Collecting information
Organizing data
Partners Personnel is seeking an experienced and driven Director of Nursing with a strong background in home health care. Oversee and improve quality assurance processes; initiate performance improvement plans as needed. Act as Risk Manager and oversee EIM reporting. Bachelor's degree in Nursing, Healthcare Administration, or Business (Master’s preferred). Ability to interpret financial reports and manage office operations efficiently.
We are currently accepting applications for a clinical research nurse with expertise in caring for infants, young children, and school age children.. DBI provides advanced diagnostic imaging and multidisciplinary care for pregnant and postpartum individuals and families via clinical and applied research programs.. The clinical research nurse will participate in screening, assessment, recruitment, medical record extraction to support interdisciplinary studies.. This new position also will focus on conducting specific research related protocols, such as imaging and physiologic signals data acquisition (e.g. EEG, ECG), behavioral scoring, biosample collection and processing and related patient care for DBI infants, toddlers, and young children.. Outpatient services are provided in-person and via telemedicine, with the clinical research nurse located on-site at the main hospital campus in Washington DC.
The ideal candidate will have extensive experience working with US-based payers, including Medicaid and Medicare , and a proven ability to navigate contract negotiations successfully. Oversee provider credentialing and enrollment with US-based payers, hospitals, and healthcare networks. Ensure compliance with US healthcare regulations (CMS, CAQH, NCQA, etc.. Extensive experience with all US payers, including Medicaid and Medicare. Bachelor’s degree in Healthcare Administration, Business, or a related field preferred.
Grassy Sprain Pharmacy is a pharmaceuticals company located at 640 Tuckahoe Road, Yonkers, New York, United States. This is a full-time, on-site Pharmacist role located in Eastchester, NY. The Pharmacist will be responsible for dispensing medications, providing patient care, counseling patients on medication use, and collaborating with healthcare providers. Strong knowledge of pharmaceuticals and pharmacology.. Attention to detail and accuracy in medication dispensing.. Current Pharmacist license in the state of New York
At Greenstaff Homecare, we understand the significance of world-class in-home care domain, and that's why we consistently aim to provide unparalleled service. Job Summary: As a Home Care Specialist, you'll be the architect of our growth in your market. Hold a university degree preferred, in fields such as Health Sciences, Gerontology, Social Work, Nursing, Healthcare Administration, or Recreation Therapy, Hospitality. Demonstrate a track record of over 2 years in business development within sectors such as in-home care, senior living, pharmaceuticals, medical devices, and senior healthcare, or hospitality. As a Home Care Specialist, you'll play a pivotal role in shaping this compassionate, efficient, and rewarding culture.
5-7 years of experience in a related pharmacovigilance role within the pharmaceutical industry.. Experience with EDC clinical trial systems (e.g. Medidata Rave, ClinTrak, Veeva Vault).. Sound knowledge of the Drug Development process, signal detection, and regulatory affairs.. Must possess strong working knowledge of MedDRA and WHO Drug. Founded in 2002, Clinical Resource Network (CRN), a division of Solomon Page, provides clinical research and talent solutions for pharmaceutical, biotech, and medical device companies.
Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas.. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services.. Ben Taub Hospital (Level 1 Trauma Center) and Lyndon B. Johnson Hospital (Level 3 Trauma Center) anchor Harris Health's robust network of 39 clinics, health centers, specialty locations and virtual (telemedicine) technology.
The position of Medicare Biller is responsible for billing, receivables auditing, and collections activities for services provided to patients in the facilities assigned.. Knowledge of Medicare DDE, e-Solutions, Point Click Care and Quadax preferred. Review of Medicare A, Medicare A No Pays/Benefit Exhaust, Medicare B, and Medicare Secondary Payer claims for accuracy and timely submission per Medicare, Commercial, and Medicaid billing guidelines. Creation and submission of cost Report Bad Debt write offs for states assigned to Medicare CBO, per Medicaid billing guidelines. A family-owned company, we have grown to become one of the nation's largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH).
