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Clayton Care Center seeks a MDS Coordinator!. At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. Perform concurrent MDS review to insure appropriate RUGs category is achieved through the capture of appropriate clinical information and in this process identify opportunities to enhance reimbursement. Serve as the nursing center resource for MDS/RUGs and state case-mix systems providing staff case-mix education and instruction on MDS terminology and format. Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management is highly desirable.
First Connect Health is seeking a travel nurse RN Case Management for a travel nursing job in Melrose, Massachusetts.. Must be familiar with Medicare, Medicaid, manager care and other 3rd party payor review requirements.. At First Connect Health , we take pride in being a Joint Commission–certified healthcare staffing agency , headquartered in Newark, New Jersey.. This prestigious certification is more than just a seal — it's a reflection of our commitment to excellence, safety, and quality in everything we do.. Best Pay & Benefits: We offer industry-leading compensation packages, along with benefits that support your career goals.
Candidates must be board certified or board eligible in emergency, family, or internal medicine with extensive clinical experience. We offer some of the area's most advanced cancer diagnostic services and treatments, including advanced PET imaging exams, breast tomosynthesis, Gamma Knife, and a strong clinical research program. Our physicians are supported by a team of nurse navigators, dietitians, genetics counselors, clinical trials specialists, physicists, pharmacists, therapists, technologists, oncology nurses, social workers and counselors to provide comprehensive patient care. Home to the University of Tennessee and a vibrant downtown area with revitalized neighborhoods, Knoxville is a regional hub for nightlife and entertainment, especially in its Old City. Knoxville is also an excellent choice for families, with outstanding public schools and private K-12 schools. Our cost of living is 15% below the national average and Tennessee does not have a state income tax.
Are you a motivated Emergency Medicine physician seeking a locum tenens opportunity to provide exceptional care in a dynamic outpatient and inpatient setting?. Provide standard solo Emergency Room coverage for 12-hour shifts, assessing and treating patients with a variety of acute illnesses and injuries. Maintain meticulous documentation within the Meditech electronic medical record system. NC Medicaid/Medicare credentialing and PECOS enrollment highly preferred. If you're a qualified and motivated Emergency Medicine physician seeking a locum tenens opportunity to contribute to patient care near Broadway, NC, we encourage you to apply!
Baylor Scott & White Health is seeking a Registered Nurse (RN) Research / Clinical Research for a nursing job in Round Rock, 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.
Psychiatry Opening in Oregon -Located in Bend, OR.-3 years experience in a primary care setting or outpatient psychiatric setting preferred. Provides direct patient care within the scope of psychiatry in an outpatient primary care setting, including intake and follow up care appointments for medication management, same-day access, and other clinical reviews as needed. Education, certification, and licensure: Psychiatrist (MD/DO): Graduate of an accredited school of medicine or osteopathy. Unrestricted Oregon Driver s License and comprehensive automobile insurance. Eligible to participate in Medicaid and Medicare programs.
Seeking a Board Certified Pediatric Physician for an outpatient primary care setting in Palm Springs, CA. The role involves managing scheduled and walk-in patients with support from Advanced Practice Providers, working Monday to Friday with no on-call duties.. Great opportunity in the Palm Springs, CA area for a Pediatrician to work in an outpatient primary care setting.. Must be a Board Certified Pediatrician. EMR used is currently Integrity but switching to Epic. Pediatrician, Board Certified, Outpatient Care, Primary Care, Medicare, Medicaid, EMR, Epic, Integrity EMR, Patient Care, Loan Repayment
Assists the Professional Nurse and the Practical Nurse with the daily routine and functions of the Nursing Units by the completion of both indirect and direct patient care activities. Must have passed pharmacology class.. Current BLS healthcare provider card.. This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Patient Care Manager We are seeking a highly skilled and compassionate Registered Nurse to join our team as a Patient Care Manager in the Home Health sector located in Ormond Beach. As a Patient Care Manager, you will play a pivotal role in ensuring the delivery of high-quality home health services, coordinating patient care, and managing a team of healthcare professionals. Minimum of 2 years of clinical nursing experience, with at least 1 year in home health or community health. Previous experience in home care setting with two years management or supervisory experience, preferred. Proficiency in electronic health records (EHR) and computer applications.
Oversees the investigation, processing, and defense of claims and suits against the facility, ensuring timely and accurate responses to legal inquiries and discovery requests.. Associate Degree required. Bachelor's Degree in Healthcare Administration, Nursing, Risk Management, or a related field preferred. CPHRM - Certified Professional in Healthcare Risk Management preferred. Arizona: Certified Professional in Healthcare Risk Management (CPHRM) and/or Associate in Risk Management (ARM) designation preferred.
