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Reproductive Partners San Diego is a leading Southern California fertility clinic, internationally and nationally recognized for our success in IVF - in vitro fertilization, egg freezing and other fertility treatments for our patients. If you're an experienced Healthcare Financial Counselor looking for a new opportunity to join an established and progressive Infertility practice, we want to hear from you!. · Review medical bills, insurance claims, and other financial documents to ensure accuracy and completeness. Assess patients' eligibility for financial assistance programs, such as Medicaid, Medicare, and charity care, and assist them with the application process. Bachelor's degree in healthcare administration, finance, business, or a related field (or equivalent experience).
This hospital provides emergency and ambulatory care to the densely populated, culturally and economically diverse, and medically underserved populations of the Rockaways and five Towns in southern Queens County and southwestern Nassau County, New York. PharmD degree required/ PGY1 Preferred.. Master’s degree in Healthcare Administration, Healthcare Informatics, or a related field strongly preferred. Manage and oversee pharmacy operations during evening shifts, including clinical, operational, and distribution services. Serve as a pharmacy medication safety officer by reviewing and reporting medication errors and adverse drug events, contributing to the continuous improvement of medication safety protocols and operational efficiencies.
Bachelor's in Biomedical, Mechanical, Industrial Engineering, or related field.. 7-10 years in medical device QMS roles, with experience in managing projects and teams.. Expertise in FDA QSR, ISO standards, MDSAP, EU MDR, and regulatory audits.. Required MDR Ir, IIa. Must have CAPA oversight experience
Human Touch Home Care seeking a Administrator in the Denver area to function as an exceptional Admin Manager to oversee care management, quality assurance and compliance for the home care services, and direct the interdisciplinary team (IDT). The Administrator will establish goals and objectives to advance the home care agency to higher levels of quality and regulatory compliance while implementing quality standards to ensure excellent delivery of home health care. Monitor/audit staff practices and implementation for quality assurance.. A minimum of 2 years of Administrator level experience in Home Health with Medicare experience.. Understanding of and demonstrated success in achieving and maintaining Medicare/Medicaid standards
We are currently looking for a skilled Physical Therapy Medical Billing Manager to join the team at Total Recovery Physical Therapy P.C. in Little Falls, NJ. If you are detail-oriented and dedicated to providing top-notch care, we want to hear from you.. Supervise patient insurance verification process, confirm benefits, and ensure pre-authorization is obtained before treatment.. Strong knowledge and expertise in Physical Therapy Billing & Coding, including proficiency in CPT, ICD-10, and HCPCS codes related to physical therapy services, along with adept navigation of billing software and EHR systems.. In-depth understanding of Insurance & Reimbursement Processes, encompassing thorough knowledge of insurance verification, claims processing, denial management, and payer-specific guidelines for Medicare, Medicaid, and private insurers.. Demonstrated adaptability and a commitment to continuous learning by staying abreast of billing regulations, payer policies, and advancements in healthcare technologies, with a proactive approach to professional development and certification, such as Certified Professional Biller (CPB) or Certified Medical Reimbursement Specialist (CMRS).
Hybrid- 3 days a week Cambridge.. The CTA will support the Clinical Trial Managers in day-to-day activities including engaging vendors, starting up and managing clinical trials. Knowledge of drug development, clinical operation processes and documentation including study start up procedures, maintenance phase, and study close out procedures.. Experience with regulatory affairs, including IND/CTA submissions.. Experience working for gene therapy/ gene editing companies
The ideal candidate will possess a robust background in managing clinical trials, particularly in the areas of nephropathies, including IgA Nephropathy (IgAN), C3 Glomerulopathy (C3G), and other related kidney diseases. This role will involve overseeing the planning, execution, and management of clinical trials, ensuring compliance with regulatory requirements, and maintaining high standards of quality throughout the trial lifecycle. Lead the planning, execution, and monitoring of clinical trials focused on nephropathies, ensuring that all activities align with the study protocol, timelines, and budgetary constraints. Develop and implement comprehensive clinical trial protocols, informed consent forms, and case report forms, ensuring clarity and compliance with Good Clinical Practice (GCP) and regulatory guidelines. Work closely with clinical research associates, data management, regulatory affairs, and medical affairs teams to facilitate seamless trial execution and data integrity.
