Auditing claims for medically appropriate services provided in both inpatient and outpatient settings while applying appropriate medical review guidelines, policies and rules. Document all findings referencing the appropriate policies and rules. Generate letters articulating audit findings. Supporting your findings during the appeals process if requested. Working collabor

Follows protocol to ensure the health and welfare of the animals in care Coordinate order details to include selection, packaging and confirming accuracy Keeps accurate records of breeding, feeding, cleaning and care of animals Maintains responsibility for sanitation of the animal buildings, cages and support areas Qualifications This position could be offered at differen

We provide our utility clients with a wide range of energy saving and renewable energy solutions. From individual utility customers and construction contractors, to utilities, municipalities, and government bodies, our clients have come to depend on our customized energy efficiency programs to help them to meet their energy saving goals. The Regional Safety Lead is primar

Medical Case Manager CA Requisition ID 2024 24841 Job Locations US CA Modesto Position Type Regular Full Time Category Medical Case Management Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary Great Work Life Balance! Monthly Bonus Program! Free CEU's for licenses and certificates License and national certification reimbursement This is a work fr

Licensed Vocational Nurse (LVN) Since 1852, Elwyn has helped people with autism, intellectual, developmental, and behavioral challenges lead meaningful lives. As an internationally recognized nonprofit human services organization, we have always been on the forefront of innovation. Please join us to make a difference in the life quality of children, teens and adults with a

include but at not limited to Delivers superior environmental, health, and safety leadership to ensure no accidents, no harm to people, and no damage to the environment. Ensures compliance to all permit requirements Provide leadership and coaching to effectively manage personnel to execute tasks required to deliver against the business objectives for the operation Provide

Responsible for the review and update of existing concepts based upon required periodic review cycle or as needed based upon client or regulatory changes (research, analysis, update rule documents, code lists and edits accordingly). Collaborates with and leverages Segment Specialist expertise to ensure on point results. Ensure training material updates (may develop or coo

Requisition Number 92280 City Stockton Shift 2nd Shift with week ends External Description Are you looking for an opportunity to advance your career while working with an extraordinary team? At Merakey, we put heart and soul into everything we do. We are seeking Direct Support Professionals (DSP) to join our team at our program in Stockton, CA . If you are a Caregiver, Di

Company Description Chamberlain University has a 130 year history and the mission to educate, empower, and embolden diverse healthcare professionals who advance the health of people, families, communities, and nations. We're 99,000 strong, with 31,000 students and 68,000 alumni armed with the skills, passion, and determination to make a difference in today's complex health

Home Training RN American Renal Associates (ARA) is looking for a motivated registered nurse who is looking to empower their patients through education and encouragement. With your program solving and critical thinking skills, you will have the chance to give your patients the capacity to perform their dialysis treatments at home and offer them a chance to be in charge of

Chart Retrieval Specialist Job Locations US CA Stockton Requisition ID 2024 36202 # of Openings 1 Category (Portal Searching) Medical Records Position Type (Portal Searching) Employee Part Time Equal Pay Act Minimum Range $17.00 per hour Overview Who we are... Datavant protects, connects, and delivers the world's health data to power better decisions and advance human hea

This position is responsible for establishing policies and delivering safety training and education that will create and maintain a safe workplace. Evaluates, assesses, and alters safety procedures and policies for the benefit of employees. Understand requirements and maintain correct environmental permitting for environmental requirements while identifying and supporting

and Duties Duties and responsibilities may include, but are not limited to, the following Conduct and organize classes at the instructional level to meet the educational requirements stated in the course description and the course information outlines. Advise and assist students in achieving stated course objectives and student learning outcomes. Evaluate the progress of e

The Program Administrator will have the overall administrative and supervisory responsibility and case management coordination and oversight for the 24/7 operations of two 962 residential homes. Responsible for ensuring that any suspicion of or knowledge of suspected abuse is reported in accordance with the law and program policies. "Mandated Reporter" (SOC 341). Has over

Prepares and dispenses medication orders. Maintains and evaluates patient profile and comprehensive drug data file to evaluate orders for any incompatibilities. Checks all orders for completeness of information. Verifies patient information and proper physician authorization. Checks all orders for insurance approval before admixing. Admixes drugs as ordered by physician i