NewRN Clinical Documentation Specialist - Referrals Ensemble Health PartnersRN Clinical Documentation Specialist - ReferralsPutnam, CT$80,000–$80,000li>Educates key healthcare providers such as physicians, nurse practitioners, allied health professionals, nursing and care coordination regarding clinical documentation improvement, documentation guidelines and the need for accurate and complete documentation in the health record. Works collaboratively with co-works and management to effectively resolve root cause issues that impact payor contracts, hospital operations, or departmental to maintain reimbursement and minimize appeal requests and/or denials.
NewRN Clinical Documentation Integrity - Onsite at DKH, in Putnam, CT Ensemble Health PartnersRN Clinical Documentation Integrity - Onsite at DKH, in Putnam, CTPutnam, CTRemote$80,000–$80,000Works collaboratively with co-works and management to effectively resolve root cause issues that impact payor contracts, hospital operations, or departmental to maintain reimbursement and minimize appeal requests and/or denials. Educates key healthcare providers such as physicians, nurse practitioners, allied health professionals, nursing and care coordination regarding clinical documentation improvement, documentation guidelines and the need for accurate and complete documentation in the health record.
Medical Records Technician 2(Office/On-site) State of ConnecticutMedical Records Technician 2(Office/On-site)Hartford, CT$51,737–$67,885 / yearp>FIELD REPRESENTATIVE: Acts as liaison between Connecticut Tumor Registry and reporting hospitals; Abstracts complete tumor records at federal and state government and veterans hospitals in Connecticut as well as participating hospitals in Rhode Island and Massachusetts; Ascertains correct primary sites and cancer morphology from hospital pathology reports; Investigates all inquiries submitted by Tumor Registry coders, obtaining missing or clarifying information from report originators through phone calls, correspondence or visits; Conducts audits at selected hospitals to ensure all cancer cases have been identified and reported to Tumor Registry; Compares pathology reports with hospital cancer incidence report and documents missed cases; Reviews hospital records for special studies on cancer; Abstracts complete tumor records at certain institutions such as federal and state hospitals; At request of participating hospitals, trains medical records personnel in proper abstracting procedures and communicates Tumor Registry informational needs and procedures; Assists hospital registries in preparing statistical reports on cancer; Performs related duties as required. Assists in problem solving and training of lower level Medical Record Technicians; Assists in coding (or codes) more difficult cases involving classification of cancer data; Periodically reviews autopsy reports at Connecticut Office of the Chief Medical Examiner in order to verify all cancer related deaths; Performs related duties as required.
ROI Medical Records Specialist MRO CorporationROI Medical Records SpecialistWaterbury, Connecticut$16–$22 / hourTo learn more about us, visit www.mrocorp.com. Responsibilities: Determines records to be released by reviewing requestor information in accordance with HIPAA guidelines and obtaining pertinent patient data from various sources, including electronic, off-site, or physical records that match patient request.
Medical Records Specialist 1(Office/On-Site) State of ConnecticutMedical Records Specialist 1(Office/On-Site)Hartford, CT$51,737–$67,885 / yearAssists in maintaining a file of medical records such as daily admissions and discharges, daily census, case histories, results of diagnostic tests, signed releases of information, medical summaries and abstracts; Inspects reports and records for omissions and errors; Codes and files a full range of diagnoses according to anatomical systems and in conformance with accepted international classification systems (i.e. ICD, WHO, DSM3, DRG, etc.); Prepares statistical reports on such matters as classification of disease, laboratory, dental, X-ray and physiotherapy activities; Prepares death certificates, burial permits and other related records; Prepares reports to state and federal agencies as required; May attend probate court hearings and give testimony; Performs related duties as required. Function as part of the Medical Records unit that collates and files all documentation for more than 1,800 behavioral medical records across two building s and eight teams, and 16 inpatient charts; Create new medical records for admissions and archives records for discharges; Examine records for completeness; Work with multiple electronic systems to ensure data matches the content of the legal medical records; Prepare records for off-site storage at the State Library and request medical records from and returns records to the State Library, as needed; Process releases of information and subpoenas under the direction of the Medical Records Department Supervisor; Participate in unit, division, and full-staff meetings; and.
Medical Review Officer (MRO) - Bid MaximusMedical Review Officer (MRO) - BidHartford, CTFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - After completing all research, the physician must write a case rationale in the correct format that introduces the question at hand, summarizes the correct guideline, analyses the pertinent case details related to the guideline, and then make a final determination as to the medical necessity of the requested service.
