NewUtilization Review Nurse RN - Grace Medical Center LifeBridge HealthUtilization Review Nurse RN - Grace Medical CenterBaltimore, MD$40.12–$62.19 / hourREQUIREMENTS: Current RN license in MD (or Compact State as applicable) Associate‘s Degree in Nursing required; BSN or higher preferred Minimum of 3 years of experience; 5+ years of experience preferred Additional Information Who We Are: LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to “improve the health of people in the communities we serve.” Assists nurse Care Managers in communicating with the patient denied hospital days as well as the issuance of Medicare forms including HINN, Detailed Notice of Discharge to patients/family/significant other when they are in disagreement with the discharge plan arranged by attending and Care Management personnel.
NewUtilization Review Nurse RN - NE LifeBridge HealthUtilization Review Nurse RN - NERandallstown, MD$40.12–$62.19 / hourAssists nurse Care Managers in communicating with the patient denied hospital days as well as the issuance of Medicare forms including HINN, Detailed Notice of Discharge to patients/family/significant other when they are in disagreement with the discharge plan arranged by attending and Care Management personnel. Support: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support — improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license.
NewUtilization Review Nurse RN LifeBridge HealthUtilization Review Nurse RNRandallstown, MD$40.12–$62.19 / hourSends appropriate referrals/escalations to the physician advisors to review cases not met with criteria REQUIREMENTS: Registered Nurse License - Current Maryland license or eligibility to obtain Maryland license Associate‘s Degree in Nursing required; BSN or higher preferred Minimum of 3 years of related experience. Assists nurse Care Managers in communicating with the patient denied hospital days as well as the issuance of Medicare forms including HINN, Detailed Notice of Discharge to patients/family/significant other when they are in disagreement with the discharge plan arranged by attending and Care Management personnel.
ROI Medical Records Specialist MRO CorporationROI Medical Records SpecialistLancaster, Pennsylvania$16–$22 / hourFull timeResponsibilities: 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. Overview: The ROI Specialist is responsible for providing support at a specified client site for the Release of Information (ROI) requests for patient medical record requests*.
Medical Review Officer (MRO) - Bid MaximusMedical Review Officer (MRO) - BidAberdeen, MDFull 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.
Clinical Quality Review Team Lead TriWest Healthcare AllianceClinical Quality Review Team LeadBaltimore, MDRemoteFull timeThe team lead supports clinical and non-clinical staff supporting CQM programs by providing training and onboarding of new staff; determining work assignments; performing audits for clinical records and/or work accuracy; and ensuring effective, consistent and accurate workflow. Technical Skills: Comprehensive knowledge of research methodology; proficient applying appropriate data analysis processes; knowledge of managed care principles and methods; knowledge in the application of clinical criteria; proficient with Microsoft Word, Excel, and PowerPoint.
Utilization Review Nurse RN - NE Sinai Hospital of BaltimoreUtilization Review Nurse RN - NERandallstown, MDAssists nurse Care Managers in communicating with the patient denied hospital days as well as the issuance of Medicare forms including HINN, Detailed Notice of Discharge to patients/family/significant other when they are in disagreement with the discharge plan arranged by attending and Care Management personnel. Support: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support - improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license.
HIM Records Technician Chase Brexton Health Services IncHIM Records TechnicianBaltimore, MDSKILLS AND ABILITIES: • Must possess excellent interpersonal skills • Basic understanding of HIPAA and PHI • Navigational knowledge of electronic medical health applications • Must have good time management skills, organized, self-motivated • Possess good written, verbal, and interpersonal communication skills • Maintain a high level of productivity and confidentiality • Work well in a team environment. • Manage patient records, initiates and replies to patient records requests documents for billing and/or legal services, manages duplicate charts, updates status changes for patients who are deceased or no longer with the organization, sends and receives information via facsimile machine or email, complies with all laws pertaining to HIPPA regulations.
Coding Quality Review Specialist -Inpatient (CCS Required) MedStar HealthCoding Quality Review Specialist -Inpatient (CCS Required)Maryland$31.28–$56.39 / hourFull timeResponsibility includes validating ICD-10-CM/PCS codes by examining medical record documentation the assignment of present on admission (POA) indicators and discharge disposition status. Queries the medical staff and other caregivers as necessary to obtain accurate and complete physician documentation that supports the severity of the patient illness and risk of mortality.
Associate Data Review Scientist Eurofins Scientific SEAssociate Data Review ScientistLancaster, PAReview simple and complex routine and non-routine data (for three or more areas) according to departmental, corporate, and client SOPs; read and understand analytical procedures; ensure all work is performed according to GLP/GMP requirements and apply GLP/GMP in all areas of responsibility as appropriate. Review simple and complex routine and non-routine data (for three or more areas) according to departmental, corporate, and client SOPs; read and understand analytical procedures; ensure all work is performed according to GLP/GMP requirements and apply GLP/GMP in all areas of responsibility.
