- Cleveland Clinic (Cleveland, OH)
- Directs the organization's clinical risk management program on a day-to-day basis and implements clinical risk management initiatives to ensure ... as appropriate to ensure compliance with all standards and favorable performance clinical risk management metrics. **Responsibilities:** + Safety Event Reporting… more
- CVS Health (Columbus, OH)
- …Aetna Better Health Medicaid Plans. Reporting to the Lead Director of Medicaid Risk Adjustment, the Market Manager will work closely with cross-functional ... to revenue integrity excellence. This position will require a comprehensive understanding of risk adjustment, with the ability to speak to and present on all… more
- Trinity Health (Canal Winchester, OH)
- …and within the scope of the Ohio Nurse Practice Act, the Educator/Assistant Clinical Manager functions within the standards, policies, procedures and guidelines ... of the organization. The Educator/ Assistant Clinical Manager provides consultation and education to...services focusing on optimal patient outcomes, regulatory compliance & risk management, customer service, and continuous quality and process… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Summary of Primary Function/General Purpose of ... when the physicians are named in a lawsuit + Works closely with the Risk management related to claim management + Manages closely with the insurance staff regarding… more
- Bon Secours Mercy Health (Toledo, OH)
- …excellence. **Primary Function/General Purpose of Position** The Mercy Health Life Flight Network (MHLFN) Clinical Manager serves as a manager with a direct ... reporting relationship to the Director of Clinical Services and is directly accountable for internal and...problem and taking actions to correct problem or reduce risk . + Prioritizes management activities to meet established time… more
- Takeda Pharmaceuticals (Columbus, OH)
- …to inspire you and empower you to shine? Join us as a Senior Manager , Integrated Clinical Trial Data Process Excellence and Delivery based remotely reporting ... to our inspiring, bold mission. **_GOALS:_** + The Senior Manager , Process Excellence and Delivery supports the strategy to...Clinical Data Engineering, Clinical Data Standards, Clinical Trial Tools and Technologies, Risk Based… more
- US Tech Solutions (Columbus, OH)
- **Title:** ** Clinical Case Manager BH** **Location: Columbus, Ohio** **Duration: 03 months(Possible FTE)** **Tentative Start Date-:** **12/22/2024** ... **Responsibility:** + The Care Plan Reviewer ( Clinical Case Manager BH) utilizes advanced ...judgment to the incorporation of strategies designed to reduce risk factors and address complex clinical indicators… more
- Takeda Pharmaceuticals (Columbus, OH)
- …company to inspire you and empower you to shine? Join us as a Clinical Operations Manager based remotely reporting to the Clinical Operations ... **_GOALS:_** Lead study operational strategy and planning and oversee execution of clinical studies for an assigned clinical program(s), supporting clinical… more
- CVS Health (Columbus, OH)
- …care more personal, convenient and affordable. **Position Summary** The Care Plan Reviewer ( Clinical Case Manager BH) utilizes advanced clinical judgment and ... judgment to the incorporation of strategies designed to reduce risk factors and address complex clinical indicators...to reduce risk factors and address complex clinical indicators which impact care planning and resolution of… more
- Fresenius Medical Center (Wadsworth, OH)
- …the delivery of maximum quality care to all patients. + Must complete Clinical Manager training modules and ongoing developmental programs within the specified ... requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory… more
- Prolink (Cincinnati, OH)
- Clinical Talent Experience Manager - East and Central (2024-3079) job in Remote **Location:** Remote **Role Type:** Operations JOB SUMMARY The Clinical ... department and partners with key stakeholders to manage and promote clinical excellence, engagement, and retention initiatives. RESPONSIBILITIES * Support the… more
- Fresenius Medical Center (Cleveland, OH)
- …and performance improvement activities which positively influence the assigned dialysis clinics clinical quality outcomes. The scope of the clinical quality ... implementing, evaluating, and revising plans that result in improvements in clinical quality outcomes in dialysis facilities within a geography. **PRINCIPAL DUTIES… more
- CVS Health (Columbus, OH)
- …Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk Adjustment Coder (CRC) Licensed Clinical Social Worker (LCSW) ... and affordable. The Special Investigations Unit is seeking a Manager to lead our team of Certified Professional Coders...lead our team of Certified Professional Coders (CPC). The Manager is responsible for overseeing and managing coding reviews… more
- Medical Mutual of Ohio (OH)
- …approach and assist in the review of provider agreements.** + **Acts as project manager over large internal risk adjustment projects (eg, Optum In Office ... Supplement, and individual plans. _Collaborates with internal departments on risk adjustment coding strategies, HEDIS performance, provider performance, and other… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Summary** Works collaboratively with the Compliance ... Manager on creating auditing protocols which align with Bon...monitors and audit protocols specific to hospital revenue cycle risk areas highlighted by the OIG, Medicare, State Medicaid,… more
- Bon Secours Mercy Health (Warren, OH)
- …effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. I. Determination of WIC Medical/Nutritional risk ... social agencies. II. To assist the participant who is at medical/nutritional risk in achieving positive change in improved nutritional status through effective… more
- ThermoFisher Scientific (Columbus, OH)
- …project specifications. + Provides trial status tracking and progress update reports to the Clinical Team Manager (CTM) as required. + Ensures study systems are ... step beyond through research, development and delivery of life-changing therapies. With clinical trials conducted in 100+ countries and ongoing development of novel… more
- Abbott (Columbus, OH)
- …and get on with their lives. **JOB DETAILS** + Work as Advanced Clinical Expert in educating customers on best practice CardioMEMS and Merlin.net workflows within ... and shares product expertise accordingly. + Provides technical, sales, education, and clinical support in response to the most complex field inquiries. Demonstrates… more
- Applewood Centers (Cleveland, OH)
- …Treatment Clinical Services Intern, you will work under the administrative/ clinical supervision of the Program Manager /Field Instructor. The Residential ... from outpatient counseling to residential treatment. Program Summary: Our Residential Clinical Services Program provides residential treatment for youth ages 11 to… more
- Abbott (Cincinnati, OH)
- …Heart** disease. We lead markets by providing solutions with improved risk /benefit profiles compared to existing best therapies. **The Congenital Clinical ... (ASD), patent ductus arteriosus (PDA), and ventricular septal defects (VSD).** The Clinical Sales Specialist provides clinical and sales support through… more