• SIU Medicine (Springfield, IL)
    …by assisting the creation, review, implementation and training of clinical policies, procedures and educational materials for correctional health services. ... Performs duties collaboratively with partner facilities by observing correctional healthcare clinical and workflow practices as directed and identifying gaps in… more
    JobGet (09/01/24)
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  • Consultant - Physician Organization…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Consultant plans, directs, and coordinates projects & initiatives of enterprise scale and complexity to revenue cycle, hospital & clinic ... **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Establish and maintain a relationship with Internal Audit and Business Practices to ensure adherence to all State and… more
    Houston Methodist (07/23/24)
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  • Sr. Provider Relations Consultant - (MA…

    WellSense (Boston, MA)
    Sr. Provider Relations Consultant - (MA residents)-$5000 sign on bonus WellSense Health Plan is a nonprofit health insurance company serving members across ... between provider and internal Plan departments such as Provider Enrollment, Claims, Audit , Marketing, Customer Care and Care Management. Our Investment in You: +… more
    WellSense (08/25/24)
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  • Utilization Management Clinical Quality…

    LA Care Health Plan (Los Angeles, CA)
    …This position performs data mining and analysis and create reports on audit findings, as well as make recommendations, to submit to the department's Quality ... to develop and execute mitigation efforts. Serves as a consultant to the organization's Compliance team on an ad... and/or Centers for Medicare and Medicaid Services (CMS) audit . Background in teaching and/or clinical education.… more
    LA Care Health Plan (07/03/24)
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  • POEMS Clinical Research Supervisor

    University of Colorado (Aurora, CO)
    …+ Performs quality assurance checks by reviewing patient shadow charts, monitor letters, audit results, OnCore entry, data entry. **Work Location:** **Why Join ... POEMS Clinical Research Supervisor - 34503 University Staff **Description**...monitoring visits and audits. The incumbent is responsible for data entry and resolution, study subject advocacy; and possible… more
    University of Colorado (08/11/24)
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  • Clinical Consultant /28/Mco003

    Robert Half Accountemps (Minneapolis, MN)
    Description We are offering a long-term contract employment opportunity for a Clinical Consultant based in Minneapolis, Minnesota. The role is within the ... discussions to produce a final coding document * Review audit results and implement necessary adjustments to coding *...Word, Excel, Access, and PowerPoint to manage and present data * Leverage excellent written and verbal communication skills… more
    Robert Half Accountemps (08/14/24)
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  • Senior Financial Analyst (Revenue & Reimbursement…

    Vanderbilt University Medical Center (Nashville, TN)
    …retrospective analyses to increase reimbursement. + Develops strong relationships with clinical areas acting as a consultant regarding revenue/reimbursement ... analytics and project management/facilitation. + Recommends changes in operating practices, data collection, and information systems structures that will result in a… more
    Vanderbilt University Medical Center (08/14/24)
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  • Staff/Senior/Lead Psychologist

    Ventura County (Ventura, CA)
    …Department; designs, recommends and/or develops instruments and methods, and selects criteria for data collection; to be used in audit and evaluate contract ... collateral contacts to obtain psychologically relevant history and background data ; + Provides psychological services including clinical ...and methods for monitoring quality; and selects criteria for data collection to be used to audit more
    Ventura County (07/17/24)
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  • Finance and Accounting Senior Professional

    University of Colorado (Aurora, CO)
    …Responsibilities: + Manages the monthly additional pay process and contract pay for clinical faculty. + Additional clinical shifts + Pay differentials + ... for faculty. Reconciles the balances for faculty. + Update, track and audit funding distributions for faculty. Identifies inconsistencies and determines solutions. +… more
    University of Colorado (07/24/24)
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  • Care Management Auditor

    Centene Corporation (Topeka, KS)
    …for the auditing of corporate, health plan, and specialty company staff related to clinical systems entry and/or processes + Develop and maintain the audit ... management in CCMS; interrater reliability related to InterQual; and data entry into the credentialing subsystem + Develop and...into the credentialing subsystem + Develop and maintain the audit schedule + Audit staff as outlined… more
    Centene Corporation (08/07/24)
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  • Advanced Practice Nurse (Nurse Anesthetist)

