Collecting information
Organizing data
At National Staffing Solutions, we have the privilege and honor of working with dedicated healthcare professionals that make a positive impact in aiding those needing healthcare services across the U.S. every day. Perform the initial assessment of the patient and actively participate in all aspects of patient care, including history and physical, diagnostic and therapeutic planning, procedures, writing orders, and interactions with family. Payer mix - 35% Medicare, 15% Medicaid, 35% Commercial, balance is "other".. Age distribution - pediatric to geriatric, high elderly population in area.. Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree from an accredited medical school.
We are one of the largest private duty nursing companies in the nation and growing!. Weekly and/or Daily Pay. Our homecare is always delivered from a place of heartfelt compassion and empathy, and every one of our Registered Nurses (RN)s works together to make sure we achieve outstanding clinical outcomes.. Must have and maintain an active, unencumbered license (RN) in the state in which the clinician will practice. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
Medical Science Liaison, Oncology/Hematology (Houston or Dallas Texas) (Dallas, TX) The Medical Science Liaison (MSL) will serve as our field-based scientific expert whose mission is to foster collaborative relationships with opinion leaders and to facilitate the exchange of unbiased scientific information between the medical community and the company. The MSL will have the clinical/medical affairs expertise to serve as a peer-to-peer liaison internally and externally. Collaborate with physicians on medical affairs initiatives including providing assistance with publications and investigator sponsored studies as well as company sponsored research. Familiarization with drug development process, FDA, ICH, and GCP guidelines. Experience implementing, monitoring, and/or managing clinical trials for academic clinical research or pharmaceutical/biotechnology company a plus.
Licensed for 582 beds, the network features over 25 locations across Tarrant County, with John Peter Smith Hospital a Level I Trauma Center, Tarrant County's only psychiatric emergency center, and the largest hospital-based family medical residency program in the nation.. Collaborates with Quality leadership, Clinical Risk and Accreditation, Infection Prevention, District Safety, the Manager of Clinical Risk and Accreditation, and Community Health leadership and Community Health Patient Safety and Quality Team by being a resource for areas such as error detection and prevention and facilitating Failure Mode and Effects Analysis projects.. Certification through a National Accreditation Board in Health Care Risk Management (CPHRM) or Patient Safety (CPPS) or must be obtained within 36 months from date of hire through the American Society for Healthcare Risk Management (ASHRM) or other accrediting body.. For Community Health - certification through a National Accreditation Board in Patient Safety (CPPS) or Healthcare Quality (CPHQ).. Lean Six Sigma Green Belt Designation.
Two (2) years of experience in payment integrity and healthcare claims adjudication.. Expertise in the QNXT platform preferred.. Knowledge of Texas Medicaid, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual.. Investigate claims related to third-party liability cases, including Texas Medicaid subrogation, auto accidents, workers' compensation, and other liability claims, ensuring proper coordination of benefits.. Ensure compliance with Texas Medicaid, federal, state, and PCHP-specific guidelines related to overpayment recovery and third-party liability claims.
Ensure coding accuracy and compliance with CMS, Medicare, Medicaid, and state-specific requirements.. Requirements:CPC (Certified Professional Coder), CCS (Certified Coding Specialist), CCA (Certified Coding Associate), or CRC (Certified Risk Adjustment Coder).. Associate's or Bachelor's degree in Health Information Management, Medical Coding, or a related field preferred.. 3+ years of ICD-10 coding experience in long-term care (LTC), skilled nursing (SNFs), assisted living, or senior living settings.. Familiarity with Electronic Health Record (EHR) systems and coding software.
Maintain up-to-date knowledge of regulatory and accreditation requirements (e.g., NCQA, URAC, The Joint Commission, CMS, HIPAA).. Coordinate root cause analysis (RCA) efforts and monitor action plans related to quality events, member complaints, or sentinel incidents.. Bachelor's degree in Nursing, Social Work, Counseling, Public Health, Healthcare Administration, or a related field required. Active clinical license (e.g., RN, LCSW, LPC, LMFT, etc.). Familiarity with quality improvement frameworks (e.g., PDSA, LEAN, Six Sigma) and accreditation readiness
CooperSurgical is a leading fertility and women's healthcare company dedicated to putting time on the side of women, babies, and families at the healthcare moments that matter most in life.. CooperSurgical is at the forefront of delivering innovative assisted reproductive technology and genomic solutions that enhance the work of ART professionals to the benefit of families.. Develop strategic goals and objectives for the Quality Assurance department, continuously improving the Quality Management System (QMS) to enhance compliance, efficiency, and Good Distribution Practices.. Experience in supporting audits, CAPA management, and risk assessments are preferred.. Proficiency in Microsoft Office Suite, D365 ERP, and other relevant applications is preferred.
