Los Angeles (Los Angeles, CA)
- …full professional level and under the general direction of a licensed clinical program manager , supervises and coordinates multidisciplinary and ancillary ... MENTAL HEALTH CLINICAL SUPERVISOR, CORRECTIONAL HEALTH Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4050609) Apply MENTAL HEALTH … more
- Hackensack Meridian Health (Neptune, NJ)
- …but not limited to Microsoft Office and Google Suite platforms. + Knowledge of Risk Adjustment by using Vizient Calculator to increase expected mortality and ... 3M coding computer system. + Assists and provides feedback to the Clinical Documentation Manager with education sessions for staff. + Assists in chart completion… more
- Molina Healthcare (MS)
- …**Job Summary** The Program Manager , Provider Engagement is part of our innovative Risk Adjustment department to assist our diverse team of data leaders, ... colleagues to develop and implement provider education/engagement in risk adjustment models to better align with clinical documentation requirements,… more
- Bristol Myers Squibb (Cambridge, MA)
- …develop, motivate and achieve results through teams, and is the direct manager to Clinical Trial Physicians (CTPs) **Position Responsibilities** + Accountable ... and have an unwavering commitment to our People Strategy + Serves as the clinical point of accountability for the Development Team and is responsible for navigating… more
- Intermountain Health (Columbus, OH)
- … Adjustment coding, policies and procedures. This position works with the Risk Adjustment Coding Manager in developing, implementing, and improving ... Care Act (ACA). This position performs complex reviews of clinical documentation and communicates to appropriate parties related to...or specialized coding knowledge. + Provides support to the Risk Adjustment Coding Manager for… more
- AdventHealth (La Grange, IL)
- …La Grange, IL **The role you'll contribute:** The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require assistance with ... the development of a discharge plan of care for high- risk patient populations. This role will receive referrals for...members of the care team). The Social Work Care Manager , in collaboration with the patient/family, care manager… more
- Commonwealth of Pennsylvania (PA)
- …designs and/or conducting research in fields of personality development and adjustment , diagnosis, risk assessment, treatment and prevention of mental ... experimental designs or conducting research in fields of personality development and adjustment , diagnosis, risk assessment, treatment and prevention of mental… more
- CVS Health (Overland Park, KS)
- …MSSP, ACO REACH).** **What will you do?** + Evaluate the impact of Medicare quality and risk adjustment program has on our MA risk contracts and ACOs (MSSP ... and ACO REACH), including but not limited to risk adjustment opportunities, HCC gaps, and benchmarking...including company executives, subject matter experts, delivery teams, and clinical teams within Signify Health/ CVS Accountable Care +… more