- NorthBay Health (Fairfield, CA)
- At NorthBay Health this Director provides oversight for all aspects of Care Management and Population Health which includes: Utilization Management, ... Denial Management, and Social Services for the NorthBay Healthcare Group. This director will collaborate with Quality and Operations leadership to support key… more
- Roseland Community Hospital (Chicago, IL)
- Under direct supervision of the Director of Health Information Management and Care Transitions and as a part of a multidisciplinary team, the Clinical Social Worker ... to cope with daily living. 2. Responsible for immediate discharge planning and documentation for all behavioral health patients and others as applicable. 3. Complete… more
- Hired by Matrix (Salinas, CA)
- …You'll Do: Work under the supervision of the Cardiology Assistant Director (AD) Performs cardiac ultrasound procedures on patients and completes associated ... support activities as directed by the Cardiology Assistant Director (AD) and attending Cardiologist Performs other duties as assigned. Performs diagnostic ultrasound… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …admission criteria and in consultation/coordination with attending physician and hospice Medical Director . Completes the admission visit utilizing specialized ... complete and thorough assessment. Collaborates with the attending physician, hospice Medical Director , hospice intake department, and referral source.Initiates… more
- Ochsner Home Health of New Orleans (Metairie, LA)
- …of care visits. Coordinates determination of patient home health benefits, medical necessity, and ongoing insurance approvals. Ensures patient needs are continually ... care (SOC) visits. Coordinates determination of patient home health benefits, medical necessity, and ongoing insurance approvals. Ensures patient needs are… more
- Assured Home Health (Tualatin, OR)
- …of care visits. Coordinates determination of patient home health benefits, medical necessity, and ongoing insurance approvals. Ensures patient needs are continually ... care (SOC) visits.Coordinates determination of patient home health benefits, medical necessity, and ongoing insurance approvals.Ensures patient needs are continually… more
- SunCrest Home Health (Hendersonville, TN)
- …care (SOC) visits. Coordinates determination of patient home health benefits, medical necessity, and ongoing insurance approvals. Ensures patient needs are ... all aspects of care with all disciplines, physicians, durable medical equipment providers, caregivers/family members, transferring facilities, and any other… more
- Brookdale Home Health St. Louis (Creve Coeur, MO)
- …care (SOC) visits.Coordinates determination of patient home health benefits, medical necessity, and ongoing insurance approvals.Ensures patient needs are continually ... all aspects of care with all disciplines, physicians, durable medical equipment providers, caregivers/family members, transferring facilities, and any other… more
- Mederi Caretenders (Inverness, FL)
- …care (SOC) visits. Coordinates determination of patient home health benefits, medical necessity, and ongoing insurance approvals. Ensures patient needs are ... all aspects of care with all disciplines, physicians, durable medical equipment providers, caregivers/family members, transferring facilities, and any other… more
- Assured Home Health (Portland, OR)
- …state specific guidelines, and submits accurate, complete, and timely documentation in collaboration with physician orders. Performs patient comprehensive ... the appropriate plan of care. Ensures patients meet home health eligibility and medical necessity guidelines as defined by payer source. The Registered Nurse in Home… more
- Florida Home Health (Sebring, FL)
- …to State and federal regulations. Also provides required supervisory visits.2. Documentation and Care DeliveryProvides high quality clinical services within the ... nursing evaluation visit, ensures patients meet home health eligibility and medical necessity guidelines as defined by payer source, accurately determines primary… more
- EDI Staffing (Bridgeton, NJ)
- …and operations of network services for the NetworkCollaborates with the Technology Director for planning and growth strategiesManage all telephony and AV systems for ... Five years minimum in computer industry, preferably in the hospital or medical field. In depth knowledge of networking equipment hardware and software, along… more
- Valmont Industries, Inc. (Jasper, TN)
- …that result in legal action should be escalated up to Segment HR Director for further legal counsel. The incumbent is also accountable for integrating corporate ... support business growth and maintain a healthy work environmentAssures the effective utilization of Business Unit human resources by directing the implementation of… more
- Trinity Health (Boise, ID)
- …Saint Alphonsus is seeking a physician leader to become our Medical Director of Documentation and Utilization Excellence. This position will be ... annually by the Saint Alphonsus Chief Clinical Officer. The Medical Director of Documentation and Utilization Excellence (MDDUE) is the lead provider for… more
- Trinity Health (Darby, PA)
- …+ Assists clinical leadership to educate physicians and others on appropriate documentation related to medical necessity + Ensures collaboration to resolve ... processes + Assists clinical leadership to educate physicians and others on appropriate documentation related to medical necessity + Other duties as assigned by… more
- Albany Medical Center (Albany, NY)
- …actions to achieve continuous improvement in both areas.* Refers cases and issues to Medical Director and Triad Team in compliance with Department procedures and ... and documents findings based on Departmental standards.* While performing utilization review identifies areas for clinical documentation ...Care Plans Thank you for your interest in Albany Medical Center! Albany Medical is an equal… more
- Intermountain Health (Columbus, OH)
- … necessity. In addition, Physician shall work closely with the Medical Director (Executive/Community/Rural), Nursing Administrator, Case Management Director ... shall engage, educate, and coach physicians and other clinicians in appropriate documentation of medical necessity for hospital admissions and other diagnostic… more
- Billings Clinic (Billings, MT)
- …payer UM representatives on denials and coordinate peer to peer review with payer's medical director *Initiates and coordinates peer to peer reviews on all ... or level of care. *Obtains information not documented in the EMR and requests documentation of medical necessity to support appropriate status (IP, OP, OBS) and… more
- Albany Medical Center (Albany, NY)
- …actions to achieve continuous improvement in both areas.* Refers cases and issues to Medical Director and Triad Team in compliance with Department procedures and ... and documents findings based on Departmental standards.* While performing utilization review identifies areas for clinical documentation ...care team Thank you for your interest in Albany Medical Center! Albany Medical is an equal… more
- Guthrie (Binghamton, NY)
- …as necessary with the hospital Business Office, physician offices, Care Coordination, Medical Director and other hospital departments as appropriate. a) Serves ... coding, medical record or chart auditing, and experience in utilization management processes preferred. Knowledge of computer applications (such as Microsoft… more
