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Baylor Scott & White Health is seeking a Registered Nurse (RN) Quality Assurance for a nursing job in Temple, Texas. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. As the largest not-for-profit health system in the state of Texas, Baylor Scott & White promotes the health and well-being of every individual, family and community it serves. It is committed to making quality care more accessible, convenient and affordable through its integrated delivery network, which includes the Baylor Scott & White Health Plan, Baylor Scott & White Research Institute, the Baylor Scott & White Quality Alliance and its leading digital health platform – MyBSWHealth. Founded as a Christian ministry of healing more than a century ago, Baylor Scott & White today serves more than three million Texans.
This is a tenure-track faculty position in the Division of Infectious Diseases, Allergy and Immunology, within the Department of Medicine at Saint Louis University,School of Medicine.. The Division leads the Center for Vaccine Development at Saint Louis University which has received significant funding for preclinical and clinical research, including 30 years of NIH funding as a Vaccine and Treatment Evaluation Unit. The Division is seeking candidates that will enhance our strengths in basic, translational, and clinical research and will expand our capacity to conduct all phases of clinical trials for new vaccines and therapeutics.. Some visa sponsorship available. You'll enjoy the benefits of the Arch, MLB Cardinals and NHL Blues, the St. Louis Symphony, the Fox Theater, the Art Museum, the Science Center, the Botanical Gardens and the Zoo. The area has outstanding public and private schools, and 3 major Universities.. The health system includes 24 hospitals, more than 300 physician offices and other outpatient care sites, 10 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, an insurance company, a technology company and an Accountable Care Organization.
The Director of Nursing is responsible for planning, coordinating, and managing the nursing department, ensuring high-quality care in compliance with regulatory standards.. We rely on our Director of Nursing to plan, coordinate, and manage the nursing department.. One to three (1-3) years of management or supervisory experience in long-term care or acute care.. Restorative or geriatric nursing experience preferred.. Director of Nursing, Nursing Management, Healthcare Administration, Patient Care, Registered Nurse, Skilled Nursing, Long-Term Care, Healthcare Leadership, Nursing Staff Supervision, Care Quality Assurance
Under the direction of the Director of Patient Safety, the Senior Patient Safety Specialist will participate in the implementation, review, and support of the Ministry Patient Safety Program.. In collaboration with leadership, coworkers, and medical staff the Senior Patient Safety Specialist will develop, implement, monitor, and champion processes related to key patient safety issues.. The Senior Patient Safety Specialist will model behaviors that embrace just culture, reporting, flexibility, and learning across the organization.. The Senior Patient Safety Specialist will work directly with organizational leaders and multi-disciplinary teams to identify resources needed to support patient safety improvement projects.. Required Education: Associate's degree, diploma or certification from a clinical healthcare training program (e.g., nursing, respiratory therapy, physical/occupational therapy, health administration, public health) is required.
The ideal candidate will be experienced in dispensing medications, counseling patients, managing pharmacy operations, and ensuring full compliance with all regulatory guidelines.. Oversee daily pharmacy operations, including inventory management, ordering, and ensuring medication availability.. Doctor of Pharmacy (PharmD) degree from an accredited program.. Video (Zoom) Interview with the Senior Pharmacy Manager.. Final Onsite Interview with the Senior Pharmacy Manager and Pharmacy Director.
This is a full-time on-site role for a Medical Biller at CARDIOLOGY ASSOCIATES OF OCEAN COUNTY, P.A. The Medical Biller will be responsible for tasks related to medical billing, including handling denials, using ICD-10 codes, working with insurance companies, and processing Medicare claims.. Proficiency in Medical Terminology and ICD-10 coding. Experience in handling denials and insurance claims. Familiarity with Medicare billing processes. Associate's degree in Healthcare Administration or related field
We are seeking a detail-oriented Medical Secretary II to join our Radiation Oncology department in Towson.. Manage and coordinate patient appointments, maintaining an organized scheduling system for radiation therapy treatments. Perform medical billing and coding duties for radiation oncology services. Minimum 3 years of experience as a medical secretary, preferably in oncology or radiation departments. Strong knowledge of medical billing, coding, and insurance procedures
FlexStaff is seeking a Temp to Perm Medical Billing/Accounts Receivable Specialist, with experience working in a medical practice or healthcare setting for our client, in Branford, CT. This position is 100% onsite.. The Accounts Receivable Specialist will assist in ensuring that the company receives payment for goods and services offered to clients.. Work and manage commercial and Medicaid claims from all aging buckets including posting, appeals, and ADRs.. Download and review electronic and paper EOBs for denied claims and line-item denials.. Knowledge of medical terminology, experience in orthotics and prosthetics preferred.
Basic knowledge of State and Federal programs (Medical Assistance and Medicare Part D) is preferred. South Country offers a full range of comprehensive benefits such as medical, dental, vision, PERA pension, and more as well as competitive pay. Required: Associate or bachelor’s degree in health care administration, business administration, or related industry and one year experience in healthcare administration, pharmacy, or related industry required. Preferred: Basic knowledge of State and Federal programs (Medical Assistance and Medicare Part D) preferred. Maintains satisfactory relationships with several external agencies, including Department of Human Services (DHS), Centers for Medicare and Medicaid Services (CMS), TPAs and several internal departments; May include collaboration in implementing established policies and procedures.