This individual will be responsible for planning, managing, executing, and coordinating the finalization of nonclinical studies (GLP and nonGLP pharmacology, toxicology, and DMPK studies), including study start-up, execution, and close-out activities, timelines, and deliverables.. Support contracts and purchasing process for nondisclosure agreements (NDA), master service agreements (MSA), statements of work (SOW), purchase orders (PO), and invoicing.. Serve as the operational liaison between research, toxicology, and other internal teams such as quality assurance, regulatory affairs, and project management.. Ensure adherence to GLP (Good Laboratory Practices), GCP (Good Clinical Practices), and other relevant regulatory guidelines.. Strong knowledge of GLP and regulatory requirements for nonclinical studies.
Job Summary: Assist in billing and cash application of Medicaid/Medicare/DME/Home Infusion claims. Manual billing and payment application for secondary insurances, Noble Medical Billing Claims, home infusion claims, and DME claims.. Help complete any Medicare audits, medical records requests, and appeals and monitor the outcomes. Reconcile Medicare, Noble, Aristacare, and Kinney Homecare statements and assist in collection calls. Assist in the rebilling of Medicaid/Medicare, Aristacare, and Kinney Homecare claims.
The Medical Director in Clinical Development will serve as the Medical Lead for in-vivo base editing programs designed to correct Metabolic Disorders.. Provides scientific and clinical input to study-related documents and analysis plans including Informed consent forms (ICF), clinical research forms (CRF), statistical analysis plans (SAP), clinical pharmacology and biomarker analysis plans. Ensure patient safety on clinical trials and adherence to Good Clinical Practices (GCP). Acts as liaison between Clinical Development and other internal groups at BEAM for assigned studies, including working closely with clinical operations, pharmacovigilance, manufacturing, quality and biomarker groups to facilitate and coordinate cross-functional study activities. Clinical development and/or clinical experience in rare disease, cell & gene therapy is a plus
The RN House Supervisor (Administrative Nursing Supervisor) facilitates timely and safe patient flow and provides management and operational oversight of the acute care hospital setting, and ensures the provision of safe, quality patient care.. Sign - on Bonus and Relocation assistance available for qualified candidates. We are a locally owned, not-for-profit healthcare system comprised of nine hospitals, a statewide health plan and a growing multi-specialty medical group.. Our health plan serves more than 640,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.. With a population of more than 45,000, Clovis is a family-friendly city that neighbors the Cannon Air Force Base and is known for having one of the busiest community calendars in the state.
Genie Healthcare is seeking a travel nurse RN Quality Assurance for a travel nursing job in Grand Junction, Colorado.. Coordinates management action plans for accreditation ongoing / continual readiness for accreditation surveys (a) The Joint Commission, (b) Healthcare Facilities Accreditation Program, (c) CMS Conditions of Participation, and others as needed to obtain or maintain hospital accreditation or certifications.. Drafts responses to quality measure queries from regulatory agencies, such as Hospital Quality Incentive Program (HQIPs) and Hospital Transformation Program (HTP) from Colorado Medicaid.. Genie Healthcare is one of the fastest growing Nurse Travel Agencies in the USA. Genie serves hundreds of facilities and has over 4000 current travel RN contracts open at any given time.. The management team has 20 years of experience in workforce solutions and staffing in medical and non-medical fields, roles ranging from Clerical job to Cardiologist to software developer to CEO.
We are seeking a dedicated and knowledgeable Pharmacist in Charge to oversee pharmacy operations and ensure the highest standards of patient care.. Supervise daily pharmacy operations, ensuring compliance with all federal and state regulations.. Ensure the pharmacy maintains a sterile environment by utilizing aseptic techniques as required.. Participate in quality assurance initiatives to enhance pharmacy services and patient safety.. Join our team as a Pharmacist in Charge and play a vital role in enhancing the health and well-being of our patients through exceptional pharmaceutical care.
Medicare Reimbursement Manager.. A leading healthcare organization is seeking a Medicare Reimbursement Manager to oversee reimbursement processes related to Medicare, Medicaid, Tricare, and other government cost reports for multiple facilities. Manage and review Medicare, Medicaid, and Tricare cost reports, ensuring accuracy and compliance. Act as a financial liaison on reimbursement matters, compliance, and charge master oversight. Knowledge of IME, GME, Transplant, DSH, and Wage Index is a plus.