Medical Records Specialist Hospice - HomeCare Hartford HealthCare CorpMedical Records Specialist Hospice - HomeCareFarmington, CTAssists in audits and prepare documentation for internal and external reviews; serve as liaison for EMR-related issues, escalating to IT or HCHB support as need; and actively participates in recurring workgroups, special projects and leadership meetings. The Medical Records Specialist is responsible for the accurate and HIPAA-compliant processing, management, and maintenance of patient medical records within the Homecare Homebase (HCHB) Electronic Medical Record (EMR) system.
Utilization Review Nurse Coordinator (40 Hour)(Office/On-site) State of ConnecticutUtilization Review Nurse Coordinator (40 Hour)(Office/On-site)Hartford, CT$88,418–$119,486 / yearWORKING LEAD (REGULATORY): Coordinates workflow and determines priorities to assure highest quality of care with efficient utilization of available services; Schedules, assigns, oversees and reviews work; Establishes and maintains program protocols and procedures; Provides staff training and assistance; Conducts or assists in conducting performance evaluations; Acts as liaison with other operating units, agencies and outside officials regarding program policies and procedures; Prepares reports and correspondence; Assesses, evaluates and monitors documentation of all hospital disciplines when performing case reviews; Attends professional workshops, seminars and in-service training; May supervise Utilization Review Nurses and other staff engaged in review of medical records of individuals in state health care facilities for purposes of maximizing reimbursement revenue via Medicare Part B programs; May review medical records and compile documents for case presentations; May provide pre-certification for and coordination of inmates admitted to and discharged from acute care facilities; May lead an inspection team in IPR/UR and licensing review functions; May conduct entrance and exit interviews of care providers; May supervise and participate in hospital Medicare and Medicaid reimbursement programs including preparation of appeals on behalf of a facility relative to intermediate denials; May testify in court; May coordinate review and audit of occupational injury and/or disease disability cases for purpose of determining medical management, cost containment, peer review and rehabilitation; May notify acute care hospitals of scheduled utilization review including conducting second level review of cases and case referral to a physician consultant for final disposition; Performs related duties as required. ADVANCED WORKING LEVEL (INVESTIGATORY): Conducts complex investigations into allegations of abuse or neglect of individuals with an intellectual disability; Conducts complex investigations into cases where a death has resulted of an individual with an intellectual disability for whom the Department of Developmental Services has direct or oversight responsibility for medical care; Reviews medical care that was provided to individuals; Assists in the investigation to determine if the death is a result of abuse or neglect; Participates in the reviews of events, overall care, quality of life and medical care preceding a death; Works cooperatively with State and local police, States Attorneys and other protective services organizations; Interviews alleged victims, direct care providers, families and other potential witnesses; Prepares comprehensive, complex investigative reports; Maintains records and documentation; Reviews medical records for pertinent information related to investigations; May provide information and assistance to the Independent Mortality Review Board or Fatality Review Board for Persons with Disabilities; May testify in court proceeding; Performs related duties as required.
Lead Reviewing Physician Consultant (Bid) MaximusLead Reviewing Physician Consultant (Bid)Hartford, CTFull timeAfter completing all research, the physician must write a case rationale in the correct format that introduces the question at hand, summarizes the correct guideline, analyses the pertinent case details related to the guideline, and then make a final determination as to the medical necessity of the requested service. Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Mental Health Reviewing Consultant (Bid) MaximusMental Health Reviewing Consultant (Bid)Hartford, CTFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - After completing all research, the physician must write a case rationale in the correct format that introduces the question at hand, summarizes the correct guideline, analyses the pertinent case details related to the guideline, and then make a final determination as to the medical necessity of the requested service.
Alternate Vision Reviewing Physician Consultant (BID) MaximusAlternate Vision Reviewing Physician Consultant (BID)Bridgeport, CTFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Maintain working knowledge of Office of Personnel Management (OPM) medical and suitability policies and ensure all consultations reflect current clinical best practices, regulatory requirements, and program objectives.
Medical Case Manager Crawford & CoMedical Case ManagerHartford, CTul>Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual''s medical status, identifies needs and obstacles to medical case resolution and RTW by providing proactive case management services. Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual''s medical status, identifies needs and obstacles to medical case resolution and RTW by providing proactive case management services.