With the specialized knowledge of the Medicaid and Children's Health Insurance Programs, lead and guide internal and external stakeholders to make determinations relating to complex processes involving claims processing/adjudication, recipient/provider eligibility, and third-party liability.. Understanding of claims, recipient/eligibility, and provider/enrollment data processes.. Able to create and perform data analysis using SQL, Excel against data warehouses utilizing large datasets.. More than 2 years of experience in HEDIS, CHIPRA or similar quality metrics. Experience with data analysis using Teradata Database Management System or other equivalent database management system.
Overview CHI Health St. Elizabeth founded by the Sisters of St. Francis of Perpetual Adoration in 1889 is a full-service 260-bed nonprofit regional medical center in Lincoln Neb. St. Elizabeth specializes in the treatment areas of newborn and pediatric care women’s health burn and wound cardiology oncology emergency medicine orthopedics and neuroscience.. Responsibilities Manager Patient Safety Location: CHI Health St. Elizabeth Hospital Assists in the design, planning, implementation and coordination of Quality Management, Patient Safety and Performance Improvement activities for assigned hospital and medical staff departments, committees, divisions, service lines and functions.. Proactively coordinates and facilitates performance improvement teams to support key initiatives, including but not limited to, activities focused on clinical quality improvement, patient safety and risk reduction, patient experience, efficiency, FMEAS, root cause analyses and medical staff improvement (.. Qualifications Licensed Registered Nurse, Licensed Clinical Pharmacist, or other Licensed Clinical Staff and three (3) years clinical experience in an acute care setting Must be able to perform case reviews for medical staff peer review and medical and/or surgical Registry Abstraction One (1) year healthcare-related quality management/performance improvement experience (.. ∙ Certified Professional in Healthcare Quality (CPHQ), or Healthcare Quality and Management Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within 2 years of employment is required.
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.. Director of Nursing, management or supervisor experience in long-term care, restorative or geriatric nursing.. Laurel Health Care Company is a national provider of skilled nursing, subacute, rehabilitative, and assisted living services dedicated to achieving the highest standards of care.. 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.
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.. Director of Nursing, management or supervisor experience in long-term care, restorative or geriatric nursing.. Laurel Health Care Company is a national provider of skilled nursing, subacute, rehabilitative, and assisted living services dedicated to achieving the highest standards of care.. 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.
Description Summary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation.. Provides routine and complex care, with the ability to on long-range goals or plans.. Continues to develop the ability to cope with and manage contingencies of clinical nursing.. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients.. Documents patient history, symptoms, medication, and care given.
It is never one and done, sharing an unspoken agreement to always improve and dazzle - adding a dash of love resulting in influencing changing the standard of care. If you find the exception thrilling and never tolerate status quo, you’ve found your tribe. With laser-sharp focus and persistent discovery, we tell stories that connect and compel. We are the leading healthcare advertising agency devoted to medical devices, diagnostics, and specialty pharmaceuticals. 2-4 years of marketing advertising agency experience
It is never one and done, sharing an unspoken agreement to always improve and dazzle - adding a dash of love resulting in influencing changing the standard of care. With laser-sharp focus and persistent discovery, we tell stories that connect and compel. We are the leading healthcare advertising agency devoted to medical devices, diagnostics, and specialty pharmaceuticals. 2-4 years of marketing advertising agency experience.. Precision Medicine Group is an Equal Opportunity Employer.
Clinical Patient Safety Manager Opportunity – San Fernando Valley, CA. Reporting to the Director of Risk Management, the Patient Safety Manager oversees systems and processes to improve patient safety, prevent errors, and ensure quality care.. Responsibilities include data analysis, safety training, incident investigation, and leading improvement initiatives.. California Fire and Life Safety Card (within 30 days of hire).. Relocation assistance available
Candidate Profile: JD from a top-tier law school with a strong academic record.. 10+ years of experience advising clients or engaging in policymaking relate d to healthcare billing and reimbursement, including Medicare, Medicaid, and VA/Tricare.. Deep knowledge of federal fraud and abuse laws , including the Anti-Kickback Statute, Stark Law, and False Claims Act.. Key Responsibilities: Counsel clients on Medicare, Medicaid, and VA/Tricare reimbursement requirements.. Advise on fraud and abuse compliance, including structuring transactions to align with Stark, Anti-Kickback, and False Claims Act regulations.
Long Term Medical Billing Clerk needed for the Revenue/Billing department in Queens.. As a Medical Billing Clerk, you will play a key role in the Revenue/Billing department.. Perform data entry by transferring information from the Electronic Health Records (EHR) system to the medical billing system.. Submit insurance claims and follow up on claims processing through clearinghouses.. Monitor and resolve claim denials from Medicaid, Medicare, Managed Care, and other payers.
At Priority Life Care (PLC), we provide you the opportunity to use your talents in a progressive, growing organization that makes a positive difference in the lives of the seniors we serve.. The primary purpose of the Director of Nursing (DON) is to plan, organize, develop, and direct the overall operation of the Nursing Department in accordance with local, state, and federal guidelines and regulations.. SwiftMD - Telemedicine that is available to all employees at no cost!. No need to wait until payday!. Experience with the applicable state Survey Rules & Regulations, Medicare and Medicaid