Healthcare & Pharma Careers

Oversee the reimbursement of multi-site skilled nursing facilities.. Minimum Job Qualifications:Experience: 10+ years medical billing management experience within a multi-site facility skilled nursingEarly experience as a Business Office Manager with growth into managing multi-siteKnowledgeable of Medicare, Medicaid and Medicare AdvantageKnowledge of records management, coding, managed care, and A/R policies and processes.. Maintenance of billing systemKnowledge of Matrixcare software preferred Education: Bachelors Degree or equivalent experience.. ESSENTIAL FUNCTIONS and QUALITIES: Ensure that billing and collections procedures are efficient, effective, and timely to maximize reimbursement.. Onboarding and training of new employees and ongoing education of current staff.

Oversee the reimbursement of multi-site skilled nursing facilities.. Minimum Job Qualifications:Experience: 10+ years medical billing management experience within a multi-site facility skilled nursingEarly experience as a Business Office Manager with growth into managing multi-siteKnowledgeable of Medicare, Medicaid and Medicare AdvantageKnowledge of records management, coding, managed care, and A/R policies and processes.. Maintenance of billing systemKnowledge of Matrixcare software preferred Education: Bachelors Degree or equivalent experience.. ESSENTIAL FUNCTIONS and QUALITIES: Ensure that billing and collections procedures are efficient, effective, and timely to maximize reimbursement.. Onboarding and training of new employees and ongoing education of current staff.

Job Details: The Managed Care Coordinator supports the behavioral health inpatient programs by implementation or investigation of the procedures in the Utilization Review and Discharge Planning program at Westchester Medical Center.. Three years of experience where the primary function of the position was nursing in a hospital or health care agency, one of which must have been at a leadership level, and one year of which must have been in either a hospital, health care agency or managed care company in the area of utilization review, quality assurance, risk management or discharge planning.. Education and Training: Graduation from an accredited school of nursing with a Baccalaureate Degree preferred.. or Master's Degree. Nursing program may be substituted for one year of the general nursing experience above.

ImmunityBio is developing cutting-edge technology with the goal to transform the lives of patients with cancer and develop next-generation therapies and vaccines that complement, harness and amplify the immune system to defeat cancers and infectious diseases.. Clinical Research Associate II will participate in clinical research teams to ensure the most effective and efficient conduct of clinical research studies by providing training, protocol interpretation, document collection and review and overall clinical trial support.. Oversee and support collection of essential documents during study start-up. Minimum of 2 years’ experience as a Clinical Research Associate I required. Voluntary Legal Services, Identity Theft Protection, Pet Insurance and Employee Discounts, Rewards and Perks

Based in New York City and Waltham, Mass., Dianthus is comprised of an experienced team of biotech and pharma executives who are leading the development of next-generation antibody complement therapeutics, aiming to deliver transformative medicines for people living with severe autoimmune and inflammatory diseases.. 10-15 years of experience in the pharmaceutical or medical device industry as a clinical research professional, including successful project leadership role and hands-on managerial experience running high quality clinical trials from inception to completion.. Experience in direct line management preferred and hands-on experience in monitoring and managing high-functioning clinical trial project teams.. Experience and understanding of the drug development process, clinical development planning and clinical trial execution.. Prior experience using computer applications including spreadsheets, email, word-processing software & web-based systems (EDC, IVR/IWRS, CTMS).

QuVa Pharma is excited to support the growth and development of a Quality Assurance – Lot Disposition Intern.. Assists in the reviews of Variances associated with batch records for impact to the product disposition. QuVa is a national, industry-leading provider of pharmacy services, including ready-to-administer sterile outsourcing and advanced AI-generated insights providing clarity for revenue capture and inventory management.. LogicStream, a QuVa company, partners with health systems to aggregate, normalize, and analyze large amounts of complex data through AI and machine learning tools that generate actionable insights supporting revenue optimization, inventory management, and inventory-related workflows.. QuVa's Equal Opportunity Policy prohibits harassment or discrimination due to age, ancestry, color, disability, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, race, religious creed, sex (including pregnancy, childbirth, breastfeeding, and any related medical conditions), sexual orientation, and any other characteristic or classification protected by applicable laws.