As a tech-enabled compounding pharmacy supporting prescription fulfillment for telemedicine companies, we are licensed in 47 states with locations in New York and Florida, PCP acts as a backend fulfillment center, sending API transactions to partner telemedicine companies for prescription updates.. The role will also involve collaborating with telemedicine partners to ensure timely and accurate fulfillment of prescriptions.. Located in Boca Raton, FL and reporting to the Pharmacist in Charge In NY, the Florida Director/ PIC (Pharmacist-in-Charge) would be responsible for overseeing all pharmacy operations for this location, ensuring compliance with regulations, and providing expert pharmaceutical care, including prescription filling, medication counseling, and staff supervision (3 - 4 Pharmacists).. · Ensure all pharmacy operations comply with state and federal laws and regulations related to pharmacy practice, controlled substances, and medication safety.. As part of Precision Compounding Pharmacy , you’ll be at the heart of an exciting transformation in the telemedicine landscape.
Job Title: Medical Billing Specialist. Summary: Responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of Medicaid, Medicaid Managed Care, and commercial insurance payers.. The medical billing and collection specialist must possess critical thinking skills and understanding of Medicare, Medicaid eligibility requirements as well as commercial insurance payer payment methods to correctly record contractual adjustments based on payer contracts or government regulations.. Performs follow up with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies on unpaid insurance accounts identified through aging reports.. Communicates with billing and credentialing coordinator to identify and resolve audit review issues.
The Inpatient Coder assigns the principal diagnosis, comorbidities, complications and chronic conditions for Hackensack Meridian Health (HMH) Inpatient cases across the network to the highest specificity utilizing currently mandated coding systems in accordance with Centers for Medicare and Medicaid Services (CMS) and other coding compliance regulations. Addressing all edits, including but not limited to nosology, Exihauser, Patient Safety Indicators (PSI), hospital-acquired condition (HAC), and others as needed based on quality indicator. Apply reason/tracking code and rationale (if needed) in 3M as needed for DRG mismatches on Clinical Documentation Improvement (CDI) reviewed cases. Demonstrated expertise in Medical Terminology, Anatomy and Physiology, Pathophysiology, Pharmacology and inpatient coding. Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT), or other Allied Health credential with inpatient coding experience.
The position of Medicare Biller is responsible for billing, receivables auditing, and collections activities for services provided to patients in the facilities assigned.. Knowledge of Medicare DDE, e-Solutions, Point Click Care and Quadax preferred. Review of Medicare A, Medicare A No Pays/Benefit Exhaust, Medicare B, and Medicare Secondary Payer claims for accuracy and timely submission per Medicare, Commercial, and Medicaid billing guidelines. Creation and submission of cost Report Bad Debt write offs for states assigned to Medicare CBO, per Medicaid billing guidelines. A family-owned company, we have grown to become one of the nation's largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH).
The position of Medicare Biller is responsible for billing, receivables auditing, and collections activities for services provided to patients in the facilities assigned.. Knowledge of Medicare DDE, e-Solutions, Point Click Care, and Quadax preferred. Review of Medicare A, Medicare A No Pays/Benefit Exhaust, Medicare B, and Medicare Secondary Payer claims for accuracy and timely submission per Medicare, Commercial, and Medicaid billing guidelines. Creation and submission of cost Report Bad Debt write-offs for states assigned to Medicare CBO, per Medicaid billing guidelines. A family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH).
This is a full-time hybrid role for a Medical Biller located in the Rochester, New York Metropolitan Area. The Medical Biller will be responsible for processing medical billing claims, handling denials, managing ICD-10 codes, verifying insurance information, and working with Medicare billing.. Experience with handling denials and insurance claims. Familiarity with Medicare billing processes. Previous experience in medical billing or healthcare administration. Get notified about new Medical Biller jobs in Rochester, New York Metropolitan Area.