The Back-End Insurance Verification Specialist is responsible for verifying insurance eligibility, benefits, and authorizations after services have been rendered.. Work closely with billing and collections teams to resolve denials and support appeals processes.. Maintain knowledge of payer guidelines, benefits, and authorization requirements for a wide range of plans (PPO, HMO, Medicare, Medicaid, etc. Familiarity with EMR systems and insurance portals (e.g., Availity, payer websites).. Strong understanding of insurance plans, medical billing, CPT/ICD codes, and healthcare reimbursement practices.
You will provide direct and indirect patient care activities under the direction of a Registered Nurse or Licensed Practical Nurse. With this position you will gain a certificate that will certify you as a Certified Nursing Assistant.. Becoming a Certified Nursing Assistant OPENS doors to so many opportunities and avenues, not just healthcare!. Becoming a Temporary Nurse aide and then becoming a CNA!. Must have completed and passed the 8-Hour AHCA Temporary Nurse Aide Training Course
Education and Certifications: Bachelor's degree or higher in Business, IT or Healthcare administration with minimum of 3 years' experience, or equivalent in healthcare administration setting JOB DESCRIPTION EOHHS is seeking to hire a Business Analyst to join our collaborative Medicaid Management Information System (MMIS) team. The Business Analyst (BA) will work on our established Provider Reimbursement and Prior Authorization functional areas to support the development, testing and implementation of projects and enhancements to meet the business objectives of the MassHealth (Massachusetts Medicaid) program specifically projects to support the member community. Preference will be given to candidates with Medicaid systems experience well as claims and business knowledge of the MassHealth program. The BA must have sufficient knowledge of the entire scope of the health care business to ensure that the development and testing work within their functional area is compatible with the MMIS system. Communicate updates and changes to impacted stakeholders Represent MMIS in business meetings as needed Support program staff, vendors, and other stakeholder with MMIS related questions or concerns.
Become a part of our caring community and help us put health first.. Internal Medicine, Family Practice, Geriatrics, Hospitalist, Anesthesiology, Physical Medicine and Rehabilitation, Emergency Medicine, and General Surgery clinical specialists. Work at Home Guidance: To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.. Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.. About Us: Humana Inc. (NYSE: HUM) is committed to putting health first for our teammates, our customers and our company.
Become a part of our caring community and help us put health first.. Internal Medicine, Family Practice, Geriatrics, Hospitalist, Anesthesiology, Physical Medicine and Rehabilitation, Emergency Medicine, and General Surgery clinical specialists. Work at Home Guidance To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.. Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.. About us Humana Inc. (NYSE: HUM) is committed to putting health first for our teammates, our customers and our company.
Become a part of our caring community and help us put health first.. Internal Medicine, Family Practice, Geriatrics, Hospitalist, Anesthesiology, Physical Medicine and Rehabilitation, Emergency Medicine, and General Surgery clinical specialists. Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.. Humana Inc. (NYSE: HUM) is committed to putting health first for our teammates, our customers and our company.. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion.
Become a part of our caring community and help us put health first.. Internal Medicine, Family Practice, Geriatrics, Hospitalist, Anesthesiology, Physical Medicine and Rehabilitation, Emergency Medicine, and General Surgery clinical specialists. Work at Home Guidance To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.. Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.. About us Humana Inc. (NYSE: HUM) is committed to putting health first for our teammates, our customers and our company.
Become a part of our caring community and help us put health first.. Internal Medicine, Family Practice, Geriatrics, Hospitalist, Anesthesiology, Physical Medicine and Rehabilitation, Emergency Medicine, and General Surgery clinical specialists. Work at Home Guidance: To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.. Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.. About Us: Humana Inc. (NYSE: HUM) is committed to putting health first for our teammates, our customers and our company.
Manage all clinical supply activities for on-time delivery, which includes demand forecasting, trial monitoring & resupply planning, packaging/distribution, IRT set-up and distribution activities. Work collaboratively with CMC, Clinical Operations, Quality Assurance and Regulatory Affairs to develop supply strategy to maximize supply efficiency, minimize waste, and develop risk mitigation plans to proactively identify any potential issues that may impact drug supply. Work with the clinical team to configure and set up Interactive Response Technology (IRT) Systems including automated randomization and drug supply management, including specification design & UAT testing. Detailed understanding of regulatory requirements for clinical supply distribution in US, APAC, and EU including testing and labeling requirements. Global distribution experience including working with QP, IXRS and regional depots
Sets up the patient room for a new admission by placing new ECG cables and leads on the counter along with SPO2 cable (critical care) and disposable blood pressure cuff. Assists the RN in admitting new patients by attaching the ECG cables and pulse oximetry and taking initial vital signs.. Accurately documents vital sign monitoring (temperature, heart rate, respiratory rate, and blood pressure) as well the results of point of care blood glucose monitor (Accu-Check) in the patient's electronic medical record (EMR).. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence.. Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy.