UM Administration Coordinator - Healthcare Humana IncUM Administration Coordinator - HealthcareOHRemote$40,000–$52,300 / yearWork-at-Home (WAH) Internet Statement: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
Psychiatrist - Adult - Outpatient - Hybrid - Columbus, OH LifeStance HealthPsychiatrist - Adult - Outpatient - Hybrid - Columbus, OHColumbus, OHRemote$327,000–$414,000 / yearAbout LifeStance Health LifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. Please apply now or contact me directly: Haily KontogianisDirector, Practice DevelopmentEmail: haily.fowler@lifestance.comWe offer Psychiatrists: Flexible work schedules.
Hybrid Remote/Onsite Dietitian Compass Group North AmericaHybrid Remote/Onsite DietitianColumbus, OHRemote$35–$40 / hourThe company has earned significant recognition, including being named one of Modern Healthcare's "Top 100 Best Places to Work in Healthcare" for five consecutive years, and appearing on Training Magazine's Top 125 Organizations list for six straight years. Compass Group employs over 3,000 RDNs across the United States, making us one of the nation's largest employers of Dietitians in a variety of settings: Hospitals and healthcare systems.
Registered Nurse (Ohio) Tuesday HealthRegistered Nurse (Ohio)OhioRemoteAs a key member of the multidisciplinary team, the RN is responsible for developing individualized care plans and leading care coordination efforts through active participation in internal and joint rounds. A dynamic and inclusive team environment where you can lean on your teammates, offer candid feedback, bring your true self to work each day, and deliver tremendous impact while having fun along the way.
Remote Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 3:30p-11p CST IntellaTriageRemote Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 3:30p-11p CSTColumbus, OHRemoteUtilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008.
Remote Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 3:30p-11p CST IntellaTriage, Inc.Remote Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 3:30p-11p CSTColumbus, OHRemoteUtilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008.
Denials RN Coordinator Ensemble Health PartnersDenials RN CoordinatorOhioRemoteJob duties include but are not limited to: understanding insurance contract terms, reviewing claim denials and underpayments to determine if additional payment amounts can be expected, analyzing medical records and determining if a member or an Independent Review organization (IRO) appeal is necessary, understanding payer medical policy guidelines, preparing IRO appeal documentation which may include correcting and resubmitting claims, gathering additional information, reviewing medical records, acting as a liaison between healthcare providers for any additional medical documentation or clarification, and submitting provider, member and IRO/ALJ appeals in a timely manner. Extensive review of medical records for medical necessity criteria, filing written letters of appeal on denied claims, filing complaints with state Department of Insurance, acting as a liaison between healthcare providers for any additional medical documentation or clarification, and submitting appeals in a timely manner.
NewManager, Behavioral Health Clinical Liaison/Operations AmeriHealth CaritasManager, Behavioral Health Clinical Liaison/OperationsDublin, OHRemoteCollaborate with internal teams (Utilization Management (UM), Integrated Health Care Management (IHCM), Long-Term Services and Supports (LTSS) to support care coordination and service delivery. Role Overview: The Manager, Behavioral Health Clinical Liaison, is responsible for supporting the development, implementation, and monitoring of programs that promote whole-person integrated physical and behavioral healthcare.
RN Health Care Facility Surveyor Greenlife Healthcare StaffingRN Health Care Facility SurveyorColumbus, OHRemote$75,000–$90,000The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.