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Home Health Clinical Review Coordinator Jobs

Clinical Coordinator Home Health - (San Francisco) 2
By Health Link Home Health Agency At San Francisco, CA, United States
You demonstrate time management, organizational skills, and ability to function with minimal direction
Competitive compensation with medical, dental, vision, 401k (with match) and other great benefits for all employees
Maintains organization of the medical supply room per company standards and OSHA requirements
You have experience working in Home Health
You demonstrate strong verbal, written and interpersonal communication skills
COVID-Ready Protocols (Employees and staff adhere to guidelines to operate and work safely)
Clinical Regulatory Content Writer-Home Health- Remote
By Traditions Health At , College Station, 77845

HCL Clinical Regulatory Content Writer

Traditions Health Mandatory COVID-19 Vaccine Policy:

Clinical Review Coordinator - National Remote
By Optum At , Dallas, 75202
2+ years of Case Management experience
Experience in acute care, rehab, OR skilled nursing facility environment
Ability to work effectively in a self- management environment
Support new delegated contract start - up to ensure experienced staff work with new contracts
Perform other duties and responsibilities as required, assigned or requested
3+ years of clinical experience
Clinical - Medical Records Support - Home Health
By St. Bernards Healthcare At , Jonesboro, 72401

High school graduate/GED required. Office procedures/vocational/medical background training desired.

This is a safety sensitive position. Please see the St. Bernards Substance Abuse Policy for further information.

Medical Review Nurse (Home Health And Hospice)
By Performant Financial Corporation At , Remote
Experience with utilization management systems or clinical decision making tools such as Medical Coverage Guidelines (MCG) or InterQual.
Working collaboratively with the audit team to identify and obtain approval for particular vulnerabilities and/or cases subject to potential abuse
Work in partnership with our clients, CMD colleagues, and other contractors on improving medical policies, provider education, and system edits
Strong preference for experience performing utilization review for an insurance company, Tricare, MAC or organizations performing similar functions
Experience with ICD-9, ICD-10, CPT-4 or HCPCS coding.
Knowledge of insurance programs program, particularly the coverage and payment rules.
Lpn Home Health Clinical Coordinator
By Elara Caring At , Arlington Heights
Advanced time management, planning, and organizational skills
Ongoing Continuing Education (CEs) available at no cost
Medical, dental, and vision benefits after 30 days of employment
1 years of practical experience
Quickly become proficient in enterprise applications (Homecare Homebase, Workday, etc.) and intermediate knowledge of Microsoft Office
Ability to handle complaints, manage conflict and negotiate outcomes
Clinical Assistant For Home Health
By Pinnacle Home Care At Spring Hill, FL, United States
Competitive rates and benefits, 6 paid holidays, matching 401K.
Prepares and manages daily and weekend schedules.
Prepare and manage the end-of-the-day report and submit it electronically to all required to receive it daily.
Manage and follow hospitalized clients according to Standard Operating Procedures.
Manage electronic and manual faxes received with proper follow-up and distribution as necessary.
Manage and assist with patient phone calls following Standard Operating Procedures.
Clinical Review Coordinator - Remote | Wfh
By Get It Recruit - Healthcare At Dallas, TX, United States

We are seeking a passionate and dedicated healthcare professional to join our dynamic team! As a member of our organization, you will play a pivotal role in ensuring the highest quality of care for ...

Clinical Review Coordinator - National Remote
By RemoteWorker US At Hartford, CT, United States
2+ years of Case Management experience
Experience in acute care, rehab or skilled nursing facility environment
Ability to work effectively in a self-management environment
Support new delegated contract start-up to ensure experienced staff work with new contracts
Perform other duties and responsibilities as required, assigned or requested.
3+ years of clinical experience
Home Health Senior Support Specialist (Clinical Assistant)
By DCH Health System At Tuscaloosa, AL, United States
Communicates to management any information requiring further attention.
Anticipates management and department needs providing the appropriate support independently.
Requires use of electronic mail, time and attendance software, learning management software and intranet.
Completes 485 technical review and notifies supervisor and RN Care Manager of missing items.
Manage medical supplies, including ordering, inventory, storage, rotation, and expiration dates assuring visiting staff and patients receive supplies timely.
Independently performs data entry and retrieval in a variety of software applications and manual systems.
Clinical Team Manager / Supervisor - Home Health
By Trilogy Home Healthcare At Fort Myers, FL, United States
One (1) year experience in home health nursing or therapy, required.
Three to five (3-5) years of experience in their respective clinical field, preferred.
Clinical Team Manager / Supervisor - Home Health
Full Time employees are eligible for our full benefits package to include:
Graduate of an approved school of professional nursing or therapy licensed in the state(s) in which practicing.
Acceptance of philosophy and goals of Agency.
Clinical Team Manager (Medicare Home Health)
By Trilogy Home Healthcare At Ocala, FL, United States
One (1) year experience in home health nursing or therapy, required.
Three to five (3-5) years of experience in their respective clinical field, preferred.
Clinical Team Manager - Medicare Home Health
Full Time employees are eligible for our full benefits package to include:
Acceptance of philosophy and goals of Agency.
Ability to exercise initiative and independent judgment.
Home Health Clinical Review Coordinator
By UnitedHealth Group At , Brentwood, 37027, Tn $32.60 - $63.99 an hour
2+ years of experience in utilization management role
Complete cross-training and maintain knowledge of multiple contracts/clients to support coverage needs across the business.
Perform other duties and responsibilities as required, assigned, or requested
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
More information can be downloaded at: http://uhg.hr/uhgbenefits
1+ years of experience working at a Medicare Certified home health agency
Contract Staff Clinical-Pt Home Health (Clarendon)
By Mcleod Health At , Florence, Sc

Florence, SC TRACKING CODE 5243-3 JOB DESCRIPTION a:0:{} WORK SCHEDULE a:0:{} JOB LOCATION Florence, SC, United States POSITION TYPE a:0:{}

Initial Clinical Review Remote Prior Um Health Plan Experience
By Blue Cross Blue Shield of Arizona At , Phoenix, 85021, Az
Knowledge of managed care, utilization management, and quality management
Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of benefit requests.
Participate in continuing education and current developments in the fields of medicine and managed care.
2 years of experience in clinical field of practice, health insurance, or other health care related field
3 years of experience in clinical field of practice, health insurance, or other health care related field
Communicate team issues and opportunities for improvement to supervisor/manager;
Qa-Clinical Chart Auditor (Lvn-Home Health)
By Sonder Healthcare Inc At , Sacramento, 95834, Ca $60,712 - $83,000 a year
· Strong written and verbal communication skills.
· Qualified candidates may come from Home Health industry but may include a LVN or RN.
Sacramento, CA 95834: Reliably commute or planning to relocate before starting work (Required)
Quality assurance: 1 year (Required)
What does a Quality Assurance Specialist do?
· Analyze QA systems, processes and outcomes.