The hospital offers open heart surgery, an Advanced Primary Stroke Center accredited by the Joint Commission and an Accredited Chest Pain Center.. The Medical Center also provides advanced care for critically ill patients, including cardiovascular and trauma injury care, and emergency services, including a main ER and Pediatric ER. Provide comprehensive assessment, planning, monitoring, and evaluation for compliance with accreditation and regulatory agencies including any state licensing standards.. Directing and coordinating regulatory and accreditation functions, ensuring appropriate preparation, and active participation of appropriate staff and managers for agencies such as The Joint Commission (TJC), Florida’s Agency for Healthcare Administration (AHCA), and/or the Centers for Medicare and Medicaid Services (CMS) and to formulate responses to accreditation findings and inquiries.. CPHQ (Certified Professional in Healthcare Quality) OR CHCQM (Diplomate in American Board of Quality Assurance and Utilization Review Physicians)

Registered Nurse - Utilization Review Specialist Qualifications: Active Registered Nurse (RN) license in the state of employment.. Minimum of 2 years of experience in utilization review, case management, or quality assurance.. Knowledge of Medicare, Medicaid, and private insurance guidelines.. Proficiency in electronic health records (EHR) and utilization management software.. Provide recommendations to improve utilization management processes.

Job Description Join a world-class academic healthcare system, Ingalls Memorial Hospital, as a Patient Financial Services Representative in the PFS Medicare and Commercial department.. Job SummaryThe Patient Financial Services Representative (“PFS Representative”) will be responsible for the account receivables management for Ingalls Memorial Hospital.. This position promotes revenue integrity and accurate reimbursement for the organization by enduring timely and accurate billing and collection of accounts.. The PFS Representative maintains an understanding of federal and state regulations, as well as requirements specific to Medicare, Medicaid, and fiscal intermediaries to promote compliant claims for governmental claims.. All PFS representatives will participate in process improvement and cross-training activities on an ongoing basis.

One of our healthcare clients located in Cherry Hill, NJ is seeking a Medicare Billing Representative to join their team.. Monday-Friday 8:00 AM - 4:30 PM (No Holidays, Evenings, Weekends). - Analyzing/Understanding Explanation of Benefits (EOB) or Remittance Advice (ERA) received from an insurance carrier and take appropriate action according to company guidelines/processes per the client. - NThrive experience or EPIC Experience. - Understanding of Medical Terminology including CPT and ICD-10 Codes

As a part of a diverse community of faculty and staff who represent many faith systems and worldviews, Marian University is seeking applications for a 12-month tenure-track Assistant/Associate/Full Professor of Pharmacology to promote our Catholic Franciscan mission and identity by joining our diverse and collaborative academic community to contribute to the education of medical students and our Master of Biomedical Science Students.. If you are passionate about education, pharmacology, and positively impacting the next generation of medical professionals, we encourage you to apply and be apart of our academic community built on the inspired vision and values of our Franciscan heritage.. MU-WCOM is housed in the state-of-the-art Michael A. Evans Center for Health Sciences, which features The Browning Anatomy Lab equipped with 36 cadaveric dissection stations, each with computer terminals.. Additionally, we have The Hill Rom Stimulation Center, offering students realistic, hands-on training in a safe and controlled environment.. Actively engage the Catholic Franciscan mission and identity of Marian University by modeling the Franciscan Sponsorship Values and honoring the legacy of the founding congregation through transformative education, unity in diversity, leadership through service, integrating faith and life, and institutional policies.

This process also includes internal system and documentation audits as well as external audits of clinical sites, CROs, bioanalytical laboratories, etc.. Manage regulatory agency and other audits/inspections of Unither Bioengineering and prepare investigator sites for FDA or other regulatory agency inspections. Serve as in-house consultant for understanding project-specific requirements regarding federal and international regulations (e.g., privacy, data protection, ethics) to facilitate GCP compliance throughout the lifecycle of a trial. Travel up to 25% to conduct site and vendor compliance audits and attend meetings. Certified Quality Manager (CQM)-ASQ RQAP-GCP and/or ASQ-CQA

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.

Assists the Quality Improvement Nurse in establishing infection control and immunization processes, and in developing and delivering training programs to meet continuing education requirements.. #ZR-CNVoted by Newsweek in 2024 as one of America's Greatest Workplaces for DiversityEvery community in our area has staff around the clock, but Brookdale has the largest team of clinical experts supporting our communities nationwide.. At Brookdale Riverwalk, we are the most unique Senior Living Community in Kern County.. Location:Less than 2 hours from LA, with easy access to San Francisco, and close to the Sierra Nevada Mountains, Beaches, and National forests.. Arts and culture:A growing arts and culture scene with new galleries, theaters, and music venues.

