12069 clinical insurance jobs found

Description:* Reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments. Researches denied services and alternative resources to pay for treatment. ***obtaining authorizations from insurance companies is a must*** -Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. -Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans. Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office functions on an as needed basis - Obtains insurance authorization and pre-certification specifically for chemotherapy services. Works as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement...

Overview Saco Bay PT is seeking an outpatient Physical Therapist in Kennebunk, ME Our Kennebunk, ME outpatient physical therapy center is looking for a full-time (32 hours) compassionate and driven licensed Physical Therapist to provide exceptional patient care experiences. Ideal candidates will have experience/interest in working with a very diverse case load including ortho, neuro, and oncology. Our center shares space with fitness facility, has massage therapy onsite, and an oncology practice right next door we work very closely with. We are looking for someone who wants to build positive relationships with their patients, co-workers, and community. Seize the opportunity to join our highly trained and respected ReVital Cancer Rehabilitation Program team, which provides rehabilitative services to help improve the quality of life for people affected by cancer. Our ReVital team provides the necessary education and training for therapists invested in treating our diverse...

Full job description Create Your Career With Us! Join our not-for-profit organization that has provided over 100 years of housing and services to seniors with a commitment to quality care and service in a Christian environment. Facility: GSS IN Jasper Northwood Hlth Location: Jasper, IN Address: 2515 Newton St, Jasper, IN 47546, USA Shift: 12 Hours - Night Shifts Job Schedule: Full time Weekly Hours: 36. 00 Salary Range: 22.50 - 28.00 Department Details $5000.00 Sign on bonus! Job Summary The Licensed Practical Nurse (LPN) provides professional nursing care for residents of all ages in long term care, under the supervision of a registered nurse, advanced practice provider, or physician. Demonstrates knowledge of nursing principles for the resident in the relevant clinical setting. Demonstrates competency and practices within the full scope of nursing expertise/knowledge and utilizes appropriate age and...

The Lincoln Center for Family and Youth 1100 Adams Ave | Audubon, PA 19403 (610) 277-3715 | jobs@TheLincolnCenter.com JOB DESCRIPTION: SPECIAL EDUCATION TEACHER (Autistic Support) Title: Special Education Teacher (Autistic Support-Elementary School) FLSA: Exempt Reports To: Chief Clinical Officer Organization The Lincoln Center for Family and Youth (“TLC”) is a social enterprise company Summary: serving the Greater Philadelphia Area for over 50 years. Founded in 1970 and incorporated in 1983, TLC is an entrepreneurial nonprofit providing innovative education, coaching, and counseling services to public school students and their families. For more information, please visit https://TheLincolnCenter.com Position Summary: The ideal candidate will support the District's mission and vision and have the primary responsibility to plan and deliver developmentally appropriate lessons that meet state-mandated standards. Each teacher will also communicate...

Create Your Career With Us! Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Facility: Bemidji Medical Center Location: Bemidji, MN Address: 1300 Anne St NW, Bemidji, MN 56601, USA Job Schedule: Full time Weekly Hours: 36. 00 Salary Range: $32 - $48 Job Summary Responsible for analyzing and synthesizing of data to maximize utilization of data in clinical decision-making, business and strategic initiative. Coordinates educational activities associated with orientation and ongoing training. Establishes close working relationships with clinical and non-clinical partners. Promotes optimal patient care through clinical activities and data analysis. Will have working knowledge of regulations...

Summary We are currently hiring for a Managed Care Coordinator II/CM-DM to join BlueCross BlueShield of South Carolina. In this role as Managed Care Coordinator II/CM-DM, you will focus on improving care coordination and reducing the fragmentation of the services the recipients of care often experience, especially when multiple health care providers and different care settings are involved. Taken collectively, case management interventions are intended to enhance client safety, well-being, and quality of life. These interventions carefully consider health care costs through the professional case manager's recommendations of cost-effective and efficient alternatives for care. Thus, effective case management directly and positively impacts the health care delivery system, especially in realizing the goals of the "Triple Aim," which include improving the health outcomes of individuals and populations, enhancing the experience of health care, and reducing the cost of care. The...

