Collecting information
Organizing data
As a Primary Care Physician (PCP), you will take the lead in delivering patient-centered care within a team-based model.. Coordinate patient services, including specialty referrals, hospital and Skilled Nursing Facility (SNF) coordination, durable medical equipment, and home health services.. Complete all medical record documentation on a daily basis in collaboration with a quality-based coder to ensure comprehensive and accurate patient information.. Familiarity with electronic health records (EHR) systems.. Experience working in Medicare Advantage Global Risk Models.
Lead the JC Task Force to ensure ongoing compliance with regulatory requirements and prepare the hospital for accreditation surveys. Working knowledge of general hospital operations, JC standards, CMS requirements, and DOH regulations required. Strong knowledge of quality improvement methodologies, regulatory compliance, and accreditation standards, including Joint Commission (JC). Certified Professional in Healthcare Quality (CPHQ) designation preferred (Arizona-specific requirement). Arizona: Certified Professional in Healthcare Quality (CPHQ) designation preferred.
We are seeking a skilled and compassionate Discharge Coordinator to join our team.. This is an exciting opportunity to make a real difference in people's lives by facilitating patients' post-acute appointment needs on assigned units.. Arrange ambulance and wheelchair transportation in conjunction with LVHN Transfer Center for patient discharges and hospital transfers.. Provide medical information to post-acute services, providers, and payors after information obtained from patient or legal representative.. Review and complete Medicare Notice of Hospital Discharge with inpatient and behavioral health hospital admissions for beneficiaries in hospital.
The primary purpose of the Executive Director Emergency Department position is to strategically develop and implement the clinical activities of the Emergency Department Services unit, and to provide direction and oversight for the business operations and fiscal management of the Emergency Department. The Executive Director has the responsibility, authority and accountability for the 24-hour management, administration, and organizational development of the Emergency Department. Facilitates quality patient care and patient safety within the areas of the Emergency Department. Licensed to practice as a Registered Nurse in the State of New Jersey with a BSN required. Master’s Degree in Nursing, Nursing Administration, Healthcare Administration, or Business Administration required.
In this role, you will be responsible for supporting the configuration, testing, and optimization of the Epic Cadence module, which is integral to scheduling patient appointments and managing appointment-related workflows.. Participate in the configuration, testing, and implementation of Cadence system changes, including appointment scheduling workflows, patient registration processes, and appointment reminders, to support efficient and effective scheduling operations.. Provide end-user support, troubleshooting issues, and conducting training sessions as needed to ensure efficient and effective use of the Cadence system by scheduling personnel, fostering user adoption and proficiency.. Bachelor's degree in Healthcare Informatics, Healthcare Administration, Business Administration, or a related field.. Familiarity with scheduling systems, preferably Epic Cadence or similar EHR platforms, is preferred but not required.
Listed among America's Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center.. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.. This role is accountable for ensuring compliance with applicable accreditation standards and requirements (e.g., The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), National Committee for Quality Assurance (NCQA. Demonstrated ability to develop new vision, create a strategic plan, and lead change. Dual Certification in any of the following areas: CPMSM, CPCS, CPHQ
Other duties as assigned by the Chief of Surgery or Chief of Staff.. The degree must have been obtained from one of the schools approved by the Department of Veterans Affairs for the year in which the course of study was completed.. Current, full and unrestricted license to practice medicine or surgery in a State, Territory, or Commonwealth of the United States, or in the District of Columbia.. Residency Training: Physicians must have completed residency training, approved by the Secretary of Veterans Affairs in an accredited core specialty training program leading to eligibility for board certification.. Approved residencies are: (1) Those approved by the Accreditation Council for Graduate Medical Education (ACGME), b) OR
Elite Clinical Network (ECN) is seeking a board-certified or board-eligible Endocrinologist (MD/DO) to serve as a Principal Investigator (PI) or Sub-Investigator on a part-time or contract basis.. The role offers the chance to participate in clinical trials without disrupting your current practice, while helping bring innovative therapies to patients with diabetes, thyroid disease, osteoporosis, and other endocrine-related conditions.. Wellness Advisor (Medical Sales Representative). Primary Care Physician - Internal Medicine / Family Practice. Remote Telemedicine Physician Men's Hormone Specialist (MD/DO)
Facilitates conformance to Medicare, Medicaid, NCQA, and other regulatory requirements.. Preferred Experience: Peer Review, medical policy/procedure development, provider contracting experience.. Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management, and evidence-based guidelines.. Molina Healthcare offers a competitive benefits and compensation package.. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
If you're passionate about building a better future for individuals, communities, and our country-and you're committed to working hard to play your part in building that future-consider WGU as the next step in your career.. Driven by a mission to expand access to higher education through online, competency-based degree programs, WGU is also committed to being a great place to work for a diverse workforce of student-focused professionals.. Whatever your role, working for WGU gives you a part to play in helping students graduate, creating a better tomorrow for themselves and their families.. Internal WGU employees will need to apply through the internal job board in Workday.. Accommodations: Applicants with disabilities who require assistance or accommodation during the application or interview process should contact our Talent Acquisition team at recruiting@wgu.edu.
