Collecting information
Organizing data
Managing and overseeing clinical and administrative and recordkeeping functions, including documenting referrals, new physicians and facilities, durable medical equipment (DME) pickup, Medicare patient eligibility, obtaining authorization and reauthorization as needed, commercial insurance verification, transfer patient documentation, satisfaction surveys, and patient benefit periods and events.. Thorough knowledge of managed care principles, regulatory guidelines (i.e., Medicare, Medicaid, JCAHO, ACHC, and human resource) management principles. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states.. Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon. Palliative care: Empatia Palliative Care, Emerald Coast Palliative Care
Explore how you can follow your passions and shed light on meaningful ways to serve, grow, and shine together. Assists in counseling guest/resident, family or responsible party during difficult transitional care periods. Attends regular meetings; Stand Up, Cross Over, Department Head Meetings, Town Hall, Quality Assurance and Performance Improvement (QAPI), and others as directed by the Executive Director. A minimum of two (2) years' experience in a nurse management position within a skilled nursing environment including hiring staff, coaching, performance management daily operations supervision, discipline and counseling.. Proficiency in Medicare, Minimum Data Set (MDS) / Resident Assessment Instrument (RAI), Care Plan process
This includes but is not limited to: obtaining authorizations for patient services, answering phones, making appointments, chart creation, and filing, assisting patients to exam rooms, taking vital signs, and discharging patients.. Assists the Director in ensuring the compliance of Joint Commission guidelines and National Patient Safety Goals.. Serves as official Timekeeper for the department.. Maintains established CHRISTUS policies, procedures, objectives, quality assurance, safety, and environmental and infection control protocols.. Two years of experience in a medical office, in a patient access position, performing medical billing/collections, or other comparable position in a medical setting required.
St. Luke's University Health Network, the region's largest, most established health system is seeking an Experienced Board-Certified Breast Surgeon who have a proven clinical, research and administrative track records that is interested in joining our Breast Surgery Program.. St. Luke's Cancer Center builds a compassionate and trusting relationship with patients and families by offering personalized care, quality treatment, prevention programs, clinical research, education, and engagement to reduce the cancer burden in the communities we serve.. Established fellowship program with 2 Hematology/Oncology fellows. Recently, St. Luke's Cancer Center has received five awards from the National Committee for Quality Assurance (NCQA), a private, nonprofit organization dedicated to improving health care quality.. We also offer a healing arts program, nutrition support, access to rehab and physical therapy, insurance and financial support, clinical trials, and support groups to make our patients health care journeys as easy and understandable as possible.
Eligible for Sign-On Bonus / New Updated RatesAt Lowell General Hospital / Tufts Medicine, we’re saving lives, building careers, and reimagining healthcare.. Performs all aspects of activities of daily living (ADLs) patient care in an environment that optimizes patient safety.. Functions as a Safety Sitter when needed. Maintains continuous observation of a patient as a one on one sitter as outlined in the Sitter guidelines.. Recent nursing assistant experience preferred or clinical rotation as part of nursing program
Our hospitals have been named among the Top 5 percent of all U.S. hospitals by Healthgrades and a five-star hospital by the Centers for Medicare & Medicaid Services.. Located just 30 minutes from the beach, TidalHealth offers the widest array of specialty and subspecialty services such as neurosurgery, cardiothoracic surgery, joint replacement, emergency/trauma care, comprehensive cancer care, wound care and clinical trials and research.. The Nursing Assistant provides direct physical care and emotional support to patients in an assigned area under the direct supervision of an RN or LPN. The inventory, distribution/delivery of medications may be required.. Benefits include medical, prescription, vision, dental, flexible spending accounts, disability insurance plans, life insurance, paid time off plans, retirement plans, tuition assistance, employee assistance, and access to on-site childcare and a credit union.. Schedule: Full Time, 12 hr shifts; rotating weekends, Days; rotating weekends