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. ** SIGN ON BONUS AVAILABLE - $2,500** Summary of Primary Function/General Purpose of Position The Medical Assistant Certified is a multi-skilled clinical professional that provides indirect and/or direct patient care within the scope of practice and in alignment with the standards of excellence and quality. Under the direction of the provider, the Medical Assistant contributes to the completion of the patient’s chief complaint (including, but not limited, to respirations, blood pressure, pulse oximetry, height, weight, and temperature), documents patient/family needs, participates in planning and implementing care for patients, and administers ordered medications (oral, injection, topically, etc.) within the Medical Assisting scope and state guidelines....

Create Your Career With Us! Join our not-for-profit organization that has provided over 100 years of housing and services to seniors with a commitment to quality care and service in a Christian environment. Facility: GSS ND Oakes Location: Oakes, ND Address: 213 9th St N, Oakes, ND 58474, USA Shift: 12 Hours - Rotating Shifts Job Schedule: Full time Weekly Hours: 36. 00 Salary Range: $26.00 - $36.00 Pay Info: $10,000 Sign On Bonus Department Details Competitive Compensation Flexible Scheduling Options Available Daily Access to Your Earnings Fun, Family Oriented Work Environment Excellent Health, Dental and Vision Insurance Generous Shift Differentials Health Savings Account Company Matched 401(k) Retirement Plan Referral Bonuses Advancement Opportunities Paid Time Off Compassionate Leave Education Assistance Scholarships and Sponsorships Continuing Education Years of Service Recognition...

Full job description Create Your Career With Us! Join our not-for-profit organization that has provided over 100 years of housing and services to seniors with a commitment to quality care and service in a Christian environment. Facility: GSS KS Wamego Location: Wamego, KS Address: 2011 Grandview Dr, Wamego, KS 66547, USA Shift: 12 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 36. 00 Salary Range: $24.00 - $36.00 Department Details Come join our team of caring and compassionate staff at our facility! Reasons to love this job: Comprehensive benefits package and paid time off for qualifying positions 401k retirement savings Additional employee perks Scholarships and Sponsorships to help with further learning and education Night, weekend, and pick up shift differentials/incentives available! Direct access to your earnings daily! Job...

States considered: Role Description The position will contribute to a Global Pharmacovigilance team with the collective responsibilities of addressing post marketing product surveillance of an assigned product portfolio. Post-marketing product surveillance scope will include proactive product monitoring, adverse event trending, signal detection and signal management. The position will require a specialized knowledge of animal health, in addition to regulatory requirements related to signal management, epidemiological principles, and appropriate data analysis methods. This position is expected to carry out work with limited supervision and apply technical knowledge to complete work independently. This position will ensure deliverables and embracing priorities that align with promoting patient safety, effective data analysis, and cross-functional communication and collaboration. Essential duties are not limited to those described below: Contributes to post-marketing...

Create Your Career With Us! Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Facility: 3801 Building Location: Bemidji, MN Address: 3801 Bemidji Ave N, Bemidji, MN 56601, USA Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40. 00 Salary Range: $26.00 - $41.50 Job Summary Gather, analyze, design, develop, modify, test, implement, evaluate, and maintain clinical information technologies to support clinical practice. Use data to support clinical decision-making and identify desired outcomes. Able to research, analyze and make recommendations for application work flow improvements and create and analyze reports created using multiple reporting mechanisms....

As a 24/7 Clinical Navigation & Support (CN & S) Care Manager (CM) you will deliver a guided, predictable and streamlined care experience for customers. The CN & S team is the destination for customers identifying a clinical need by providing one unique entry to address in the moment needs of the customer. You will help customers navigate the mental health system, including utilization of benefits and accessing direct care services. As clinicians we support customers and families facing challenges big and small. We want to make sure accessing care is easy and sensible. You will help customers to process the unexpected from an evidence-based perspective, tapping into customer's strengths. Common situations include routine/acute/urgent/emergent need for care in order to direct customers toward specialized or higher levels of care (HLOC). A CM for the CN & S team works on a queue, taking telephonic calls in the moment, as well as scheduled calendar...

