Program Integrity Investigator (Healthcare Fraud Waste & Abuse) TriWest Healthcare AllianceProgram Integrity Investigator (Healthcare Fraud Waste & Abuse)Charleston, SCRemoteFull timeComplies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).
Home Health Clinical Services Coordinator (MCP Assistant) Interim HealthCareHome Health Clinical Services Coordinator (MCP Assistant)North Charleston, South CarolinaWorking alongside the Manager of Clinical Practice (MCP), Intake, and clinical staff, you'll help coordinate patient admissions, physician orders, specialty programs, and ongoing clinical workflows to ensure patients receive exceptional care from the very beginning of their home health journey. As a Home Health Clinical Services Coordinator (MCP Assistant) at Interim HealthCare®, you will play a vital role in supporting the clinical operations of our home health team.
Home Health Clinical Services Coordinator MCP Assistant Interim HealthCare IncHome Health Clinical Services Coordinator MCP AssistantNorth Charleston, SC$25–$28 / hourWorking alongside the Manager of Clinical Practice (MCP), Intake, and clinical staff, you'll help coordinate patient admissions, physician orders, specialty programs, and ongoing clinical workflows to ensure patients receive exceptional care from the very beginning of their home health journey. As a Clinical Services Coordinator, here's a big-picture view of what you'll do: Support the Manager of Clinical Practice (MCP) and Intake team with daily clinical operations and workflow coordination.
Home Health Clinical Services Coordinator (Mcp Assistant) Interim HealthcareHome Health Clinical Services Coordinator (Mcp Assistant)North Charleston, SC$25–$28 / hourWorking alongside the Manager of Clinical Practice (MCP), Intake, and clinical staff, you'll help coordinate patient admissions, physician orders, specialty programs, and ongoing clinical workflows to ensure patients receive exceptional care from the very beginning of their home health journey. As a Clinical Services Coordinator, here's a big-picture view of what you'll do: Support the Manager of Clinical Practice (MCP) and Intake team with daily clinical operations and workflow coordination.
Nurse Practitioner PRN Patient Connect: Charleston County - SC UnitedHealth Group IncNurse Practitioner PRN Patient Connect: Charleston County - SCCharleston, SC$90–$155 / hourOptum Senior Community Care provides the Patient Connect Program for United Healthcare members in a short stay/transitional setting with focus on reduction in 30-day hospital readmissions, improved completeness and coding accuracy of diagnosis and medical record documentation, increased closure of STAR/HEDIS quality measures, improved completion rates of Advanced Care Planning Directives, and improved patient and family satisfaction and discharge and post discharge support. The fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount.
Infusion Nurse oneOncologyInfusion NurseMount Pleasant, SCActs as part of a multidisciplinary team to provide continuity of care throughout various stages of treatment and follow-up including, but not exclusive to providers, social work, dietician, integrative medicine, pharmacy, navigators, laboratory, radiation therapy, genetics, and clinical research. Job Description: The Infusion Nurse is responsible for delivering exceptional and empathetic care to patients while administering Physician orders of chemotherapy/biotherapy regiments.
Physical Therapy Assistant Your Health OrganizationPhysical Therapy AssistantMount Pleasant, SCWe are a leading physician group serving South Carolina and Georgia, and Florida dedicated to delivering quality healthcare directly to patients in care facilities, homes, clinics, and virtual visits. As well as developing individualized treatment plans, instruct and assist patients in performing therapeutic exercises and activities, monitor patients during therapy sessions, providing guidance and support as needed.
Community Health Worker - PRN Your Health OrganizationCommunity Health Worker - PRNSummerville, SCThe Community Health Worker (CHW) serves as a vital link between patients, healthcare services, and community resources, ensuring seamless access to care and improving the quality-of-service delivery. We are a leading physician group serving South Carolina and Georgia, dedicated to delivering quality healthcare directly to patients in care facilities, homes, clinics, and virtual visits.
