Healthcare & Pharma Careers

Destin Surgery Center is hiring a FT Insurance Verifier, Weekdays only with great benefits available.. Can be trained): Strong understanding of medical insurance verification, authorizations, and billing procedures.. Experience in insurance verification, medical billing, or a related healthcare administrative role preferred but not required.. Experience working in an ambulatory surgery center (ASC) or hospital setting preferred, not required.. Proficiency in electronic medical records (EMR) systems and insurance verification software preferred, not required.

This position is responsible for Risk management and Patient Safety for large medical center, 429 beds.. Oversight management of DMC Patient Safety Data CenterWill work with other peers in quality, IP Director, Clinical Quality Director for cross functional work.. Solicits and acts on performance feedback; drives collaboration to set goals and provide open feedback and coaching to foster performance improvement.. Oversees patient safety programs and initiatives by: directing significant event management and response to safety hazards, accidents, incidents, threats, and significant events; and collaborating with executive management and external personnel to develop patient care and satisfaction programs which aim to improve patient flow, clinical support, patient services, and seamless transition of care.. Bachelors degree in Business Administration, Health Care Administration, Nursing, Public Health, or related field AND Minimum seven (7) years of health care experience or a directly related field OR Minimum ten (10) years of experience in health care or a directly related field.

Join our team as a day shift, full-time, Contact Center Quality Assurance Analyst in Tyler, TX.. Thrive: We empower our team with career growth opportunities, tuition assistance, and resources that support your wellness, education, and financial well-being.. We provide healthcare services through our hospitals, clinics, Level 1 trauma facility, air emergency fleet and EMS service.. Executes audits with an unbiased scoring approach while adhering to organizational standards and needs of the patient.. Actively tracks and maintains changes to policy and procedures to drive accurate scoring.

Finance Manager, Healthcare. We are looking for senior level consultants, subject matter experts, and analysts who have a background in the healthcare industry working with healthcare analytics and electronic health records focusing on data quality, identification management, clinical data quality, data governance, data stewardship and data management.. An understanding of identity management and data quality principles.. Implementing clinical data quality principles in large-scale Electronic Health Records (EHR) systems.. IT programming and expertise with analytical tools such as SQL Server Management Studio, TOAD, Power BI, Excel, MS Access, IBM MDM Inspector, SQL Server Integration Services).

We have an exceptional opportunity for a Director of Nursing (DON) to join our team.. 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.. 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.

The Patient Care Manager (PCM) is responsible for the episode of care for the assigned team patient census with afocus on direct management and leadership of associated team (Clinical Support Specialist & Field Clinicians).. Job Description:As a Patient Care Manager, you will: Responsible for communication & coordination of care needs reported by case managers (driveway calls).. Ensure schedules are updated, continuity of care for patient episode is present, and that quality care is deliveredby the clinical care team.. Facilitate Case Conference and be responsible for follow-up action related to case conference, stand up, andstand down meetings.. Coach and mentorship of clinicians and CSS role – including monthly 1:1 session to address development needsand hold accountable to role specific Key Performance Indicators (KPIs).

As a Business Analyst - Medicaid Claims at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve - a community's most vulnerable.. Gainwell empowers you show you're a pro and help clients deliver better health and human services outcomes using innovative technology and solutions.. Knowledge of computer programming concepts such as configuration, development and batch processing. Advanced knowledge in analytical software such as Microsoft Excel or SQL and other requirement-mapping tools such as Application Lifecycle Management (ALM) tools while integrating your strong analytical and business process re-engineering skills. What you should expect in this role Fully remote options from continental US locations only

Assist the client in efforts to identify and assess exposure or vulnerability to fraud, waste, and abuse in programs and provide support and assistance to state program integrity functions.. With professional and leadership development opportunities like , tuition reimbursement, mentoring, and firm-sponsored networking, you can chart a unique and fulfilling career path on your own terms.. Support Your Well-BeingOur includes wellness programs with HSA contributions, paid holidays, paid parental leave, a generous 401(k) match, and more.. Our offerings include health, life, disability, financial, and retirement benefits, as well as paid leave, professional development, tuition assistance, work-life programs, and dependent care.. This posting will close within 90 days from the Posting Date. Work ModelOur people-first culture prioritizes the benefits of flexibility and collaboration, whether that happens in person or remotely.

Job Title Coding Auditor. As the Quality Assurance Auditor, you will be responsible for conducting audits of medical coding to increase coding accuracy and identify opportunities for improvement and training within an organization that provides healthcare patient services.. Reviews and audits professional coding and billing from multiple medical and surgical departments and entities of University Health Care. Reviews billing and revenue cycle processes for accuracy and process improvements.. CPC , AAPC Certification Required. Inquiries about the application of Title IX and its regulations may be referred to the Title IX Coordinator, to the Department of Education, Office for Civil Rights, or both.

Premier Community HealthCare is a nonprofit Federally Qualified Health Center (FQHC) dedicated to serving Pasco and Hernando Counties.. This temporary, part-time position will be for 5 months, ending in August.. Community Impact – Help patients navigate healthcare services and access vital resources. Collaborate with Community Services Specialists, Community Health Education Specialist, and Community Programs & Resource Development Manager to assist patients/consumers with appropriate and needed resources.. Ensure confidentiality and HIPAA compliance at all times Keep other care team members informed when situations occur that disrupts timely patient flow through site.

UNC Rockingham Rehabilitation and Nursing Care Center is a highly ranked nursing center, earning top ratings from the Centers for Medicare and Medicaid Services (CMS).. Whether the need is for skilled nursing care or short-term recovery after an acute injury or illness, the center gives residents and their loved ones peace of mind.. Serves as a clinical and management resource for decision making, problem solving, and employee performance reviews in the skilled nursing facility.. Participates in direct patient care; maintains current skills and competencies equal to that of a Staff RN.. This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System.