Full job description Everyone who works with Mercy Health is united under one purpose: to help our patients be well in mind, body and spirit. This drive, along with our history of faith, is a powerful combination. It gives us a shared calling to work toward every day. Join our exceptional team and help us continue to provide the highest quality of health care possible to our communities. Summary of Primary Function/General Purpose of Position The Behavioral Health Registered Nurse (RN) functions as a care provider of a multidisciplinary care team responsible for the delivery of comprehensive patient care utilizing the nursing process of assessment, planning, intervention, implementation and evaluation through evidence-based practices, policies, procedures, guidelines of the organization, and within the State’s Nurse Practice Act. The RN provides a safe and therapeutic environment for patients by managing the milieu and ensures patient care is delivered in an...

Create Your Career With Us! Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Facility: Bemidji Dialysis Location: Bemidji, MN Address: 1600 Anne St NW, Bemidji, MN 56601, USA Shift: Varies Job Schedule: Flex Weekly Hours: 32. 00 Salary Range: $16.50 - $29.50 Department Details Dialysis allows a nurse the opportunity to build relationships with the patient. Patient to nursing ratio is 3:1. Warm and welcoming environment where working as a team is strongly encouraged to provide excellent quality care to the patient. Twelve-week orientation along with theory orientation to help you become successful in the role of a dialysis nurse. Certification offered after required hours worked...

31287 University Staff Description University of Colorado Anschutz Medical Campus Department: School of Medicine Dean's Office – Center for Advancing Professional Excellence (CAPE) Job Title: Standardized Patient Clinical Educator (SP) Position #: 00001080 – Requisition #: 31287 Job Summary: This is a flexible PART-TIME AS NEEDED hourly (paid monthly) University Staff (unclassified) position. We are located at the University of Colorado School of Medicine, Center for Advancing Professional Excellence (CAPE). CAPE provides modern medical simulation education that incorporates clinical scenarios, clinical instructors, mannequins of varying degrees of fidelity, and learners at any level of training into a robust teaching and learning environment. The CAPE is comprised of 14 full-time team members and over 80 part-time standardized patients and teaching associates. The Standardized Patient Clinical Educator (SP) is a trained individual who can accurately and consistently portray...

Everyone who works with Mercy Health is united under one purpose: to help our patients be well in mind, body and spirit. This drive, along with our history of faith, is a powerful combination. It gives us a shared calling to work toward every day. Join our exceptional team and help us continue to provide the highest quality of health care possible to our communities. Summary Of Primary Function Delivers patient care utilizing the nursing process through data collection and assessment, identifies and determines the priority of patient’s problems/needs, and evaluates the process and outcome of nursing care; coordinates, provides and directs patient teaching activities and coordinates the care provided by health team members. Essential Job Functions In collaboration with the interdisciplinary care team, conducts initial and ongoing patient assessment, analyzes assessment data, creates a plan of care, implements treatment and evaluates treatment effectiveness; administers...

Nurse Practitioner/Physician Assistant PRN/Part Time – Home Risk Assessments About Us Matrix Medical Network offers a broad range of clinical services and proven expertise that give primary care providers and the at-risk health plan members we visit with every day the tools and knowledge to better manage their health at home. With deep roots in clinical assessment and care management services, our national network of clinicians break through traditional barriers to care by meeting those members where they are. We help older adults and other at-risk individuals enjoy a better quality of care, experience improved health outcomes, and identify chronic conditions that may otherwise go undiagnosed. Our job opportunities allow you to leverage your expertise and compassion and make a direct impact to the health and well-being of others. Join our team and be rewarded by competitive compensation while making a difference in your community! About the Position During a visit...

Duties This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until December 29, 2024. Eligible applications received will be referred at regular intervals on an as-needed basis until positions are filled. All referred applicants receive a final notification once a selection decision has been made. Duties include but are not limited to: Provide nursing coverage in the Dermatology clinic Obtain and document information from patient and/or family to identify major concerns, symptoms, or reason for seeking specialty care Preparing the clinic for daily patient care Assisting with a variety of procedures Providing patient education Working collaboratively with all staff within the Dermatology clinic and Surgery ICC Coordinating provider schedules in order to optimize clinic utilization Obtaining reports from outside facilities as needed Will have other duties as assigned including floating to other outpatient surgical specialty clinics as needed...

