Manager Clinical Performance & Quality (Nurse Practitioner/Physician Assistant) Elevance HealthManager Clinical Performance & Quality (Nurse Practitioner/Physician Assistant)Mason, OhioWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Develop and manage clinical quality reviews to ensure peer review and clinical quali Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health.
Manager Of DRG Coding & Clinical Validation Audit Elevance HealthManager Of DRG Coding & Clinical Validation AuditMason, OH$115,020–$207,216 / yearPreferred Skills, Capabilities and Experiences: Preferred experience includes a minimum of 5-7 years of inpatient coding or DRG auditing experience, including 2-3 years in a leadership or supervisory capacity. The Managers of DRG Coding & Clinical Validation leads a high-performing team responsible for auditing inpatient medical records to ensure the accuracy and compliance of Diagnosis-Related Group (DRG) assignments.
Manager I - Clinical Solutions Manager Elevance HealthManager I - Clinical Solutions ManagerMason, OH$94,000–$162,150 / yearThe manager works closely with physician reviewers, the Provider Network team, Client Services and other departments to ensure cases move efficiently through the review process and that providers and members receive timely, high-quality service. For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
Clinical Research Coordinator OhioHealth CorpClinical Research CoordinatorRiverside, OHThis position performs basic day to day activities related to clinical research studies including recruit and screen participants, obtains informed consent, educate participants regarding study requirements, event reporting, collection of and organizes research data and complete case report forms. Assists nursing and clinical staff and utilizes knowledge of disease processes to observe, report adverse events, and protocol violations / deviations in a timely and accurate manner to the Investigator to ensure the health, safety and welfare of the participant.
Therapist Clinical Supervisor (LPCC-S) Ellie Mental Health - 161Therapist Clinical Supervisor (LPCC-S)Springboro, OH$50–$60 / hourFull timeAs a Clinical Supervisor at Ellie Mental Health, you'll share our vision for improving and expanding access to quality mental health care and thrive in an environment driven by our core values of authenticity, humor, compassion, creativity, acceptance, and determination. Conduct evidenced-based, data informed, and goal driven individual, triadic and group supervision as required to interns and pre-licensed staff to ensure clinical excellence and align with best practices.
NewMedicare Quality & Patient Experience Clinical Program Manager Elevance HealthMedicare Quality & Patient Experience Clinical Program ManagerMason, OhioThe Medicare Quality & Patient Experience Clinical Program Manager is responsible for managing clinical program development for population-based clinical quality measures, including Medicare Star within a clinical area and across all lines of business. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Clinical Research Coordinator - Ophthalmology Eye Care PartnersClinical Research Coordinator - OphthalmologyBlue Ash, OHComplete study source documentation; complete/submit case report forms via courier service, fax, or electronic data capture; dispense/collect study drug/device as outlined in the study protocol; maintain study supplies, study drug/device accountability logs, and calibration logs. Conduct in-services for study staff, review GCP guidelines, maintain GCP &/or CITI certification; obtain/maintain study-specific examiner certification as required by protocol for participating study staff; attend study coordinator meetings.
IDD Clinical Manager ViaQuest IncIDD Clinical ManagerDayton, OHResponsibilities may include: Managing a team of supervisors and mental health case managers including providing guidance and supervision, ensuring comprehensive progress notes are completed for all clients and maintaining ongoing communication regarding client changes and status. Our clients are supported by a team of mental health counselors, social workers, certified nurse practitioners, case managers and psychiatrists to ensure the best outcomes for those we serve.
Clinical Trial Manager BelcanClinical Trial ManagerMason, OHThe CTM role is pivotal for driving robust human testing and clinical trials that are compliant with established governance principles, including ICH-GCP Guidelines. Responsibilities: Design, implementation, and management of clinical trials, Development of both external and internal networks for the integration of key components of a successful clinical trial.
Pacu Clinical Nurse Mgr, Evening OhioHealth CorpPacu Clinical Nurse Mgr, EveningRiverside, OHThe clinical nurse manager plans, organizes, directs and evaluates the units delivery of evidence-based patient care in a cost-effective manner, providing leadership and clinical management to members of the health care team. Assists the Manager in accountability for ongoing delivery of patient care in area(s) of responsibility; assures application of the nursing process by Registered Nurses in the clinical setting (assessment, planning, implementation and evaluation); assures documentation of patient care in the medical record.
