- Elevance Health (Chicago, IL)
- ** Director of Medicare Risk Adjustment Analytics and Reporting** **Location:** Alternate locations may be considered. This position will work a hybrid ... of our Elevance Health PulsePoint locations. The ** Director of Medicare Risk Adjustment Analytics and Reporting** is responsible for planning, directing… more
- Ankura (Chicago, IL)
- …of regulatory and industry guidance related to medical necessity, utilization management, risk adjustment and clinical documentation requirements + Ability to ... and medical policy review and interpretation. + Conduct "mock" Centers for Medicare and Medicaid Services audits by reviewing cases for clinical decision making… more
- AdventHealth (La Grange, IL)
- …coordinates and facilitates the development of a discharge plan of care for high- risk patient populations. This role will receive referrals for individuals from at- ... risk populations from interdisciplinary team members (including physicians, RN Care Managers, staff nurses, and other members of the care team). The Social Work Care… more
- AdventHealth (Hinsdale, IL)
- …under the general supervision of the Care Management Supervisor or Manager or Director of Nursing and is responsible for patient evaluations of post-hospital needs; ... social determinants of health into transitions of care planning and applies risk mitigation interventions to meet the individual needs of each patient **.**… more