With two hospital campuses, Level III Trauma Center, Level III Special Care Nursery, Breast Health Center, Cardiovascular Center and over 20 locations and 50 specialties, MelroseWakefield Hospital offers many opportunities to grow your career.. MelroseWakefield Hospital and Lawrence Memorial Hospital of Medford are two campuses with one community in mind: the people of north suburban Boston.. MelroseWakefield Hospital and Lawrence Memorial Hospital are distinguished by the range of high-quality clinical care and services.. Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts.. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Care at Home - an expansive home care network, and large integrated physician network.

Patient care/customer service includes care/service to patients/customers in the following age groups: neonatal (birth to 30 days), pediatric (30 days through 12 years), adolescent (13 through 18 years), adult (19 through 64 years), and geriatric (65 years and above).. Completes unit schedule, providing appropriate coverage around the clock.. Assists Nurse Manager in evaluating and setting standards for facilities and equipment, and monitoring utilization of equipment and supplies.. Communicates regularly with the Nurse Manager with regard to the progress of daily activities, specific patient concerns or events requiring administrative assistance.. A health care provider in good standing with Medicare, Medicaid, and other federal and state health insurance programs, i.e. not excluded from participation in Medicare, Medicaid or any other federal or state health insurance program.

Position Summary:McDermott+Consulting (McDermottPlus) is a Washington DC-based healthcare consulting and data analytics firm, serving a wide range of clients including life science companies, health systems, physician groups, health plans, and other healthcare clients.. The candidate selected as Sr. Manager will support clients and consultants with ongoing market access support as our clients’ needs expand in a changing environment that includes payment reform, measuring quality of care, and achieving cost efficiencies in care delivery.. The Sr. Manager should be comfortable working in a fast-paced environment, managing multiple project deadlines, have independent problem-solving skills and can work collaboratively in a team environment.. Essential Functions and Responsibilities: Provide subject-matter knowledge on Medicare, Medicaid and private commercial coverage, coding and payment policy and other market access-related issues impacting healthcare sectors including diagnostic laboratories, medical devices, pharmaceuticals and biologicals.. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Job Description – VA and Medicaid Credentialing Specialist Reports To RCM Management Summary The VA and Medicaid Credentialing Specialist is responsible for managing the credentialing and enrollment processes for VA and Medicaid agencies.. Experience Requirements 2+ years of experience in agency credentialing, healthcare administration, or a related field.. Flexible work arrangements, including remote work options.. About AxisCare According to Pew Research, roughly 10,000 baby boomers turn 65 every day, and the American Society on Aging calculated that an American has a 70% chance of needing help with activities of daily living such as dressing, bathing, hygiene, etc.. This has led to an unprecedented increase in Home Care agencies in the U.S. and abroad who strive to help those who have difficulty helping themselves, specifically offering non-medical (also referred to as non-skilled) services to seniors in their homes.

The Patient Safety Assistant (PSA ) is responsible for providing constant observation and support to pediatric, adolescent and adult patients who require close monitoring due to medical, behavioral, or safety reasons.. The Patient Safety Assistant will work under the direction of an RN to provide constant observation of a patient who is in danger of causing harm to themselves or others if left unattended and facilitate a safe environment for patients and staff.. The Patient Safety Assistant (PSA) ensures the patient's safety and comfort while adhering to established protocols and procedures.. Ability to travel and work in various St. Charles Hospitals and nursing departments.. Completion of training program: EMT, CNA, MA, Paramedic, RN Students: completion of 1st quarter/semester of nursing school.

Job Overview: We are seeking an experienced Director of Nursing (DON) to lead our nursing department and ensure the highest standards of patient care.. This leadership role is responsible for overseeing nursing operations, staff management, regulatory compliance, and quality improvement initiatives.. Requirements: Active Registered Nurse (RN) license in the state of employment.. Bachelors degree in Nursing (BSN) required; Masters degree in Nursing (MSN) or Healthcare Administration (MHA) preferred.. Experience with electronic health records (EHR) and hospital management systems.