Solis Health Plans is a new kind of Medicare Advantage Company.. Review and analyze data across various areas, including claims, authorizations, grievances, appeals, case management, network adequacy, membership composition, and other related fields.. Collects reporting for measurement and benchmarking of performance measures in relation to best practices for NCQA, CMS, and internal business objectives.. Collects performance indicator reports and benchmark narratives for review by Quality Director for performance improvement recommendations.. HS Diploma required or Associate's degree in Healthcare Administration, Nursing, or related field.
Insight Institute of Neuroscience & Neurosurgery (IINN) aims to advance, challenge, and revolutionize neurosciences and medicine through scientific research and advanced technology, driven by a passion to help others regardless of any obstacles and challenges that may lie ahead.. Our integrated team of medical professionals does so through creative, innovative techniques and care principles developed because of our continuous pursuit to improve the field of medicine.. Having multiple specialties “under one roof” Insight achieves its purpose in providing a comprehensive, collaborative approach to neuromusculoskeletal care and rehabilitation to ensure optimal results.. Under the direction of the Executive Director of Research, the Associate Director of Business Development for Clinical Research develops and implements growth strategies for obtaining clinical trials, including business development strategies and assessment, guidance and monitoring of operational needs.. In close partnership with research management, marketing and other relevant teams, the Associate Director of Business Development identifies, negotiates, secures, and manages clinical trials within Insight Research Institute through all stages of a clinical trial study.
The Center for Neurological Restoration at the Cleveland Clinic is recruiting for a Director of Clinical Research in Headache and Facial Pain to join our multi-disciplinary group practice in Northeast Ohio. The Headache and Facial Pain Section under the Center for Neurological Restoration is one of the largest clinical programs in the country, with unlimited clinical-research potential, residing within a diverse, multidisciplinary academic Neurological Institute.. We are seeking Clinician Researchers with advanced training in Headache Medicine, and a passion for leading and growing the clinical trials and research program of the Section.. The Director of Research will have the support of a dedicated research supervisor, 15 research coordinators, the Centers own biostatistician and clinical trial design expert, and the patient base from 13 board certified Headache specialists and 6 advanced practice providers.. Our team sees more than 20,000 patients annually, performs almost 5,000 procedures, nearly 2,000 infusions and is the leader in virtual visits and delivery of care by Telemedicine.. Additional opportunities exist to collaborate with the faculty and medical students of Cleveland Clinic Lerner College of Medicine (the College Program) and Case Western Reserve University (the University Program); the basic and translational scientists of the Lerner Research Institute; the 9 Cleveland Clinic Regional Hospitals and several Family Health Centers in Northeast Ohio, as well as Cleveland Clinic Florida, Nevada, Toronto, Abu Dhabi and London.
Northeastern Vermont Regional Hospital (NVRH) seeks an experienced Quality and Patient Safety Specialist.. Join our dynamic team as a Quality & Patient Safety Specialist, where you will play a pivotal role in enhancing our organization-wide quality and safety system.. We are a community, not-for-profit, acute care, critical access hospital.. NVRH is one of two Vermont hospitals designated Baby Friendly™ by the United Nations.. CPHQ certification is required upon hire or within two years
Under the general supervision of the Director Risk Management, the Patient Safety Manager is responsible for overseeing and implementing systems and processes to ensure the safety of patients.. The Patient Safety Manager develops education and works to influence leaders to achieve measurable improvements in patient safety that will support the sustainability of reductions in medical/healthcare errors and other factors that contribute to unintended adverse patient outcomes.. A high priority of the Patient Safety Manager is to create a culture of safety within the hospital that prioritizes the well-being of patients and minimizes the risk of harm.. Within 30 days of hire: California Fire and Life Safety Card - National Organization. Within 30 days - California Fire & Safety Card
You will supervise nursing care provided by registered nurses, licensed vocational/practical nurses, and STNA/CNAs.. Participate in the budget process of the facility and maintains the nursing supply, equipment and nurse staffing budgets.. Maintain current knowledge of applicable managed care, Medicare and state Medicaid regulations, reimbursement systems and methodology.. Director of Nursing, management or supervisor experience in long-term care, restorative or geriatric nursing.. Ciena Healthcare is one of Michigan's largest skilled nursing and rehabilitation services providers.