Leadership of the early clinical development strategy for novel therapy programs from Preclinical Candidate approval through Clinical Pharmacology testing (Phase 1), and clinical Proof-of-Concept (Phase 2).. Development and execution of early clinical strategy for novel therapeutics including authoring initial clinical and biomarker plans for Lead Optimization programs, early clinical development plans for Preclinical Candidate molecules, and clinical pharmacology studies for programs in Phases I through IV of development.. Provide clinical expertise for identification and validation of novel targets, including the design of preclinical and/or clinical pharmacology experiments to validate targets and/or pathways.. Safe and timely execution of Phase I studies; close collaboration with internal and external clinical study support staff and scientists (including discovery research, biostatistics, drug metabolism, modeling and simulation, regulatory affairs, and global clinical trials operations).. Interface broadly with key functions including Discovery Sciences, Preclinical Pharmacology, Pharmaceutical Sciences, Toxicology, Translational Biomarkers, Translational Medicine Operations, Translational Medicine-EU, Drug Metabolism/Modeling & Simulation, Regulatory Affairs, and late-stage Clinical Research throughout research sites around the world.
We're building a sustainable network of high-tech, end-to-end manufacturing solutions to better withstand disruptive events, serve scientific discovery, and reach those in need.. Execute QA processes including batch record review, product disposition, and quality issue resolution to maintain the flow of products and documents to meet site objectives. Bachelor's degree; master's degree in quality assurance/regulatory affairs is desirable. Previous experience in a Lean, process-centric organization with emphasis on continuous improvement. Resilience offers employees a robust total rewards program including equity, an annual cash bonus program, a 401(k) plan with a generous company match and our benefits package which is thoughtfully designed to support our employees with great healthcare (including medical, dental and vision), family building benefits, life and disability insurance, flexible time off, paid holidays, other paid leaves of absence, tuition reimbursement and support for caregiving needs.
Specific areas of oversight include compounding practice, hazardous medication handling, and controlled substance diversion monitoring.. In the case of staff shortages, may function in the capacity of Clinical Pharmacist.. Implements mechanisms to actively monitor for controlled substance diversion.. Reports all suspected controlled substance diversion to the Director of Pharmacy f.. BCPS (Board Certified Pharmacotherapy Specialist
Role: Medicare/Healthcare Appeals & Grievances Location: Remote Duration: 8+ Months Interview Mode: Telephonic/Skype-Webx Work from Home Requirements: Responsibilities: Candidate will be working within multiple systems to review, research and provide a decision to various types of member grievances in a Medicaid Health Insurance Plan while ensuring compliance with state and federal laws.. Recruiting is our passion and we support Fortune 1000 companies with their hiring needs.. We always seek to deliver competitive and sought-after career opportunities to our potential consultants and employees.. We invite you to review the position requirements and apply today if your skills match our needs.. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, military status, national origin or any other characteristic protected under federal, state, or applicable local law.
Ensure that patients are scheduled for research-required tests and appointments by reviewing electronic health records and coordinating with schedules as needed.. Prepares data and participates in data review meetings as required by the department.. In collaboration with supervisor/ manager, implement a mentoring plan for incoming staff, as directed.. Requires flexibility in work schedule due to operational requirements, Attend meetings/work responsibilities outside of the set schedule.. Certification: None Preferred Certification: Certified Clinical Research Coordinator (CCRC) or Certified Clinical Research Professional (CCRP) years of experience in the area of research study or direct patient care obtained from nursing, data gathering, or related field.
We are currently recruiting a full-time Patient Safety Quality RN for a facility within the Baltimore, MD. area.. Reporting to the VP of Quality and Patient Safety, the Patient Safety Officer (PSO) has primary oversight of the systemwide patient safety program.. The PSO advises, supports, and facilitates the systematic implementation of effective, reliable care practices which promote a zero-harm patient safety culture which is key to high reliability.. The Patient Safety Officer (PSO) is responsible for working collaboratively with groups and individuals for the purpose of measurably improving patient safety and reducing patient harm/errors.. QUALIFICATIONS AND REQUIREMENTS: Seasoned professional knowledge; equivalent to a Master's degree; knowledge in more than one discipline Education discipline: Nursing or healthcare leadership (healthcare administration or MBA) 5-7 years of quality/patient safety experience required Maryland Registered Nurse License (RN) required American Heart Association issued BLS required Patient Safety (CPPS) preferred