Manager of DRG Coding & Clinical Validation Audit Elevance Health IncManager of DRG Coding & Clinical Validation AuditMason, OH$115,020–$207,216 / yearPreferred Skills, Capabilities and Experiences: Preferred experience includes a minimum of 5-7 years of inpatient coding or DRG auditing experience, including 2-3 years in a leadership or supervisory capacity. The Managers of DRG Coding & Clinical Validation leads a high-performing team responsible for auditing inpatient medical records to ensure the accuracy and compliance of Diagnosis-Related Group (DRG) assignments.
Manager I - Clinical Solutions Manager Elevance Health IncManager I - Clinical Solutions ManagerMason, OH$94,000–$162,150 / yearThe manager works closely with physician reviewers, the Provider Network team, Client Services and other departments to ensure cases move efficiently through the review process and that providers and members receive timely, high-quality service. For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
NewOccupational Therapist (0.5 - 0.9 FTE) - Clinical and Research Opportunity Shriners Hospitals for ChildrenOccupational Therapist (0.5 - 0.9 FTE) - Clinical and Research OpportunityDayton, OhioIn cooperation with other local leaders, offers exceptional care following the Shriners Hospitals for Children® FOCUSED© Program, a system-wide model for professional practice that stresses and emphasizes patient-centered care, or always putting the needs of the patients (and their families first). The Occupational Therapist position provides evaluation and therapy services, including direct patient care, patient/family education and transition of care, in an efficient, age-appropriate, and culturally sensitive manner upon licensed independent practitioner referral.
Clinical Operations Manager, Surgery Colorectal/Plastics UC HealthClinical Operations Manager, Surgery Colorectal/PlasticsWest Chester, OHResource Management: Provide assistance in preparation of the budget, charging/billing for department, pre-certification, registration accuracy, open and pending encounters, and other revenue cycle opportunities, as assigned by management. Environment: While performing the duties of this job, the employee is regularly required to communicate professionally in person, over the telephone, through e-mail and other electronic means, move about the office, handle various types of media and equipment, and visually or otherwise identify, observe, and assess.
Dialysis Clinical Manager Registered Nurse - RN Fresenius Medical Care AG & Co KGaADialysis Clinical Manager Registered Nurse - RNKenwood, OHAs the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people.
Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Elevance HealthDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)Mason, OhioThe Diagnosis Related Group Clinical Validation Auditor-RN is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Diagnosis Related Group Clinical Validation Auditor-RN(CDI, MS-DRG, AP-DRG and APR-DRG) Elevance HealthDiagnosis Related Group Clinical Validation Auditor-RN(CDI, MS-DRG, AP-DRG and APR-DRG)Mason, OhioThe Diagnosis Related Group Clinical Validation Auditor-RN is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Diagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg) Elevance HealthDiagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg)Mason, OH$86,560–$155,808 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
Clinical Manager US Foot and Ankle Specialists CareersClinical ManagerDayton, OhioAdvanced Foot & Ankle Care, a division of US Foot & Ankle Specialists, is seeking an experienced Clinical Manager to lead our clinical operations across multiple office locations. This leadership role is ideal for someone who enjoys coaching teams, improving clinical workflows, ensuring regulatory compliance, and creating an exceptional patient experience.
Clinical Outcomes Manager (Emergency Department) OhioHealth CorpClinical Outcomes Manager (Emergency Department)Riverside, OHDevelops positive interpersonal relations with managers, associates, and physicians in order to reduce variances related to patterns of care and conduct an effective quality management program to promote a continuous quality improvement atmosphere, including promoting and facilitating effective communication 2. Communicates the vision, expectations and results of quality improvement activities clearly, consistently and appropriately to stakeholders. Acts as a resource for colleagues with less experience in regards to quality, safety, regulatory requirements, and risk mitigation strategies 2. Mentors and develops associates regarding Evidence Based Practice EB p, quality initiatives, regulatory demands, and performance improvement tools.