Facilitates conformance to Medicare, Medicaid, NCQA and other regulatory requirements.. Required License, Certification, Association: Current state Medical license without restrictions to practice and free of sanctions from Medicaid or Medicare.. Preferred Experience: Peer Review, medical policy/procedure development, provider contracting experience.. Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management, and evidence-based guidelines.. Molina Healthcare offers a competitive benefits and compensation package.
Facilitates conformance to Medicare, Medicaid, NCQA and other regulatory requirements.. PREFERRED EXPERIENCE: Peer Review, medical policy/procedure development, provider contracting experience.. Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management, and evidence-based guidelines.. Molina Healthcare offers a competitive benefits and compensation package.. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $161,914.25 - $315,733 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Facilitates conformance to Medicare, Medicaid, NCQA and other regulatory requirements.. Peer Review, medical policy/procedure development, provider contracting experience.. Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management, and evidence-based guidelines.. Molina Healthcare offers a competitive benefits and compensation package.. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Facilitates conformance to Medicare, Medicaid, NCQA and other regulatory requirements.. Peer Review, medical policy/procedure development, provider contracting experience.. Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management, and evidence-based guidelines.. Molina Healthcare offers a competitive benefits and compensation package.. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
By joining our growing team at Sarah Cannon Research Institute (SCRI), a subsidiary of McKesson, you will have the opportunity to become part of one of the largest community-based cancer programs to advance oncology treatments and improve outcomes for cancer patients across the globe.. Communicates observations and deficiencies to the Site Director / Manager and study PI, as appropriate.. Expertise in GCP, FDA and other applicable regulations in a risk-based environment. Sarah Cannon Research Institute (SCRI) is one of the world’s leading oncology research organizations conducting community-based clinical trials.. In 2022, SCRI formed a joint venture with former US Oncology Research to expand clinical trial access across the country.
Nursing care is provided in accordance with the stated philosophy and standards established by the Nursing Services Department and regulatory agencies.. The Patient Care Technician is accountable for the aspects of nursing care they are directed to provide within their scope of practice.. Certified Nursing Assistant training program strongly preferred.. Minimum of one year acute care experience or medical/surgical clinical experience preferred.. Certified Nursing Assistant certification strongly preferred.
Parkland Community Health Plan's (PCHP's) Utilization Management (UM) Clinician is responsible for processing authorization requests for members requiring physical and/or behavioral healthcare for outpatient and inpatient service.. If primarily serving members with behavioral health needs, must have and maintain an unrestricted license such as a RN, LPC, LMFT, or LCSW in the State of Texas.. Knowledge of Texas Medicaid, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual.. Care Coordination and Clinical Review Performs clinical utilization reviews of pre-authorization, concurrent and retrospective requests per clinical information submitted by providers using clinical criteria for medical necessity and appropriateness of care.. Identifies members that are high risk or who have conditions that may need service coordination or disease management and facilitates appropriate referrals.
The Patient Care Technician (PCT) reports to the Nurse Manager.. Thereafter, must maintain current Basic Life Support (BLS), either a certification from an American Heart Association (AHA) BLS for Healthcare Providers (or AHA recognized equivalent) or an American Red Cross CPR/AED for Professional Rescuer and Healthcare Provider.. One year of patient care work experience in a health care facility, Certified Nursing Assistant, EMT or Paramedic certification, Bachelors Degree or enrollment in a healthcare related program with successful completion of a Nursing Assistant, Medical Assistant, or Nursing Fundamentals course at an accredited institution or equivalent training preferred.. Thereafter, must maintain Current Basic Life Support (BLS), either a certification from an American Heart Association (AHA) BLS for Healthcare Providers (or AHA recognized equivalent) or an American Red Cross CPR/AED for Professional Rescuer and Healthcare Provider.. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations.
Will also demonstrate competency when performing in the role of a nursing assistant.. Takes vital signs, assists patients with personal hygiene, feeds and ambulates patients, and performs other functions according to specific procedures.. Often one of the first to meet patient and patient's family; must be skilled in communication and public relations.. Works with sick and dying patients, infectious disease, hazardous materials, fluids and hazardous chemicals.. Must obtain BLS certification within 30 days of hire.
We are looking for an innovative, experienced, and creative individual to join our team as a Medical Science Liaison (MSL).. As an MSL, you will play a critical role in external peer-level discussions and developing a network of HCPs for partnership, while helping the team to understand unmet medical needs and barriers for the implementation of our assets in clinical practice and healthcare systems.. The role reports directly to the national MSL manager and will work closely with the Renal cross-functional team.. we focus on four core therapeutic areas: Cardiovascular, Renal & Metabolic, Immunology, Neuroscience and Oncology.. Biostatistics, Clinical Practices, Clinical Research, Clinical Study Reports, Curiosity, Customer Relationship Management (CRM) Software, Disease Management, Drug Development, Education, Epidemiology, IT Tools, Medical Information, Medical Research, Medical Writing, Phase Iv Clinical Trial, Product Placement, Scientific Support