- Molina Healthcare (Columbus, OH)
- …with and between other departments within the organization. Often the Senior Specialist will be assigned activities where clinical expertise is important ... surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality Improvement (Registered Nurse) contributes to one or… more
- Highmark Health (Columbus, OH)
- …not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services ... identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS… more
- Sedgwick (Columbus, OH)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer ADA Accommodation Specialist **PRIMARY PURPOSE** : To enhance the ADA process for claimants ... are driven to deliver great work. + Apply your medical/ clinical or rehabilitation knowledge and experience to assist in...on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in… more
- Evolent (Columbus, OH)
- … clinical professionals. + A role that values innovation, continuous improvement, and clinical excellence. + **This position is 100% Remote and can be ... Are you ready to make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular… more
- Baylor Scott & White Health (Columbus, OH)
- …elements into the coding and abstracting system. Works collaboratively with the Clinical Documentation Specialists and Coaches to communicate opportunities for ... assignment (eg, MS-DRG, APR-DRG, APC etc.) **WORK MODEL/SALARY** 100% Remote The pay range for this position is $32.02...accurate, complete, and compliant documentation . Completes production coding when needed and assigned by… more
- AmeriHealth Caritas (Columbus, OH)
- …the appropriate level of intervention based upon the member's needs and clinical progress. Schedules follow up calls as necessary, makes appropriate referrals. ... Case Manager, and member, family members as appropriate, PCP, Specialist , and Facility/Vendor Providers. **Education/Experience:** . Qualified candidates must reside… more
- Cecelia Health (Columbus, OH)
- …who helps them navigate day-to-day health management. Our platform addresses the clinical , behavioral, social, and emotional needs of patients with a proactive ... related to obesity under the supervision of assigned physicians. + Engage in remote patient monitoring for various devices (eg, scale, BG meter, BP monitor, ketone… more