    Defense Health Agency (Fort Sam Houston, TX)
    …emergence; conscious sedation; pain management; post anesthesia care; peri-anesthetic and clinical support functions. c. Systematically collects data through ... fluid therapy, medical procedures, and obstetric services, within the clinical areas of the main operating room (OR), labor...outpatient settings, as well as from available risk management data , and research on the development of new drugs… more
    Defense Health Agency (08/03/24)
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  • Assistant Director, Quality Assurance, CMSU

    University of Rochester (Rochester, NY)
    …programs and Internal Quality Audit Program. + Act as in-house consultant to all clinical research personnel on matters of international regulatory ... Device regulation (21 CFR Part 820) and the European Commission (EU) Clinical Trials Directive assuring the safe and compliant handling of investigational drugs… more
    University of Rochester (07/26/24)
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  • Social Work/Counselor III - Grand Mesa YSC

    State of Colorado (Grand Junction, CO)
    …+ Supports and assists in training for the agency as needed. + Serve as a clinical consultant to unit manager and other clinical providers regarding the ... of Work Unit: This work unit exists to provide clinical services to committed and detained youth in a...admission. + Interview the resident ensuring that the assessment data is as reliable as possible, that the resident… more
    State of Colorado (08/23/24)
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  • Trauma Nurse Practitioner Per Diem Rotating Shift

    Tenet Healthcare (Detroit, MI)
    …(NP) is an advanced practice nurse who utilizes advanced knowledge and clinical expertise to perform services enhancing the efficiency of trauma services. The ... assist with surgical procedures. The Trauma NP also functions as a consultant , educator, researcher and resource for patient, families, community, nursing personnel… more
    Tenet Healthcare (06/11/24)
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  • Decision Supt. Sr Fin. Analyst / Finance Decision…

    Hartford HealthCare (Farmington, CT)
    …upgrades, and expand and improve the software capabilities. 9. Acts as internal consultant to clinical departments and Institutes to assist in analysis of ... Support System for building, analyzing and reporting of cost and profitability data for patient services. System-wide dashboards are utilized and enhanced with… more
    Hartford HealthCare (08/19/24)
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  • Supervisory Health System Specialist

    Veterans Affairs, Veterans Health Administration (Biloxi, MS)
    …the primary consultant for the facility's C&P program; analyzes program audit results; interprets facility quarterly report card data ; researches provider ... Service Chiefs and service level administrative teams for annual Committee(s) review of clinical privileges and scope of practice. Serving as the Point of Contact… more
    Veterans Affairs, Veterans Health Administration (08/30/24)
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  • Senior Behavioral Health Clinician - Citywide CCT

    City and County of San Francisco (San Francisco, CA)
    …prepares written care summaries for the purpose of coordinating care; + Performs clinical evaluations in the more difficult individual cases by participating in the ... training and coordination of programs and services; acts as consultant to other agencies and participates in negotiation and...+ May perform Quality Improvement activities such as chart audit and compliance review. + The 2932 Senior Behavioral… more
    City and County of San Francisco (07/02/24)
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  • Manager, Care Management

    Alameda Health System (Oakland, CA)
    …to new equipment and/or techniques. + Review cases regularly with staff; acts as clinical consultant regarding care management issues; guides clinical staff ... the quality of patient care. + Direct and coordinate data gathering and record keeping legally required by Federal...Perform all other duties as assigned. + Performs daily clinical rounds and monthly audit of charts… more
    Alameda Health System (07/08/24)
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  • Manager, Care Management

    Alameda Health System (Oakland, CA)
    …to new equipment and/or techniques. -Reviews cases regularly with staff; acts as clinical consultant regarding care management issues; guides clinical staff ... affecting the quality of patient care. -Direct and coordinate data gathering and record keeping legally required by Federal...issues. -Perform all other duties as assigned. -Performs daily clinical rounds and monthly audit of charts… more
    Alameda Health System (07/08/24)
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  • Decision Supt. Sr Fin. Analyst / Finance Decision…

    Hartford HealthCare (Farmington, CT)
    …software upgrades, and expands and improves the software capabilities. 9. Acts as internal consultant to clinical departments to assist in analysis of costs in ... Support System for building, analyzing and reporting of cost and profitability data for patient services. System-wide dashboards are built with customer input to… more
    Hartford HealthCare (07/22/24)
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