Job DescriptionPatient Care Manager (Hybrid)Inland Empire, CA This position is full-time and remote (Must be available for in-person interactions as needed)We are seeking a full-time Patient Care Manager who lives in Inland Empire and works remotely assisting patients with education and assessment of their ongoing care management.. The focus of assistance is in enhancing the quality of patient management, maximizing patient satisfaction, promoting cost-effectiveness, and increasing the efficacy of addressing healthcare disparities.. We specialize in engaging and caring for the top 1% highest utilizing Medicaid patients.. Must possess a good understanding of disability, food stamps, and IHSSComfortable managing more than 80 patientsBilingual (preferred)For more healthcare opportunities, go to: Bachelor's Degree (preferred) Associates Degree (required) - 1+ Years in outpatient Behavioral Health field and/or Social Support field - 2+ Years in direct care management position conducting biopsychosocial assessments and care plan development (preferred) - Understanding of how to navigate the Federal and State programs.. - Must possess a good understanding of disability, food stamps, and IHSS - Comfortable managing more than 80 patients - Bilingual (preferred)
Drive the overall planning, execution, and delivery of assigned drug development programs from candidate nomination through early clinical trials.. Support the Project Team Leader (PTL) on cross-functional Project Development Teams (PDTs), including Clinical, Regulatory, Toxicology, Pharmacology, Assay Development, CMC, Research and Strategy, ensuring clear roles, responsibilities, and accountability.. Expertise in the use of modern project management tools (Gantt charts, risk logs) and technologies (Smartsheet’s, Excel, PowerPoint, ThinkCell).. TCG Labs-Soleil, established in partnership with The Column Group , a science-focused venture capital firm, is pioneering a novel ‘venture capital-biotech’ model.. This model supports scientific entrepreneurs from the initial idea to clinical proof of concept (PoC) by combining a dedicated fund (TCG Labs) with our independent, evergreen R&D center led by a top-tier scientific team (Soleil).
Support development of clinical components for regulatory and EC/IRB submission documents where marketing approval is warranted. Industry or academic experience in drug development required, with specific experience in phase 2 or late-stage clinical trials in oncology highly desirable. Possesses detailed knowledge of Good Clinical Practice (GCP) and other regulations governing clinical research. Our mission is to deliver targeted therapies that precisely attack tumor cells while minimizing damage to healthy tissue, leveraging cutting-edge technology and scientific expertise. We want people to feel they belong at AstraZeneca and Alexion, starting with our recruitment process.
Advanced proficiency with MS Office Suite, IBM SPSS, and Tableau. In addition to custom research, the healthcare Service Line also works on therapeutic centers of expertise in Oncology, Autoimmune, Virology and more.. Sales Director - Healthcare & Life Sciences. Administrative Director Patient Care (Full Time Day) Operating Room, Livingston. Deputy Director, Integrated Strategic Communications - NA Pharmaceuticals - Women's Healthcare
Line Staffing is actively searching for Multiple Program Coordinators/Healthcare Admins for a major healthcare company located in Pittsburgh, PA surrounding area.. This is an exciting opportunity with a client that is looking to move fast for the right candidate.. Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid.. Individual must work with LTC facility staff, Omnicare pharmacy operations staff, prescriber offices, third party payers, patients and/or their responsible parties and claim processors.. This position requires work within several different operating systems and web based programs to retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing practice
Office Managers work closely with the providers of a medical practice or clinic, along with their Regional Practice Manager, to ensure effective, quality patient care is provided.. Assists in managing practice managed care relationships, including monitoring of related reimbursement, negotiation with third party payers, provider credentialing, and maintenance of contracts.. 4 years/Bachelor's Degree: Healthcare Administration, Business or related degree. Post graduate Degree: Masters in Healthcare Administration, preferred. Basic knowledge of medical billing coding, including CPT and ICD-10 coding, required
This role will be responsible for building, scaling, and continuously improving PACE Health Plan Operations functions efficiently and effectively, which includes, but is not limited to, TPA management/oversight (claims), utilization management, and provider network administration.. Master's Degree Relevant field including business, MBA, accounting/CPA, Finance/MS, economics, math or healthcare administration/MHA (Preferred). Proactive with planning, financial forecasts, and resolution of budget variance; Serve as the accountable leader for PACE Health Plan Operations functions; Manage and provide oversight to the Third Party Administrator (TPA), the Pharmacy Benefit Manager (PBM), and other key vendors, including vendor management, and receivables/payables;. Lead provider network administration, including strategic support for negotiations, managing our catalog of contracts, properly loading all contracts into required systems/vendors, and managing the provider manual; Lead all Medicare Part D operations, including managing PBM and pharmacy services vendors; Oversee enrollment operations for Medicaid and Medicare, Medicare self-pay, and Medicaid liability and spend-down tracking. Manage enrollment data and data systems including data transfers and the development and management of systems to meet PACE programmatic requirements; Develop and maintain effective monitoring programs for claims processing, enrollment reconciliation, Medicare Part D, RAPS, and Encounter Data submissions; Lead utilization management operations by supporting the PACE leadership teams on the ground with appropriate tools and processes that ensure efficient and timely decisions
