- Humana (New York, NY)
- …to drive value, and transforming ideas into action. **Location:** remote nationwid The Clinical Strategy Lead will analyze complex problems and issues related to ... health and cost savings outcomes in the near-medium-term. The Clinical Strategy Lead will: + Engage in...enterprise to create the execution model and roadmap to capture prioritized opportunities **Use your skills to make an… more
- The Joint Commission (Oakbrook Terrace, IL)
- …2. Performs clinical workflow analysis as it relates to data capture within electronic health records to support standardized performance measures. 3. Serves as ... regulations and policies, and the Centers for Medicare & Medicaid Services (CMS) strategy for transition to dQMs. 6....clinical best practices is desirable. 8. Ability to lead multiple complex projects involving a wide range of… more
- CenterWell (Las Vegas, NV)
- …do. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patient's physical, emotional, and social wellness. ... to create and/or enhance workflows, close quality gaps, improve identification and capture of HCC codes, improve medication adherence, and identify high risk and… more
- Mohawk Valley Health System (Utica, NY)
- …staff to facilitate accurate and complete documentation for coding and abstracting of clinical data for: capture of severity, acuity and risk of mortality ... potential barriers to patient discharge. The Physician Advisor (PA) conducts clinical review of cases to ensure compliance with regulatory requirements, hospitals… more
- Houston Methodist (Baytown, TX)
- …a registered nurse (RN) responsible for promoting the achievement of optimal clinical and resource outcomes, accountable for a designated assignment that is ... assures that admission and continued stay are medically necessary, communicating clinical information to payers to ensure reimbursement. The Advanced CM position… more
- Somatus (Mclean, VA)
- …while working within a specified budget. + Payment Integrity Product Areas- Clinical Claim Review, Payment Analytics, Fraud Capture and Utilization Review ... + Community engagement opportunities + And more! The VP of Finance will lead financial activities that support critical operational stakeholders. The key areas of… more
- National Health Care Associates (East Hartford, CT)
- …Set (MDS) assessments necessary for developing personalized resident care plans and the capture of clinical reimbursement for services provided. You will ensure ... completion and coding conventions. * RN license required **Key Responsibilities:** + Lead and oversee the MDS program, ensuring compliance and accuracy in… more
- Trinity Health (South Bend, IN)
- …and support services. Examples include: health coverage via the marketplace, Medicaid , Medicare, social security benefits, food, and housing services. 6. Provides ... computers, mobile devices and tablets in order to accurately and in real-time capture relevant social determinant information for the medical record Must possess a… more