Collecting information
Organizing data
The Medical Director of Case Management and Utilization Review leads the hospital specific execution of the Case Management (CM) and Utilization Management (UR) and related activities. Assists the Case Management staff in resolving patient care issues for referred cases, provides physician education
Other Information: Additional Education Info: Graduate of a medical school approved by the Council on Medical Education of the American Medical Association. Required Work Experience: Extensive experience in one or more branches of medicine or surgery; at least, five (5) post-training years of medica
Knowledge / Skills / Abilities The Senior Analyst, Quality Improvement (QI) Interventions/Compliance contributes to either or both critical Quality functions: Clinical Quality Interventions and Quality Improvement Compliance. JOB DESCRIPTION Job Summary Molina's Quality Improvement function oversees
This role is vital for overseeing cybersecurity initiatives, ensuring HIPAA compliance, and leading risk management strategies within the organization. A leading healthcare facility in Miami Beach seeks a Director of IT Cyber Security.
Responsible for identifying problems and solutions or enhancements to resolve billing issues including, but not limited to, billing frequency, required forms, and general billing requirements. Responsible for the complete and accurate billing and collections of all hospice claims submitted for payme
The ideal candidate will partner with clinical and business stakeholders to translate reporting needs into actionable analytics utilizing Epic reporting tools, SQL, and Tableau. Responsibilities include report design, project management, and providing excellent customer service. Mount Sinai Medical
Responsibilities Conduct regular quality assurance audits to assess the level of care being provided to clients, specifically review of Oasis documentation Identify areas for improvement and develop plans for implementing process improvements Collaborate with the interdisciplinary healthcare team