Clinical Coordinator - Facilities CMA, LPN, RN Your Health OrganizationClinical Coordinator - Facilities CMA, LPN, RNMount Pleasant, SCThis position involves proficient chart preparation, communication, scheduling of patient visits, appropriate utilization and logging of chronic care management activities, and provider and patient support. We are a leading physician group serving South Carolina and Georgia, dedicated to delivering quality healthcare directly to patients in care facilities, homes, clinics, and virtual visits.
NewCommunity Health Worker Your Health OrganizationCommunity Health WorkerMount Pleasant, SCThe Community Health Worker (CHW) serves as a vital link between patients, healthcare services, and community resources, ensuring seamless access to care and improving the quality-of-service delivery. We are a leading physician group serving South Carolina and Georgia, dedicated to delivering quality healthcare directly to patients in care facilities, homes, clinics, and virtual visits.
Nurse Coordinator - CTEPH and Pulmonary MUSCNurse Coordinator - CTEPH and PulmonaryCharleston, South CarolinaDuties to include complex ambulatory appointment scheduling including but not limited to multimodality testing for both cardiac and pulmonary diseases, right heart catheterization, left heart catheterization, cardiac MRI, stress testing, invasive exercise testing, ventilation/perfusion scanning, CT angiography, pulmonary angiography in the catheterization laboratory, pulmonary function testing, 6 minute walk testing, echocardiography and ambulatory provider clinic evaluation; maintaining and updating medical records, triage patient communications to the appropriate provider, follow up to ensure continuity of care across provider care teams and timeliness of appointment scheduling. 35% - Complex ambulatory appointment scheduling including but not limited to multimodality testing for both cardiac and pulmonary diseases, right heart catheterization, left heart catheterization, cardiac MRI, stress testing, invasive exercise testing, ventilation/perfusion scanning, CT angiography, pulmonary angiography in the catheterization laboratory, pulmonary function testing, 6 minute walk testing, echocardiography and ambulatory provider clinic evaluation; maintaining medical records, triage patient communications to the appropriate provider, follow up to ensure continuity of care across provider care teams and timeliness of appointment scheduling.
Front Desk Receptionist oneOncologyFront Desk ReceptionistSummerville, SCAdditional responsibilities may be assigned to help drive our mission of delivering high-quality and compassionate cancer care in our community, for our community, and by oncologists who live in our community. Job Description: The Front Desk Receptionist is responsible for greeting and directing patients and visitors following HIPAA and company policies, providing clinic and appointment information, and communicating among departments.
NewLPN PACS GroupLPNCharleston, South CarolinaDevelop and maintain a good working rapport with inter-departmental personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. • Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded.
Collaborating Family Medicine Physician - South Carolina Sprinter Health IncCollaborating Family Medicine Physician - South CarolinaCharleston, SCSprinter Health is an on-demand mobile health service that sends medical professionals to patients' homes to perform blood draws, diagnostic and low acuity services, and wellness visits. We have a rapidly growing team of visionary leaders who are passionate about increasing access to care, lowering healthcare costs, and improving outcomes for patients.
LPN PACS Group IncLPNedisto, SC$30–$34 / hourDevelop and maintain a good working rapport with inter-departmental personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded.
LPN (PRN/PT) PACS Group IncLPN (PRN/PT)Charleston, SC$32–$36 / hourDevelop and maintain a good working rapport with inter-departmental personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded.
LPN (FT) PACS Group IncLPN (FT)Charleston, SCDevelop and maintain a good working rapport with inter-departmental personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded.
LPN Part Time PACS Group IncLPN Part Timeedisto, SC$30–$34 / hourDevelop and maintain a good working rapport with inter-departmental personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded.
LPN (Ft) PACSLPN (Ft)Charleston, SC$32–$36 / hourDevelop and maintain a good working rapport with inter-departmental personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded.
LPN PACSLPNEdisto, SC$30–$34 / hourDevelop and maintain a good working rapport with inter-departmental personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded.