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This position is responsible for clinical and medical administrative leadership for Value Based Care initiatives and programs specifically designed for Renown Medical Group and any potential affiliates and partners. In partnership and collaboration with RMG clinical and administrative leadership and other Renown partners, this medical director will provide training, analy
Posted 19 days ago
This position is responsible for supporting and providing the optimal and appropriate staffing resource management across the Renown Acute division. This position serves as a support for quality of care and customer service within the Renown Acute division. This position is responsible for maintaining accurate data to ensure adequate staffing levels for high quality care
Posted 24 days ago
Visits all patient care units to ascertain condition of patients, evaluate staffing needs and provide support to caregivers. Administers the effective distribution and utilization of personnel employed during the respective shift. Maintains staffing within staffing guidelines for each unit based on census. Provides justification to nursing director and CNO & VP of Clinica
Posted 16 days ago
The Care Coordinator is key member of our team, who will deliver continuous patient monitoring and care coordination by assisting (virtually) chronically ill patients from a remote setting. The Care Coordinator will work closely with the patients that are enrolled in a Chronic Care Management program (CCM) and/or Remote Physiological Monitoring program (RPM). The Care Coo
Posted 17 days ago
This position focuses on all CMS submission related operations in support of Prominence Health Plan's Medicare Advantage business. Activities include creating submission files related to chart retrievals per vendor proprietary format, perform data analysis in support of optimizing risk adjusted revenue, maintain compliance with all CMS standards related to health plan sub
Posted 19 days ago
Under the direction of the Manager of Operations, the Appeals Specialist is responsible for ensuring the appropriate review, research, processing and responding to written member and provider complaints, appeals, and grievances. This position is required to apply analytical and critical thinking when reviewing contract language, benefits and covered services in researchin
Posted 25 days ago
The Member Outreach Representative serves as a call agent reaching out to members to promote quality and wellness programs. The primary function of the outreach agent will be contacting Prominence Health Plan members by phone to inform and educate them on the health insurance offerings, products or services, as well as respond to inquiries and assist with quality improvem
Posted 25 days ago
This position is responsible for the day to day management of the Care Management (CM) program, D SNP Care Management Program, and Transitions of Care. The position entails staff supervision and personnel management in the department. The Clinical Manager is responsible for the implementation of and management of a comprehensive Care Management and Transitions of Care Pro
Posted 26 days ago
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $14.3 billion in 2023. During the year, UHS was again recognized as one of the
Posted 27 days ago
The Chief Executive Officer is responsible for leading the overall strategic plan for the hospital and develops and implements strategies to appropriately position the hospital to achieve corporate goals and market the services of the facility. UHS is seeking a transformational executive with a successful record of leading, challenging and reviewing strategic annual plans
Posted 27 days ago
Responsible for the daily operations of the clinical laboratory including staff performing testing and reporting test results maintains policies and procedures and quality control practices in the clinical laboratory. About Universal Health Services One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc
Posted 27 days ago
Responsible for overseeing and optimizing all aspects of patient access functions across our healthcare system. The role plays a crucial part in ensuring seamless patient experiences, efficient operations, and compliance with regulatory requirements. This position requires strong leadership, strategic planning, and operational expertise to drive continuous improvement in
Posted 1 month ago
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