The RN Case Manager (Nex) uses a collaborative process to plan, assess, implement, monitor and evaluate the options and services required to meet the healthcare needs of the patients using the functions of Utilization Review using Interqual and Milliman Care Guidelines, Discharge Planning and Case M...
Abides by the Standards of Ethical Coding as set forth by theAmerican Health Information Management Association(AHIMA). CHRISTUS Health System offers the position as aremote opportunity. Coder will accuratelyabstract data into any and all appropriate CHRISTUS Healthelectronic medical record systems,...
A company is looking for a Behavioral Health Utilization Management Clinician Reviewer. ...
Reporting directly to the Manager of Clinical Quality, this position is the regional clinical resource rounding on practice sites to assess best practice in regulatory standards and quality and safety initiatives.This role is responsible for implementing policies and processes that assess, train and...
Key Responsibilities:Perform utilization management and review of behavioral health and substance abuse casesDetermine appropriateness of inpatient and outpatient servicesManage inpatient and outpatient mental health/substance abuse cases throughout treatment planRequired Qualifications:Licensed Mas...
As a Social Work Intern, you will have the opportunity to work closely with our mental health professionals and gain valuable experience in various aspects of mental health care. Communicate with other healthcare professionals to ensure continuity of care and/or promote mental health awareness. Our ...
Key Responsibilities:Utilize clinical experience to assess treatment plans and apply evidence-based standardsCoordinate and evaluate healthcare services for membersProvide triage, crisis support, and facilitate optimal care/treatmentRequired Qualifications:3+ years of clinical practice experience po...
Reporting directly to the Manager of Clinical Quality, this position is the regional clinical resource rounding on practice sites to assess best practice in regulatory standards and quality and safety initiatives.This role is responsible for implementing policies and processes that assess, train and...
The RN Case Manager (Nex) uses a collaborative process to plan, assess, implement, monitor and evaluate the options and services required to meet the healthcare needs of the patients using the functions of Utilization Review using Interqual and Milliman Care Guidelines, Discharge Planning and Case M...
Performance and Process Improvement- Use performance and process improvement (PPI), project management and change management methods to support operational and clinical quality initiatives, improved performance and achieve organizational goals. Population Health and Care Transitions- Evaluates and i...
Cross-trained care management and population health teams. We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care. Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patie...
Follows the CHRISTUS Health guidelines related to the Health Insurance Portability and Accountability Act (HIPAA) designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI). Consistently supports CHRISTUS Health's Spirit of Serving Standards, in line with the Mission...
Reporting directly to the Manager of Clinical Quality, this position is the regional clinical resource rounding on practice sites to assess best practice in regulatory standards and quality and safety initiatives.This role is responsible for implementing policies and processes that assess, train and...
Our Care Management Associates demonstrate a highly energetic blend of health care navigator and health plan customer support representative. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to f...
Acclaim) is a multi specialty medical group practice comprised of over 500 physicians, nurse practitioners, and physician assistants that partner with JPS Health Network (JPS). Acclaim supports JPS’s mission of transforming healthcare delivery for the communities we serve. As the county health netwo...
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...
Exposure to revenue cycle management in healthcare is a huge asset. Circle Medical is a venture-backed Y-Combinator healthcare startup on a mission to bring quality, delightful primary care to everyone on the planet. DESCRIPTION We are seeking a skilled and experienced financial analyst to join our ...
At HCSC, our employees are the cornerstone of our business and the foundation to our success.We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.Join HCSC and be part of a purpose-driven company that will invest in your professional develo...
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...
The Health Information Management Records Technician I is responsible for assisting staff and agencies with their request for record retrieval and review of records. Interacts with patients, staff members within the UMC Hospital, peers of Health Information Management teams, and external medical sta...
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...
This Senior Analyst, Healthcare Quality Management will be a Quality Practice Liaison who builds positive relationships between Aetna Better Health (ABH) and its providers to facilitate high quality care for members. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to...
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...