Inpatient care management medical director jobs

Sep 25, 2023

Senior Specialty Coder - REMOTE - General Surgery

$24.75 - $33.06 hourly

Job Description Summary: *CHRISTUS Health System offers the Outpatient Coder position as a remote opportunity. Candidate must reside in the states of Texas, Louisiana, Arkansas, New Mexico, or Georgia to further be considered for this position.* Selected by CHRISTUS Health Coding Leadership, to focus coding skills and expertise on designated Inpatient or Outpatient high dollar or specialty account types. Specialty Coder is responsible for maintaining current and high-quality ICD-10-CM, ICD-10-PCS and/or CPT coding for the Inpatient and or/ Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. Specialty Coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting and...

Christus Health Tyler, TX, USA

Sep 25, 2023

REMOTE Registered Nurse - Medical Review Specialist

Overview: Avosys is a growing integrator of professional, technological and management solutions services. Founded in 1998, Avosys provides services nationwide to Federal, Commercial, Local and State clients. We recognize the foundation of our firm is our people and we continue to rise above our competition by hiring the best. Avosys is seeking a Remote Registered Nurse - Medical Review Specialist to work remotely to review Medicare clains.. Maximize family time with no weekend, Holiday, or on-call requirements Maintain work-life balance with guaranteed 8-hour shifts Take advantage of our competitive, comprehensive benefits package including medical, dental, vision, life, short-term disability, long-term disability & 401(k) Responsibilities: Perform clinical reviews of Medicare Part A and Part B claims for Medical Review, Redeterminations/Appeals (Appeals), and Prior Authorization requests (collectively, the Services) in accordance with CMS (Centers for...

Avosys Technology Remote * (San Antonio, TX, USA)

Sep 25, 2023

Manager, Clinical Documentation Integrity - Remote

Job Description: At e4health, we Empower Better Health. The e4health Team is on a relentless mission to care for those teams who care for others. We bring our passion, ingenuity, and expertise to every engagement. In joining our Team, we want your help to provide our customers with powerful solutions in the pursuit of quality, integrity, clinical and financial value across healthcare. Our People make the difference. Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. e4health solutions streamline clinical, financial, and health information data and workflows, optimize coding, quality, and clinical documentation integrity processes, and address health IT operational challenges to deliver material results for healthcare organizations across the country. Learn more about us at www.e4.health....

e4.health

Sep 25, 2023

Remote Inpatient Audit Specialist - PRN

$35.00 - $45.00 hourly

Overview: Who we are... Ciox Health merged with Datavant in 2021, creating nation's largest health data ecosystems, powering secure data connectivity on behalf of thousands of providers, payers, health data analytics companies, patient-facing applications, government agencies, research institutions and life science companies. The combined company is focused on improving patient outcomes and reducing costs by removing impediments to the secure exchange of health data. Ciox, a Datavant company will offer the ability to access, exchange, and connect data among the thousands of organizations in its ecosystem for use cases ranging from better clinical care and value-based payments, to health analytics and medical research. What we offer… At Ciox Health we offer all employees a place to grow and expand their current skills so that they can not only help build Ciox Health into the greatest health technology company but create a career that you can be proud of. We offer you complete...

CIOX Health Remote

Sep 25, 2023

Remote Inpatient Audit Specialist

Overview: Who we are... Ciox Health merged with Datavant in 2021, creating the nation's largest health data ecosystems, powering secure data connectivity on behalf of thousands of providers, payers, health data analytics companies, patient-facing applications, government agencies, research institutions and life science companies. The combined company is focused on improving patient outcomes and reducing costs by removing impediments to the secure exchange of health data. Ciox, a Datavant company will offer the ability to access, exchange, and connect data among the thousands of organizations in its ecosystem for use cases ranging from better clinical care and value-based payments to health analytics and medical research. What we offer… At Ciox Health we offer all employees a place to grow and expand their current skills so that they can not only help build Ciox Health into the greatest health technology company but create a career that you can be proud of. We offer you complete...