Medical Coding and Billing Assistant 1 Yale UniversityMedical Coding and Billing Assistant 1ConnecticutPerforms work queue resolution of medical billing charge sessions by reviewing clinical documentation to confirm diagnostic (ICD-10) and procedural (CPT/HCPCS) codes and modifiers, based on charge review edits for Yale Medicine patient clinical services filed to charge review work queues. Required Education and Experience Four years of related work experience, two of them in the same job family at the next lower level, and high school level education; or two years of related work experience and an Associate’s degree, or an equivalent combination of experience and education.
Medical Assistant/Administrative -Front Desk Yale New Haven HealthMedical Assistant/Administrative -Front DeskGreenwich, CTThe individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his or her age specific needs, and to provide the care needed as described in the unit's / area's/ department's policies and procedures. Participates in quality assurance monitoring of service, patient care and operational efficiency indicators, and follows up with appropriate interventions and problem solving as indicated in documentation review and by feedback from the health care team.
Lead Senior Medical Director DSNP CVS Health CorpLead Senior Medical Director DSNPCTRemote$184,112–$396,550 / yearp>Position Summary: Under the leadership and direction of the Executive Medical Director for Duals, the Lead Senior Medical Director provides strategic leadership and clinical oversight for complex populations-primarily DSNP/FIDE-and is responsible for leading a team of Senior Medical Directors/Medical Directors within the Center of Excellence (COE) Duals. This role drives medical management programs and policies that improve quality, cost, and outcomes across the continuum of care; integrates medical, behavioral, and social drivers of health; serves as a clinical and business liaison to internal teams, network providers, and state agencies; and ensures compliance, operational excellence, and superior member experience.
Medical Secretary Premier Medical Group of the Hudson Valley, PCMedical SecretaryNorth Haven, CTThis includes new consults which consist of entering all patient demographic information prior to the office visit and mailing out a packet of paperwork for the patient to fill out prior to the scheduled visit. The Medical Secretary provides assistance to the physician and the patients, which includes answering phones, preparing charts and scanning documents into the EMR system.
Behavioral Health Medical Director - AI Policy & Governance CVS Health CorpBehavioral Health Medical Director - AI Policy & GovernanceCT$174,070–$374,920 / yearRole summary: The Behavioral Health (BH) Medical Director (MD) for AI Policy & Governance provides clinical leadership to ensure artificial intelligence (AI)including predictive models and generative AIis designed, validated, implemented, and monitored in ways that are clinically sound, ethical, safe, compliant, and equitable. -Ensure equitable performance across populations (e.g., depending on how model was trained, training data may not always be representative), identify and mitigate algorithmic bias in care decisions; align AI deployment with organizational values and patient trust.
NewNurse Practitioner (Per Diem) ComplexCare SolutionsNurse Practitioner (Per Diem)Torrington, Connecticut$2,400–$10,000 / yearul>Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income. Ability to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making sound clinical decisions without direct on-site supervision.
RN Clinical Documentation Integrity - Putnam, CT Ensemble Health PartnersRN Clinical Documentation Integrity - Putnam, CTPutnam, CTRemoteEducates key healthcare providers such as physicians, nurse practitioners, allied health professionals, nursing and care coordination regarding clinical documentation improvement, documentation guidelines and the need for accurate and complete documentation in the health record. Works collaboratively with co-works and management to effectively resolve root cause issues that impact payor contracts, hospital operations, or departmental to maintain reimbursement and minimize appeal requests and/or denials.
RN Clinical Documentation Specialist - Ensemble Health Partners Day Kimball Healthcare IncRN Clinical Documentation Specialist - Ensemble Health PartnersCTp>Experience We Love: Minimum of five years acute care nursing experience with specific medical/surgical, Intensive Care, or Emergency Department experience Excellent interpersonal skills including excellent verbal and written communication skills; proficient in and demonstrate excellent physician relations Ability to organize and present information clearly and concisely; excellent computer and keyboarding skills; high degree of prioritization skills. Job Responsibilities: Completes initial patient medical record review within 24-48 hours of patient's admission; completes subsequent reviews of patient's medical record reviews every 24-48 hours and enters review findings in CDE software system Assigns Principal diagnosis, CC/MCC (complication and comorbidity/major complication and comorbidity), evaluate for Severity of Illness (SOI) and Risk of Mortality (ROM) on all patients while in-house.