Scientist: Data Review Eurofins Scientific SEScientist: Data ReviewLancaster, PAIt is one of the market leaders in certain testing and laboratory services for genomics, discovery pharmacology, forensics, advanced material sciences and in the support of clinical studies, as well as having an emerging global presence in Contract Development and Manufacturing Organisations. Eurofins Scientific is an international life sciences company, providing a unique range of analytical testing services to clients across multiple industries, to make life and our environment safer, healthier and more sustainable.
LE RECORDS SPECIALIST Harford County, MDLE RECORDS SPECIALISTMDJob Description Summary: The Law Enforcement Records Specialist serves as central control point for data entry, compiling, controlling, and coordinating criminal warrants, criminal summons, domestic protective orders, police reports, arrest case files, gambling licenses, and expungements. Record Specialists are responsible for entering stolen property, warrants, protective orders and missing persons into the National Crime Information Center (NCIC) database.
Lead Reviewing Physician Consultant (Bid) MaximusLead Reviewing Physician Consultant (Bid)Baltimore, MDFull 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)Baltimore, MDFull 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)Baltimore, MDFull 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.
Senior Review Appraiser Baltimore County MarylandSenior Review AppraiserTowson, MD$60,729–$69,269 / yearEmployees of Baltimore County Public Schools, Baltimore County Public Library, Baltimore Countys court systems or Baltimore County Community College and employees of temporary services used by the County are not considered employees of the Baltimore County General Government. Under general supervision of the County Attorney, Deputy County Attorney, Assistant County Attorney, Office Manager or designee(s), serves as technical lead in the review of appraisals to ascertain equitable property prices and values for the purpose of the acquisition and disposal of real property; and does related work as required.
Medical Billing/Coding and Coordinator Faculty Practice Position Control Number MB-26-700-01 U M FDSP Associates PAMedical Billing/Coding and Coordinator Faculty Practice Position Control Number MB-26-700-01Baltimore, MD$27 / hourA medical billing coordinator will ensure the appropriate appointments are made for the specialty providers, verifying insurance and making sure the appropriate referrals are attached to the visits, handle pre-authorizations for physical therapy, prescriptions and radiology requests (MRI & CBCT), and ensure all pre-operative results are received prior to surgery dates. Key responsibilities include managing electronic records, verifying insurance, following up on denied claims, and maintaining patient data confidentiality while collaborating with both patients and insurance providers.
Medical Scribe - Float CVS Health CorpMedical Scribe - FloatYork, PA$17–$28.46 / hourRole Description: At Oak Street Health, Clinical Informatics Specialists (CIS), or Medical Scribes, serve as vital clinical documentation assistants, supporting our primary care providers. Their contributions allow our interdisciplinary team to proactively identify and help close care gaps, provide preventative measures for chronic conditions, and provide great patient experiences.
Nurse Practitioner (Per Diem) ComplexCare SolutionsNurse Practitioner (Per Diem)Dundalk, Maryland$2,400–$10,000 / yearPer diemAbility 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. 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.
Physician Lead - Geriatric Primary Care HarmonyCaresPhysician Lead - Geriatric Primary CareYork, PennsylvaniaResponsibilities: The Medical Pod Leader will be the clinical leader responsible for the clinical performance of clinical pod team members – to include: Accurate diagnosis and documentation, quality, patient experience, affordability, patient safety, clinical team dynamics, and provider productivity. Collaborate with clinical team members associated with pod (Community Health Workers, Medical Social Workers, Nurse Navigators, Care Managers, Patient Care Coordinators, etc.).
Physician Lead - Geriatric Primary Care HarmonyCares.Physician Lead - Geriatric Primary CareLancaster, PAResponsibilities The Medical Pod Leader will be the clinical leader responsible for the clinical performance of clinical pod team members - to include: Accurate diagnosis and documentation, quality, patient experience, affordability, patient safety, clinical team dynamics, and provider productivity. Collaborate with clinical team members associated with pod (Community Health Workers, Medical Social Workers, Nurse Navigators, Care Managers, Patient Care Coordinators, etc.).
Front Desk Team Member ChenMedFront Desk Team MemberEdgewood, MarylandUtilizes computer equipment and programs to add new patient information, prints out relevant forms for processing, schedule appointments, respond to emails and generate New Patient packets. Regulates and monitors aspects of transportation, including: Driver’s lists/patients, medication deliveries, grocery deliveries, driver’s behavioral challenges, scheduling and coordinating Uber/Lyft rides for patients.
Hospital Donation Coordinator 1 Infinite Legacy IncHospital Donation Coordinator 1Baltimore, MDAs required, makes frequent on-site hospital visits to meet with hospital staff during scheduled appointments and informally, performs daily checks on donation activity for HS related information, adjusts hospital visits for presence on units to support donation activity, presents donation-related in-services, holds meetings, consistently updates donation-related resource areas in hospitals, and resolves problems while maintaining a positive professional profile as a representative of Infinite Legacy within the institutions. Regularly provides the following services: formal and informal education; purposeful rounding; donation education in staff meetings, hospital skills days and/or learning management system; real-time education during donation activity; and materials, created or revised, as needed.