Provide frequent visits to new admissions to provide a consistent and well received patient experience.. Maintain frequent contact with center’s central intake coordinator(s) within designated response times.. Coordinate back up plans for outreach, tours and admissions processes for nights and weekends.. Knowledge and understanding of Medicare, Medicaid, Private Pay and Third Party reimbursement.. MINIMUM QUALIFICATIONSBachelor’s degree in Business Administration, Social Work, Marketing or related fieldAssociate’s degree in related field with three years experience

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 through fertility and family building benefits with Progyny and adoption assistance.. Referral services for child, elder and pet care, home and auto repair, event planning and more. Serves as Monitor/Telemetry Tech for the unit as needed.. HCA Healthcare Co-Founder We are a family 270,000 dedicated professionals!

Duties Description The Office of the New York State Attorney General’s (OAG) Medicaid Fraud Control Unit (MFCU) seeks an attorney with experience prosecuting and/or investigating complex financial wrongdoing to serve as a Special Assistant Attorney General in its Hauppauge office in Suffolk County.. MFCU attorneys lead collaborative, team-based investigations with the Unit’s forensic accountants/auditors, detectives, and analysts to identify and prosecute financial fraud in the healthcare industry and abuse and neglect of residents in healthcare facilities, present evidence to grand juries, and conduct evidentiary hearings and trials in New York State courts.. The Medicaid program provides health coverage to millions of New Yorkers, including low-income persons, children, elderly adults, and people with developmental disabilities.. Possessing both civil and criminal enforcement powers, MFCU uses various state laws to bring civil actions and criminal proceedings, including asset forfeiture actions.. Many of the Unit’s investigations are conducted in coordination with other federal, state, or local government and prosecutorial agencies, and have resulted in large-scale criminal convictions and the recovery of millions of dollars of taxpayer money.

Director of Nursing (DNS). Prairie View Healthcare Center is looking for a Director of Nursing (DNS) to manage the day-to-day operations, activities and success of the resident care staff.. Preferred: Certification in Rehab Nursing, geriatrics, or psychiatric nursing. UKG Wallet - Work Today, Get Paid Tomorrow!. EmpRes Operated by Evergreen is an Equal Opportunity Employer.

Description The clinical research coordinator A (CRC A) will be responsible for data entry, organizing, maintaining and assuring the accuracy of all study documentation.. The coordinator will oversee one or more clinical trials ensuring that the integrity of the protocol is maintained, all data and queries are answered in a timely manner, appropriate AEs and SAEs are reported to the sponsor and IRB per protocol.. The Clinical Research Coordinator B will have the responsibilities described above working with minimal staff supervision; and, be responsible for collaborating with faculty in special research projects.. Choose from a wide variety of investment options through TIAA and Vanguard.. You can also enjoy substantial savings on other goods and services such as new cars from Ford and General Motors, cellular phone service plans, movie tickets, and admission to theme parks.

1)Acts as a resource to physicians, physician offices, patients and families, hospital and designated skilled nursing facility staff (i.e. care management, discharge planners, social workers, nursing) regarding types of services available and the criteria for home care, including Medicare guidelines.. Licensure:Nurse, Registered (RN)Education/Experience Required:RN with 3-4 years’ experience 1-2 years in home care preferredKnowledge, Skills & Abilities Required:Very good communication skills.. To accompany base pay, we offer a comprehensive benefits package includingCompetitive PayReferral Bonus ProgramsTuition Assistance AvailableAbout Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health.. Providing care under the names in Illinois; in the Carolinas, Georgia and Alabama; and in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care.. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs.

(Medical Records Specialist). Aveanna Healthcare is one of the nation's largest private duty nursing companies, continuing to grow and innovate.. Schedule:Monday–Friday, daytime hours; full-time with on-call rotations.. General Office Duties: Manage tasks such as scanning, filing, handling incoming calls, emails, and faxes, distributing mail, processing invoices, and ordering office supplies.. Medical Records Management: Perform data entry, organize and distribute physician plans of care, and uphold communication standards within the office.

Benefits: 401(k) 401(k) matching Bonus based on performance Company parties Competitive salary Donation matching Employee discounts Training & development Wellness resources Our Mission: Inspiring Others to Reach Their Full PotentialAt ProMet, we are dedicated pioneers in the field of physical therapy, committed to providing an unparalleled experience rooted in our core values: empathy, compassion, unity, excellence, and accountability.. Job Description:This opportunity is perfect for a self-driven and motivated individual looking to start or grow their career as a Patient Care Coordinator in the field of physical therapy.. Requirements:Alignment with our core valuesExcellent interpersonal and communication skillsStrong organizational skills and attention to detailAbility to multitask and manage time effectivelyEmpathy, compassion, and a genuine passion for helping othersPrior experience in a healthcare setting is a plus, but not requiredMust have open availabilityQualifications:Previous experience as a patient care coordinator or in a similar administrative role within a healthcare setting is preferred.. Strong organizational skills and attention to detail to manage patient scheduling, records, and administrative tasks efficiently.. Proficiency in using electronic health records (EHR) systems and other relevant software applications.

About UsOver the past 20 years, Nexion has grown to 56 affiliate skilled nursing and rehabilitation, as well as assisted living facilities in Louisiana, Mississippi and Texas.. Nexion has also taken an active stance for diversity and inclusion by establishing a Diversity Task Force to tear down divisive barriers and build unity of cultures and purpose.. Remain abreast of changes in Medicare, Medicaid and commercial insurance reimbursement rates.. Qualifications: Bachelor’s degree in Business Administration, Marketing, Healthcare Administration or related fields.. Knowledge of Medicare, Medicaid and commercial insurance coverage.