CIOX Health Remote

Sep 25, 2023

Interim HIM Director- Remote

Job Description: At e4health, we Empower Better Health. The e4health Team is on a relentless mission to care for those teams who care for others. We bring our passion, ingenuity, and expertise to every engagement. In joining our Team, we want your help to provide our customers with powerful solutions in the pursuit of quality, integrity, clinical and financial value across healthcare. Our People make the difference. Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. e4health solutions streamline clinical, financial, and health information data and workflows, optimize coding, quality, and clinical documentation integrity processes, and address health IT operational challenges to deliver material results for healthcare organizations across the country. Learn more about us at www.e4.health. Interim HIM...

e4.health

CH

Sep 21, 2023

Senior Specialty Coder - Remote - General Surgery

Description Summary: *CHRISTUS Health System offers the Outpatient Coder position as a remote opportunity. Candidate must reside in the states of Texas, Louisiana, Arkansas, New Mexico, or Georgia to further be considered for this position.* Selected by CHRISTUS Health Coding Leadership, to focus coding skills and expertise on designated Inpatient or Outpatient high dollar or specialty account types. Specialty Coder is responsible for maintaining current and high-quality ICD-10-CM, ICD-10-PCS and/or CPT coding for the Inpatient and or/ Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. Specialty Coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and...

Christus Health Tyler, TX, USA

MH

Sep 20, 2023

Medical Director, Psychiatry - California (Remote)

*** Seeking California medical license, psychiatrist who resides in California. *** This position supports the clinical vision for the health plan(s) for all lines of business (Medicaid, Medicare, and Commercial) and implements programs to support this vision. May serve multiple health plans managed by the Clinical Center of Excellence. Provides clinical leadership to the interdisciplinary Medical Management team, which includes clinical/medical oversight of clinical team members and consultation and training with care managers in order to address cost and quality of care. Provides day to day physician oversight to an assigned interdisciplinary UM team, including regular involvement in the case management of at-risk cases and medical necessity decisions. Follows high risk cases throughout treatment continuum from inpatient, rehabilitation, partial hospitalization, outpatient and other levels of care. Ensures that persons with severe, complex, and/or treatment resistant...

Magellan Health Los Angeles, CA, USA

SR

Sep 25, 2023

Sr. Account Executive / Director of Sales (Remote)

Job Summary: The Senior Account Executive/Director of Sales reports directly to the Sr. Dir. of Sales and Business Development, and is responsible for new business development and net revenue growth within a list of named accounts and territories with a focus on net new Medicaid business. They will also be responsible for partnering with our account management teams to identifying growth and expansion opportunities within our existing portfolio of enterprise Healthcare Payors. The ideal candidate will have direct experience selling into government programs and a deep knowledge of Medicaid Managed Care Organizations. Job Responsibilities: ● Develop and implement sales strategies, plans, and objectives aligned with the overall business goals and objectives. This involves conducting market research, identifying target markets, and achieving sales quotas and targets. Strong focus on building a Medicaid Managed Care Organization (MCO) pipeline. ● Create proposals with a clear value...

SafeRide Health TX, TX, USA

Planned Parenthood of the Pacific Southwest

Sep 25, 2023

Manager of Remote and Digital Health Services Programs

$75,000 - $100,000 yearly

Planned Parenthood of the Pacific Southwest is one of the largest providers of sexual and reproductive healthcare in Southern California, operating 20 health centers throughout our three-county region. Check out our new video, "We are Planned Parenthood of the Pacific Southwest” for more information about our organization: https://bit.ly/WeArePPPSW. Care. No Matter What. The Manager of Remote and Digital Health Services Programs will develop innovative remote and digital health services programs for Planned Parenthood of the Pacific Southwest. This position will also manage our telehealth program along with supervising our telehealth team and the care we deliver through remote locations. This exciting new role within PPPSW will have the ability to expand our digital health roadmap, which encompasses the full-range of our reproductive healthcare services including medication abortion care. In addition, this position will ensure efficient program operations, patient satisfaction,...

Planned Parenthood of the Pacific Southwest San Diego, CA, USA

ET

Sep 25, 2023

Vice President of Sales (Remote) - 23-180

$280,000 - $320,000 yearly

Description: We are seeking an experienced Vice President of Sales who will report directly to the Chief Commercial Officer. The Vice President of Sales is a key member of the Commercial Leadership team. This position will work closely with and maintain an effective, collaborative relationship with all internal stakeholders, including Marketing, Medical Affairs, Commercial Operations and Analytics, Government Affairs, and Market Access to drive brand strategies and tactics for success, as well as successfully drive business objectives and ensure patient access to company’s therapies. The Vice President of Sales will lead a highly effective commercial sales force and provide strategic vision for managing all aspects of the sales function. The incumbent will lead the efforts to create and drive our sales strategy, including hiring, training, launch execution, resource planning and allocation, data analysis and application, overall performance management of the sales force and...