Bachelor's degree in a relevant field such as healthcare administration, business administration, or related discipline preferred.. Experience using payer systems, preferably Cognizant QNXT.. Knowledge of Texas Medicaid, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual.. For staff in clinical roles, foster collaborative relationships with members and/or providers to promote and support evidence-based practices and care coordination.. Parkland Community Health Plan (PCHP) prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status.
You will supervise nursing care provided by registered nurses, licensed vocational/practical nurses and STNA/CNAs. We offer one of the leading employee benefit packages in the industry.. Paid time off (beginning after six months of employment) and paid holidays Flexible scheduling Tuition reimbursement and student loan forgiveness Free CNA/STNA certification Zero cost uniforms Responsibilities Some of your responsibilities include: Schedule and perform resident rounds to monitor and evaluate the quality and appropriateness of nursing care.. Participate in the budget process of the facility and maintains the nursing supply, equipment and nurse staffing budgets.. Education and/or Experience: RN license in the state Director of Nursing, management or supervisor experience in long-term care, restorative or geriatric nursing.. We are a national organization of skilled nursing, subacute, rehabilitative, and assisted living providers dedicated to achieving the highest standards of care in five states including Michigan, Ohio, Virginia, North Carolina, and Indiana.
As a key member of the Revenue Cycle Management team, you will play an integral part in helping Enovis drive the medical technology industry forward through transforming patient care and creating better patient outcomes. President- Revenue Cycle Management.. Responsible for managing business development, account development, customer satisfaction, client relationships, and overall account strategies. Maintains knowledge of third-party payor regulations including Medicare, Medicare Advantage, Medicaid, Workers Compensation, and non-governmental payers to ensure Enovis conducts its Revenue Cycle Management activities in compliance with applicable rules, policies, and guidance. Adheres to all internal Corporate Compliance guidelines, OIG, government healthcare regulations, regulatory policies and procedures, and privacy and security standards in accordance with government agencies, including HIPAA requirements.
Manage the Quality team to improve and enforce quality standards through QA, QC, and Microbiology.. Certification by ASQ, as a CQM/OE is strongly preferred.. Director Quality Patient Safety and RiskSenior Director of Operations, Steel Tank and ASME Pressure Vessel Fabrication - Dallas-Fort Worth, TXRisk and Controls Quality Assurance Vice President-Hybrid. Associate Regional Director - West Texas RegionDirector of Healthcare Administrative ServicesDirector, Clinical Research-Instrumentation. Senior Director of Television Production
Medicaid – MDS Compliance Partner About the Opportunity Ensign Services, Inc.’s (ESI) Compliance Department is seeking a License Vocational Nurse or Registered Nurse Compliance Partner.. Primary responsibilities will involve performing Medicare/Medicaid billing audits and conducting internal investigations under direction of associate and chief compliance officer, reviewing, and analyzing medical records and/or claims to detect possible compliance or quality issues.. About the Company Ensign Services, Inc. is a national leader in the growing healthcare industry.. These operations are supported by ESI’s “Service Center,” a world-class service team that provides clinical, legal, human resources, accounting, compliance, information technology, construction, and other resources necessary to allow on-site leaders to focus squarely on day-to-day business.. Conducts internal investigations involving general compliance and clinical issues under the direction of a lead compliance partner or the chief compliance officer
Join Our Team at Precise Personalized Care Hospice Now Hiring: Hospice Administrator / Director of Nursing Carrollton, Texas | Full-Time | Leadership Opportunity. We're currently seeking a dedicated and experienced Hospice Administrator / Director of Nursing to lead our exceptional team and uphold the standard of excellence our patients and families have come to trust.. As the Administrator / DON, you will guide a committed interdisciplinary team, ensure regulatory compliance, and ensure the highest quality of care is delivered consistently.. Supervise and support nursing and interdisciplinary care staff. Active Registered Nurse (RN) license in the State of Texas
The Regulatory Affairs Manager is responsible and accountable for Company Core Data Sheets (CCDS), Company Core Safety Information (CCSI) and Reference Safety Information (RSI for assigned products, including regulatory responsibilities in associated change control and labeling processes.. Accountable for all operational aspects including owning, creating and/or maintaining CCDS/CCSI/RSI documentation, delivering, maintaining, and driving regulatory systems, databases, and labeling processes that support therapeutic and combination products.. Support global implementation of CCDS/CCSI/RSI into country-specific labeling by developing and approving implementation of complex global and local labeling and other regulated solutions in accordance with the end-to-end regulated content, labeling processes, and commercial objectives, including reviewing deviations, exemptions, and deferrals.. Perform gap analysis on regulated content management processes; design, develop, assess, improve, implement, and maintain associated complex and simple Global Regulatory Affairs and Quality processes and business solutions.. Bachelor's degree in pharmacy, biochemistry, or similar science related field preferred.