Duties ** *THIS IS NOT A VIRTUAL POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION*** This position involves a multi-grade career ladder . The major duties listed below represent the full performance level of GS-7. At the GS-6 grade level, you will perform assignments of a more limited scope and with less independence. You will progressively acquire the background necessary to perform at the full performance level of GS-7. Promotion is at the discretion of the supervisor and is contingent upon satisfactory performance, availability of higher-level work, and availability of funds. Duties include but may not be limited to the following: Provides accurate and timely billing and collection activities to be completed in accordance with national policies, VHA regulations and healthcare laws. Performs a wide variety of activities common to the segment of the program or function for which the...

Full job description Create Your Career With Us! Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Facility: Remote ND (Ellendale) Location: Ellendale, ND Address: Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40. 00 Salary Range: $21.50 - $34.50 Department Details In depth training program, flexible schedule once trained Job Summary Reviews inpatient clinical documentation, procedural information, and diagnostic results to apply ICD-10-CM and PCS diagnostic and procedural codes used for billing, internal and external data reporting, research, regulatory compliance, and quality monitoring. Using professional coding training, critical...

Create Your Career with Us With over 224 clinic locations and 46 medical centers, Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. If you re looking to start or further develop your career in healthcare, join our ambulatory nursing care team which sees 5. 2 million clinic and outpatient visits every year. Our workplace culture focuses on treating patients and co-workers like family. Facility: Talley Building Location: Sioux Falls, SD Address: Talley Building, 1310 W 22nd St, Sioux Falls, SD 57105, USA Shift: Day Job Schedule: Full time Weekly Hours: 36.00 Salary Range: $17.00 - $22.50 Department Details Monday-Friday No Evenings, No Weekends, No Holidays $$ Sign-On BONUS available for eligible applicants!! $$ Job Summary We re seeking a caring, responsible, and empathetic Medical Assistant (MA/CMA) who will be involved in assisting with patient care for all ages in...

Duties The 4 East staff are active participants in the interdisciplinary approach to meeting patient needs. Respiratory Therapy coverage is available 16 hours/day. Nursing staff administers respiratory treatments on night shift. The Dietitians and Social Worker evaluate each patient as needed. Patient education is a priority and is provided to all patients commensurate with their learning abilities and needs Patient Care areas can include Surgical Service, Primary Care, Med/Surg, Urgent Care, Community Living Center, Mental Health, Home Care, Telehealth, Whole Health, and VA Community Care (VACC). The practice of each nurse is based on skill, experience, and research and has a direct impact on client outcomes for the assigned area and the facility as a whole. The function of the Registered Nurse is to provide, direct, and supervise the delivery of quality nursing care to a culturally diverse veteran population. The RN possesses the knowledge and skills...

Kelly Services is partnering with a prestigious University in Cleveland, OH and we have an immediate opening for Auditing Clerks! Wage : $17.43/hour Schedule : 1st Shift 8:30am - 5:00pm Monday - Friday Location: Cleveland, Ohio Job Description: The Auditing Clerk will process charges and payments to patient's accounts and input data that correlates to students grades and credit for treatment. The Auditing Clerk will serve as a resource person for students on completing necessary paperwork and following proper clinical protocol procedures. Responsibilities: Collect and post payments and charges to patient's accounts Take and address messages or direct calls to appropriate person/distribute mail Work with the accounting clerk and department supervisor to coordinate paperwork for Ohio Medicaid and their agencies. Assist with the preparation of paperwork and cash slips to ensure payment Review patient accounts for financial accuracy before...

The University of Iowa Hospitals and Clinics department of Radiology is seeking a PET Nuclear Medicine Technologist who will perform a variety of PET and PET/CT imaging procedures that require extensive knowledge of overall PET operations and independent judgement to obtain essential information for patient care and patient management. Duties Include Perform clinical PET and PET/CT procedures following written clinical procedures. Calculate, dispense, administer and document necessary PET radiopharmaceutical dose information in computer as prescribed. Practice sterile techniques when preparing radiopharmaceutical doses. Operate instruments found in PET Imaging Center including, but not limited to: PET and PET/CT systems, radiation detection instruments, IV contrast power injector, and Rubidium 82 generator dispensing system. Process study data, archive study, and forward images to PET staff physicians for interpretation. Perform PET and PET/CT Quality assurance...