Elevar Therapeutics, Inc

Sep 25, 2023

Remote Licensed Property & Casualty Insurance Agent

LOCATION: Remote Work-at-Home JOB TYPE: Full-Time PAY TYPES: Hourly + Bonus SALARY: Commensurate BENEFITS & PERKS: REMOTE REPRESENTATIVE: Work-From-Home, Paid Training, Paid Time Off, Medical, Dental, Vision, Life Insurance, Retirement, Flexible Schedules, Company Laptop, Daily Contests, Prizes, Casual Dress Code, Regular Raises APPLICATION DETAILS: No Resume Required, Phone Interview POSITION OVERVIEW: REMOTE LICENSED PROPERTY & CASUALTY INSURANCE AGENT We are hiring licensed insurance agents who are positive, persuasive, and have the drive to succeed. In this role, you will provide full life-cycle customer service and sales to assist customers in understanding their coverages and selecting the right products, services and best solutions to meet their personal financial needs. Mass Markets, an MCI Company, is growing rapidly. This is an excellent opportunity for you to start your career, and with our industry-leading training, you are sure to succeed. We offer many...

MCI Careers LA, LA, USA

Sep 25, 2023

Manager, Digital Experience (Remote or Hybrid)

Manager, Digital Experience (Remote or Hybrid) US-PA-Bethlehem Job ID: 2023-22947 Type: Remote - Full Time # of Openings: 1 Category: Marketing B. Braun Medical Inc. Overview About B. Braun B. Braun Medical Inc., a leader in infusion therapy and pain management, develops, manufactures, and markets innovative medical products and services to the healthcare industry. Other key product areas include nutrition, pharmacy admixture and compounding, ostomy and wound care, and dialysis. The company is committed to eliminating preventable treatment errors and enhancing patient, clinician and environmental safety. B. Braun Medical is headquartered in Bethlehem, Pa., and is part of the B. Braun Group of Companies in the U.S., which includes B. Braun Interventional Systems, Aesculap® and CAPS®. Globally, the B. Braun Group of Companies employs more than 61,000 employees in 64 countries. Guided by its Sharing Expertise® philosophy, B. Braun continuously exchanges knowledge with customers,...

B. Braun Medical Bethlehem, PA, USA

Sep 25, 2023

Remote Insurance Customer Service Representative (Unlicensed)

LOCATION: Remote Work-at-Home JOB TYPE: Full-Time PAY TYPES: Hourly + Bonus SALARY: Commensurate BENEFITS & PERKS: REMOTE REPRESENTATIVE: Work-From-Home, Paid Training, Paid Time Off, Medical, Dental, Vision, Life Insurance, Retirement, Flexible Schedules, Company Laptop, Daily Contests, Prizes, Casual Dress Code, Regular Raises APPLICATION DETAILS: No Resume Required, Phone Interview POSITION OVERVIEW: REMOTE INSURANCE CUSTOMER SERVICE AGENT (UNLICENSED) We are hiring customer services agents who are positive and genuinely enjoy helping others. In this role, you will provide full life-cycle customer service and assist customers in understanding their coverages and select the right products and services, and help find best solutions to meet their personal financial needs. Mass Markets, an MCI Company, is growing rapidly. This is an excellent opportunity for you to start your career, and with our industry-leading training, you are sure to succeed. We offer many advancement...

MCI Careers MS, MS, USA

Sep 25, 2023

Remote Insurance Customer Service Representative (Unlicensed)

POSITION OVERVIEW: REMOTE INSURANCE CUSTOMER SERVICE AGENT (UNLICENSED) We are hiring customer services agents who are positive and genuinely enjoy helping others. In this role, you will provide full life-cycle customer service and assist customers in understanding their coverages and select the right products and services, and help find best solutions to meet their personal financial needs. Mass Markets, an MCI Company, is growing rapidly. This is an excellent opportunity for you to start your career, and with our industry-leading training, you are sure to succeed. We offer many advancement opportunities, including Supervisor, Trainer, Talent Acquisition, and Operations Management. To be considered for this position, you must complete a full application on our company careers page, including screening questions and a brief pre-employment test. -: - POSITION RESPONSIBILITIES: WHAT DOES SOMEONE IN THIS ROLE ACTUALLY DO? This role requires you to interact with hundreds of...

