MTQIP Clinical Reviewer

Job SummaryIntegra Partners is seeking a skilled LPN/LVN to perform pre-service and post-service utilization reviews and appeals for DMEPOS in a managed care payor environment.This role involves collaborating with our Medical Director to conduct benefit and medical necessity reviews and appeals within an NCQA-compliant UM program.Key ResponsibilitiesPerform...

Job SummaryWe are seeking a skilled Clinical Utilization Specialist to promote the effective use of resources in our healthcare network. The ideal candidate will have a strong understanding of clinical care and treatment plans, as well as experience in utilization management.Key Responsibilities:Leverage clinical knowledge and business rules to determine...

Key Responsibilities:Oversee the clinical quality of Outpatient Pediatric Psychiatry & Psychotherapy services, ensuring high standards are met.Develop and manage effective budget plans, including proactive budgeting and remediation strategies.Strategically plan for Outpatient Behavioral Health Services, driving growth and improvement.Accountabilities:Own the...

Ciena Healthcare is a leading provider of skilled nursing and rehabilitation care services in Michigan, committed to delivering exceptional care to its residents with compassion, concern, and excellence.Job SummaryWe are seeking an experienced MDS Coordinator to join our team, responsible for overseeing the Resident Assessment Instrument (RAI) process,...

Job SummaryWe are seeking a Clinical Dietitian Assistant to join our team at American Senior Communities. As a Clinical Dietitian Assistant, you will work closely with the Registered Dietitian to enhance the overall health and quality of life for our residents.Key ResponsibilitiesCollect and update resident health information under the direction of the...

Job Title: Hospice Intake Coordinator, WeekendLocation: Troy, MI, USAEmployee Type: EmployeeWorking Hours Per Week: 40We are seeking a compassionate Hospice Intake Coordinator to join our team. As a key member of our care team, you will provide exceptional customer service and support to patients and families. Your primary responsibility will be to receive...

Job Summary:Troy Center is seeking a skilled Registered Nurse to fill the position of Unit Manager. This role is responsible for overseeing the daily operations of the assigned unit, ensuring the highest quality of care for our residents. The ideal candidate will have a strong background in nursing, excellent leadership skills, and the ability to mentor and...

About the RoleSono Bello is seeking a dedicated and detail-oriented Registered Nurse to join our team in a fast-paced small surgery center. This role offers a unique opportunity to work in the growing field of aesthetics, providing high-quality care to patients who are excited about improving their lives.Key ResponsibilitiesConduct post-operative patient...

Job Summary:Corewell Health is seeking a skilled MRI Technologist to join our team. As an MRI Technologist, you will be responsible for performing diagnostic MR exams utilizing appropriate imaging equipment and techniques.Key Responsibilities:Acquires an accurate patient history and documents in the medical record.Ensures MRI safety form is completed by...

Job Title: Registered NurseJoin The Arc of Rensselaer County as a Registered Nurse and make a meaningful difference in the lives of individuals with intellectual and developmental disabilities.About the Role:We are seeking a skilled and compassionate Registered Nurse to provide high-quality nursing services to our residents. As a Registered Nurse, you will...

Job Summary:We are seeking a skilled MRI Technologist to join our Diagnostic Imaging team at Corewell Health. As an MRI Technologist, you will be responsible for performing diagnostic MR exams, utilizing appropriate imaging equipment and techniques, and ensuring the highest level of patient care and safety.Key Responsibilities:Verify patient identification...

Unlock a Rewarding Career in Home-Based HealthcareAt UnitedHealth Group, we're revolutionizing healthcare by bringing care to patients in the comfort of their own homes. As a Physician Assistant or Nurse Practitioner, HouseCalls Opportunity, you'll play a vital role in our mission to improve health outcomes and patient satisfaction.Key...

About Us:Wayne Health Services Inc is a leading healthcare provider, serving one million patients and their families annually. We advance medical knowledge, technologies, and practices, and develop and educate the next generation of exceptional healthcare professionals.Job Summary:The Medical Scribe is responsible for accurately documenting the...

Job SummaryThe physician is responsible for the diagnosis, prevention, and treatment of health problems presented by patients.Key ResponsibilitiesDevelop and cultivate positive and productive working relationships with other Corewell Health personnel, promoting a culture of safety, teamwork, compassion, collaboration, clarity, curiosity, and...

Job Title: Home Health Registered NurseJob Summary: We are seeking a skilled Home Health Registered Nurse to join our team at Fusion Home Health Care Agency. As a Home Health Registered Nurse, you will be responsible for providing high-quality patient care in the comfort of their own homes.Key Responsibilities:Perform assessments and procedures that require...

About Outpatient ClinicsAt Corewell Health, we operate more than 300 outpatient clinics across Michigan, offering a wide range of care options to the communities we serve. With over 40 types of primary care and specialty practices, our team members have the opportunity to learn and explore various interests or specialize in one area.Scope of WorkApply the...

Job SummaryThe Physician is responsible for providing high-quality medical care to patients, diagnosing and treating health problems, and promoting a culture of safety and teamwork.Key ResponsibilitiesDevelop and maintain positive working relationships with colleagues and promote a culture of safety, teamwork, and compassion.Assist in meeting operational,...

The Hough Center for Adolescent Health at Corewell Health is a renowned adolescent medicine clinic located in Troy, Michigan. Our team provides comprehensive care for patients with known or suspected eating disorders, including anorexia nervosa, bulimia nervosa, binge eating disorder, and avoidant restrictive food intake disorder. Many of our patients have...

Job Summary:Corewell Health is seeking a skilled MRI Technologist to join our Diagnostic Radiology team. As an MRI Technologist, you will be responsible for performing diagnostic MR exams, utilizing appropriate imaging equipment and techniques, and following established policies and procedures.Key Responsibilities:Verify patient identification and physician...

Diagnostic Imaging SpecialistAt MLee Healthcare Staffing and Recruiting, Inc, we are seeking a skilled and dedicated Diagnostic Imaging Specialist to join our team in Vermont. In this full-time role, you will perform routine radiographic examinations, contributing vital support to the diagnostic process while delivering top-quality imaging and exceptional...