- CenterWell (Denver, CO)
- …and compliance. Manages the Denials Management data analytics, denial and appeal process. The Director , Home Health Grievances & Appeals assists members, ... part of our caring community and help us put health first** The Director Denials Management provides...related field + 10-15 years progressively responsible experience in home health or hospice industry that includes… more
- Humana (Frankfort, KY)
- …leading teams focusing on quality management, utilization management, discharge planning and/or home health or rehab + Must be passionate about contributing ... part of our caring community and help us put health first** The Corporate Medical Director provides...(HGO CMO, Office of the CMO, etc.) **Work at Home Guidance** To ensure Home or Hybrid… more
- Loretto Management Corporation (Syracuse, NY)
- Overview The Director of Patient Services of the Licensed Home Health Care Agency has the responsibility to plan, organize, direct, coordinate, supervise, ... and compliance with employment regulations in conjunction with the Director of Internal Home Care Operations. +...procedures. + Assures the quality and safe delivery of home health care + Ensures compliance of… more
- BrightSpring Health Services (Woodridge, IL)
- …dosing. + Minimum 2 years of supervisory/management experience in a hospital or home health care setting required. + An active licensed pharmacist in ... Our Company Amerita Overview The Pharmacy Director is responsible for overseeing the daily business...Schedule: Monday - Friday 8:00am - 5:00pm *Competitive Pay * Health , Dental, Vision & Life Insurance *Company-Paid Short &… more
- Trinity Health (West Springfield, MA)
- …the PACE Organization (PO) and ensure overall CMS regulatory compliance. The Director , Quality Improvement and Compliance, in collaboration with the Medical ... Director , is responsible for developing and implementing the annual...all activities pertaining to complaints, service delivery requests, and grievances /appeals, assures regulatory compliance and incident reporting including trend… more
- HCA Healthcare (Overland Park, KS)
- …you want to join an organization that invests in you as a Labor Relations Director ? At Menorah Medical Center, you come first. HCA Healthcare has committed up to ... **Benefits** Menorah Medical Center offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** We are looking for a Director , Medical Review & Appeals for our Government Programs lines of business. The incumbent will ... expected to work a portion of their week from home and a portion of their week at a...**ESSENTIAL FUNCTIONS:** + Directs all functions related to appeals, grievances , and/or reconsiderations and more for government programs lines… more
- HCA Healthcare (Gainesville, FL)
- …the implementation of policies and procedure that allows program complaints and grievances to receive due process and include evidence of resolution; implements ... strategies for continuous improvement based on the evaluation of complaints and grievances . e. Ensures that orientation to technology is provided and that… more
- Bear Mountain Health Care (Boston, MA)
- …you looking for a rewarding career as a leader in a clinical setting? West Roxbury Health and Rehab has an opportunity for you! West Roxbury Health and Rehab, a ... in West Roxbury, MA, is currently seeking a Social Service Director . Parkway will exceed your expectations, offering flexible scheduling, clinical supervision… more
- CVS Health (Tallahassee, FL)
- …and the delivery of cost-efficient care. Will also interact with the members, health systems, nursing facilities, as well as home and community-based networks. ... At CVS Health , we're building a world of health...peer review and educational interventions. * Work with medical director teams focusing on inpatient care management, clinical coverage… more
- Genesis Healthcare (WV)
- Overview Are you a Director of Nursing (DON) in LTC ready to take your career to the next level in Clincail Risk Management? Do you have existing expeirnce in ... clincal compliance and regulations in long term care? The Regional Director of Clincal lincal Risk may be your next career endevour! At Genesis Healthcare, we are… more
- PruittHealth (Norcross, GA)
- …practices, ADL care practice, psychology of resident care, social services, and environmental health and safety relevant to personal care home operations 3. ... **JOB PURPOSE:** The Executive Director oversees the day-to-day functions of the assisted...standards of professional practice to operations of personal care home and to establish criteria to assure that care… more
- University of Rochester (Rochester, NY)
- …and/or inconsistencies and delivers presentations and recommendations to the Director . Maintains necessary records to accomplish evaluations and appraisals. ... Determines composition and organization of staff and assigns responsibilities. Handles grievances and ensures constructive labor relations. + Coordinates with Deans,… more
- Molina Healthcare (Augusta, GA)
- …care. Essential Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports plan utilization ... corrective actions. * Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. * Attends or chairs committees… more
- Bassett Healthcare (Herkimer, NY)
- …enjoy the best quality of life possible. What you'll do The primary purpose of the Home Health Aide is to perform duties related to personal care and comfort of ... absent from work. + Promptly report all complaints and grievances made by the resident to the supervisor or...Follow policies and procedures including dress code guidelines for Home Health Aides. + Be knowledgeable of… more
- STG International (Milledgeville, GA)
- STGi is seeking a LPN/LVN to provide services at our Georgia War Veterans Home . If you have compassion and a passion to care for Veterans, this could be the job for ... manuals, job descriptions, etc., and make recommendations for revisions to the Director of Nursing. + Coordinate the completion of resident billable charge sheets… more
- Veterans Affairs, Veterans Health Administration (Corpus Christi, TX)
- …for the Primary Care Mental Health Integration (PCMHI) Program, Health Behavior Coordination (HBC), Pain Psychology, Home -Based Primary Care (HBPC) ... for assisting the Chief of Psychology, the Associate Chief of Staff for Mental Health , the Chief of Staff, and the Director in planning, organizing, and… more
- Atlantic Health System (Summit, NJ)
- …Children's Hospital, Morristown, NJ + CentraState Healthcare System, Freehold, NJ + Atlantic Home Care and Hospice + Atlantic Mobile Health + Atlantic ... mitigation and makes recommendations for loss prevention. Collaborates with department director , Office of the General Counsel, outside defense counsel, third party… more
- Veterans Affairs, Veterans Health Administration (Corpus Christi, TX)
- …for the Primary Care Mental Health Integration (PCMHI) Program, Health Behavior Coordination (HBC), Pain Psychology, Home -Based Primary Care (HBPC) ... for assisting the Chief of Psychology, the Associate Chief of Staff for Mental Health , the Chief of Staff, and the Director in planning, organizing, and… more
- Bear Mountain Health Care (Worcester, MA)
- …skilled nursing facility in Worcester, MA, is currently seeking a Social Service Director . Bear Mountain Healthcare will exceed your expectations! We offer a family ... atmosphere. Our center specializes in ventilator care and neurobehavioral TBI/ABI health and rehab. Social Worker Responsibilities include: The Social Service … more