OnBrand24 WY, WY, USA

Sep 25, 2023

Remote Insurance Customer Service Representative (Unlicensed)

POSITION OVERVIEW: REMOTE INSURANCE CUSTOMER SERVICE AGENT (UNLICENSED) We are hiring customer services agents who are positive and genuinely enjoy helping others. In this role, you will provide full life-cycle customer service and assist customers in understanding their coverages and select the right products and services, and help find best solutions to meet their personal financial needs. Mass Markets, an MCI Company, is growing rapidly. This is an excellent opportunity for you to start your career, and with our industry-leading training, you are sure to succeed. We offer many advancement opportunities, including Supervisor, Trainer, Talent Acquisition, and Operations Management. To be considered for this position, you must complete a full application on our company careers page, including screening questions and a brief pre-employment test. -: - POSITION RESPONSIBILITIES: WHAT DOES SOMEONE IN THIS ROLE ACTUALLY DO? This role requires you to interact with hundreds of...

MCI Military Recruitment NJ, NJ, USA

Sep 25, 2023

Licensed Mental Health Therapist | (Remote)

$65,000 - $85,000 yearly

Life at aptihealth Backed by $70M in funding from world-class investors including Takeda Digital Ventures, Pivotal Life Sciences, and Vista, the aptihealth team is comprised of healthcare, data science and technology experts passionate about transforming behavioral healthcare. aptihealth is a digital technology platform with an affiliated medical group that makes it easier for people to access speedy high quality behavioral healthcare at the right place and right time. The technology enabled provider group reaches people who need care, engages them in care, follows their care journey, and demonstrates improved outcomes. Everything we do at aptihealth is centered on our mission to revolutionize care and to ensure that the millions of people who need fast access to quality behavioral healthcare receive it. As a curious and collaborative teammate, someone excited about tackling the hard problems in healthcare and technology, you will play a key role in making that mission a reality....

aptihealth Schenectady, NY, USA

Sep 25, 2023

PT Psychiatrist/Medical Director-Remote

We are seeking a part-time Medical Director for a behavioral health provider in Framingham, MA. The role will be part of the senior management team, and under administrative direction, participates in the planning, developing, organizing, and directing of all behavioral health programs. In this role, the Medical Director is responsible for establishing all medical policies and procedures throughout the programs and for coordinating and supervising the practice of all medical staff including nursing and staff psychiatrists. The Medical Director oversees the compliance of the agency's medical services to applicable standards of care and provides psychiatric expertise for complex cases and quality assurance systems when needed. This is a part-time contracted position for 4- 8 hours per week. The Medical Director must be available to the center and satellite sites during the center’s operating hours, either onsite or remotely, for consultation and support of clinic operations to ensure...

PsychPros Staffing & Executive Search Framingham, MA, USA

Sep 25, 2023

Consumer Sales Specialist - Remote

Position: Consumer Sales Specialist Position Type: Temporary to Permanent Location: Remote Hours: Business Hours (Eastern or Central Time Zone) The Consumer Sales Specialist will promote company products and services by engaging consumers by phone using campaign leads and product sampling, with the goal of driving a purchase commitment. The role will require outbound and inbound calls to meet sales targets, in addition to identifying additional consumer needs. The candidate selected for this role will provide ideas to keep evolving performance and results as well as being part of sharing consumer insights with peers, managers, and the consumer marketing team. What you will be doing: * Use phone contact to follow-up on consumers samples and other leads generated by specific campaigns * Meet and exceed monthly efficiency, activity and sales targets/goals * Provide life improving advice and solutions using structured approach, with goal of capturing sales * Communicate and...

Jersey Staffing Solutions, LLC Hanover, NJ, USA

Sep 25, 2023

Community Medical Director-Physician-Mostly Remote- Youngstown, Ohio

Job Summary: About Us: Come reimagine care with us! Were on a mission to change the way medical care is delivered around the country. By supplying home-based medical care to patients who need it most, WellBe is changing lives by providing care wherever our patients call home. WellBes primary care services are delivered by a team of licensed clinicians in the comfort of the patients home. By combining the strength of physicians, nurse practitioners, social workers, paramedics, and other healthcare professionals, WellBe delivers an extra level of support to the patients we serve in their communities. This high-risk population is typically underserved and challenged with access to care which we provide. To address these problems, we have elected to bring the care to the patient, instead of trying to bring the patient to the care. WellBes clinician-led geriatric care teams provide concierge-level medical care and social support in the home as well as...

WellBe Senior Medical Remote * (Youngstown, OH, USA)

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163 inpatient care management medical director jobs found