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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
What You Will Do: Location: Baltimore, Maryland Main Function Under general supervision, leads in the overall design and implementation of the unit's education program and facilitates achievement of the highest quality ..
What You Will Do: General Summary This individual is responsible for establishing and maintaining ongoing lines of communication between community physicians and the University of Maryland Medical System (and all entities). ..
What You Will Do: General Summary Under limited supervision develops, analyzes, reports and interprets complex financial information to assist management in evaluating and executing the organization's business plans in compliance with ..
Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... home anywhere The Senior Product Manager ideates,..
What You Will Do: Under direct supervision accurately codes hospital Ambulatory Surgery and Observation visit records for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
Description The Associate Director, Full Stack Engineering Performs ... appearance at the front-end. The Associate Director, Full Stack Engineering requires ... for one of the leading healthcare organizations. Reporting to..
What You Will Do: Medical Technologist or Medical Lab Technician Supplemental/Per Diem - Day Shift (6am-6pm) Grasonville, MD We are looking for talented professionals to join our extraordinary lab team at ..
What You Will Do: Under direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Baltimore Maryland Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
What You Will Do: Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations ..
... Contract Modification. Job Summary: Performs project management activities for successful implementation ... studies. Demonstrates knowledge of the project/scope of work and alerts the ... of work and alerts the..
What You Will Do: Manager - Kidney and Pancreas Transplant ... Under general administrative direction, the Manager of the Kidney and Pancreas ... continuity of services. Furthermore, this manager monitors..
... minimal supervision from the Senior Manager, the Clinical Documentation Manager is responsible for overseeing the ... coding and reporting of high-quality healthcare data. The Clinical Documentation Manager is guided..
What You Will Do: General Summary The Manager, Population Health is responsible for leading the development, implementation and evaluation of population health initiatives focused on reducing potentially avoidable utilization (PAU), including ..
... supervision of the Director for Project development, plans, designs, and evaluates ... with master and facility planning; project planning, design, construction, commissioning and ... regulatory bodies. Communicates standards to..