Responsible for managing medical records of patients for insurance, private individuals and/or Government entities for home medical equipment.. Reports all concerns or issues directly to Revenue Cycle Manager and Supervisor. Working knowledge of government, regulatory billing and compliance regulations/policies for Medicare & Medicaid. Minimum of 2 Years in DME experience required. 3-5 Years in DME or medical billing experience preferred
Serves as Monitor/Telemetry Tech for the unit as needed.. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.. Family support, including adoption assistance, child and elder care resources and consumer discounts. We offer a range of services for our patients - including the only cardiac surgery program, neurosurgery program, pediatric intensive care unit, Level I trauma center with two free-standing emergency departments, advanced wound care center, breast cancer center and Carolina Forest Imaging Center.. HCA Healthcare Co-Founder
The Associate Director, Quality Assurance CMO Management is responsible for supporting the day-to-day Quality Operations of Contract Manufacturing Organizations (CMOs) for Cell & Genetic Programs through the management of quality management system (QMS) events.. In-depth global regulatory agency knowledge and experience across GXP life cycle in Cell & Gene therapy and/or Biologics.. In-depth knowledge of deviations, root cause analysis, CAPA, and change control processes. Substantial experience with electronic document management systems (e.g., QDoccs, Trackwise, Veeva). From medical, dental and vision benefits to generous paid time off (including a week-long company shutdown in the Summer and the Winter), educational assistance programs including student loan repayment, a generous commuting subsidy, matching charitable donations, 401(k) and so much more.
Maintains current MDS status of each resident according to state and federal guidelines as required under the Omnibus Reconciliation Act, Medicare PPS + Medicaid payment systems as applicable.. Responsible for MDS/RUGS education.. Previous experience within an LTC/Geriatric care required.. Knowledge of Nursing and Medical practices and procedures, as well as laws, regulations and guidelines that pertain to long-term care, including PPS.. Recommended: Registered Nurse Assessment Coordinator (RNAC) certification.
As a Revenue Cycle Healthcare Analyst , you will play a critical role in ensuring the accuracy and compliance of hospital and physician charges related to clinical trials, research, and grants.. Resolve issues involving charge edits, claims processing, and revenue cycle functions to optimize workflows.. Utilize clinical documentation, coding (CPT, Modifiers, ICD-10), and billing data to correct and process charges efficiently.. Collaborate with clinical research departments to serve as a subject matter expert for research-related billing activities.. Strong knowledge of CPT, Modifiers, ICD-10 coding.
As the Team Leader revenue cycle, you will play a key role in supporting the Director of Revenue Cycle in managing the day-to-day operations of the revenue cycle team, ensuring efficient billing, coding, and collections processes.. Lead a team of revenue cycle professionals, providing guidance, mentoring, and performance feedback.. Supervise the billing and coding processes to ensure accuracy and compliance with industry standards.. Minimum of 5-7 years of experience in healthcare revenue cycle management, with a strong understanding of medical billing and coding.. Proficiency in revenue cycle management software and healthcare information systems.
Reporting to the Head of Biometrics in the Development Organization, this role will work closely with internal team members and vendors to ensure that assigned clinical trials are conducted in a timely fashion and a manner compliant with SOPs, ICH/GCP/regulatory guidelines, company goals and expectations, and budget. Collaborate with Biostatistics, Statistical Programming, and Clinical Operations to ensure timely delivery of datasets with clearly defined quality requirements supporting data readouts for company business activities, including internal decision-making, interim analysis, publications, conference presentations, interactions with health authorities, and regulatory submissions. Lead the data monitoring process in partnership with internal and external stakeholders, including Clinical Operations, Clinical and Translational Sciences, Clinical Pharmacology, and Biostatistics, to proactively identify data quality issues and ensure timely data entry, query resolution, and completeness. Collaborate with Clinical Operations and Quality Assurance to ensure data integrity, traceability, and compliance with CDISC (CDASH, SDTM) standards and 21 CFR Part 11 standards. Experience with Medidata Rave is preferred.