- Highmark Health (Charleston, WV)
- …following: + Registered Health Information Technician (RHIT) + Registered Health Information Associate (RHIA) + Certified Coding Specialist Physician (CCS-P) + ... days. **ESSENTIAL RESPONSIBILITIES** + Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10… more
- Highmark Health (Charleston, WV)
- …other duties as assigned or required. **QUALIFICATIONS:** Minimum + Associate 's degree in Finance, Accounting, Business Administration, Economics, Statistics, or ... Business Administration, Economics, Statistics, or Related Field + Experience with hospital, physician , and ASC contracts + Experience in healthcare + R, Python, or… more
- Stryker (Beckley, WV)
- …As an Associate System Administrator, ... end users through rounding and training + Able to work under pressure with physician and nursing staff + Experience with clinical workflow analysis and design +… more
- CenterWell (Summersville, WV)
- …provide necessary follow-up as directed by the Clinical Manager. + Confer with physician in developing the initial plan of treatment based on physician 's ... plan and teaching of the patient in accordance with physician orders, under Clinical Manager's supervision. Revise plan in...skills to make an impact** **Required Experience/Skills:** + Diploma, Associate or Bachelor Degree in Nursing + Minimum of… more
- BrightSpring Health Services (Keyser, WV)
- …care, general observation of client's health status, assists the RN and physician in treatments and communicating with clients and their families/guardians. Reports ... direction of the RN and as ordered by the physician , provides direct care as outlined in the Service...Completion of a state approved training program (eg, diploma, associate 's degree, etc per state requirement) Qualifications: + Must… more
- CenterWell (Parkersburg, WV)
- …of physical function. + Test/screen the patient's physical strengths to assist the physician in evaluating the patient's level of function and records findings to ... measurable training objectives. + Develop/implement a conditioning/rehabilitation program consistent with physician 's Plan of Treatment and the overall goals of the… more
- CenterWell (Parkersburg, WV)
- …tests of function to patients in their homes or other settings to assist the physician in evaluating the patient's level of function. + Confer with the patient's ... physician and other health care team members and participate...(collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and… more
- Highmark Health (Charleston, WV)
- …and disease management identification process, and consult with the Organization's Associate Medical Directors and Medical Directors when appropriate, follow-up on ... accordance with our regulatory guidelines. The incumbent develops and implements physician , pharmacy, account, and member educational initiatives that promote the… more
- Humana (Charleston, WV)
- …projects in quality oversight, data reporting, performance improvement, physician engagement, informatics, network development, and contract/payer relations. This ... EMR + Assesses behavioral health integration readiness of ACO physician practices + Leads the design of a new...10 Mbps is recommended to support Humana applications, per associate . + Wireless, Wired Cable or DSL connection is… more
- Humana (Charleston, WV)
- …first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician , hospital, and/or other provider contracts and agreements for an ... 5 years of experience in UM related to managed care contracts with physician , hospital and/or other UM Clinical programs + Proficiency in analyzing, understanding,… more
- Veterans Affairs, Veterans Health Administration (Martinsburg, WV)
- …work in support of diagnostic radiology under the direction of a physician . The technologist operates various types of radiography in the Radiology Department ... school diagnostic radiologic technology program, evidenced by a certificate or an associate degree, accredited by the Joint Review Committee on Education in… more
- Marriott (Charleston, WV)
- …Addresses occupational injury/illness with the proactive component of aiding the associate in choosing a provider, or accessing Marriott's provider network/managed ... care are always adhered to. + Maintain and update physician networks and panels. + Collaborate with treating providers,...and participate in their care. + Recommend referral to Associate Resource Line as needed. + Coordinate Work Hardening… more
- Humana (Charleston, WV)
- …and implementing programs to maintain positive relationships between the health plan, physician , providers and practice managers. + In conjunction with the Director ... data and make informed recommendations + Ability to lead a team of associate and collaborate with cross functional teams + Must be passionate about contributing… more
- Humana (Charleston, WV)
- …is committed to advancing the employment experience and vitality of the associate community. Through offerings anchored in a whole-person view of human well-being, ... Provider Reconciliation Program (PRP) Lead engages and partners with physicians, physician groups, and regional leadership to drive initiatives. Influences and… more
- Humana (Charleston, WV)
- …guidelines and provide reports as needed + Maintain strict patient and physician confidentiality and follow all federal, state and hospital guidelines for release ... offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development &… more
- Sevita (Morgantown, WV)
- …members who administer medications. + Provide prescribed medical treatment by physician 's orders and personal care services. + Conduct assessments, implement health ... prescribed treatments, sex education/STD prevention and smoking cessation. **_Qualifications:_** + Associate 's Degree in Nursing or related field, or a graduate of… more
- Humana (Charleston, WV)
- …primary care centers provide value-based care and represent more than 250 physician practices, 450 clinicians, and 250,000 patients across 18+ markets. The Primary ... (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Charleston, WV)
- …scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, ... (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Charleston, WV)
- …scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, ... (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Highmark Health (Charleston, WV)
- …risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. ... **EDUCATION** **Required** + None **Substitutions** + None **Preferred** + Associate degree in medical billing/coding, health insurance, healthcare or related… more