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

s of the proposed study. Coordinate statistical and scientific consultation from CIF staff. Develop an individualized timeline for each protocol. Complete the necessary documents for approval, including the informed consent, recruitment materials, and data collection forms. Coordinate administrative, IRB, and/or IACUC (Institutional Animal Care and Use Committee) approval

As an Admission Coordinator, you'll play a crucial role in this transformation by helping qualified individuals make their dreams a reality. Our commitment to our students goes beyond their enrollment; we provide continuing support and guidance throughout their educational journey. Why Concorde? Impact Lives Your work will directly impact students, helping them achieve th

Responsibility to coordinate clinically complex patient's care across a continuum; ensuring and facilitating the achievement of quality clinical and cost outcomes, negotiating, procuring and coordinating appropriate services and resources needed by the patients, and at key points, intervening to address and resolve issues/concerns in assigned facility. Key in ensuring app

Are you looking for a meaningful role in behavioral health and have the desire to work with an organization that puts people first? If you have a passion for helping others along their recovery journey, then we invite you to join our Crestwood family! For more than 50+ years Crestwood has been committed to creating innovative recovery programs and developing compassionate

LVN Licensed Vocational Nurse Category Nursing Healthcare Job Locations US CA Castro Valley | US CA Sunol | US CA Pleasanton Type Full Time About Us Newport Healthcare is a nationwide behavioral healthcare organization dedicated to transforming young lives through evidence based care. To that end, we have assembled the best teen and young adult mental health treatment sta

The Housing Services Departmen t assists families to secure housing through housing search assistance, move in financial assistance, eviction prevention, rental subsidies, and home based case management. The Case Manager (Stability) is responsible for providing case management to families during their participation in the rental subsidy program that pulls from service mod

Registered Nurse (RN) Family Practice ID 2024 22016 Category Registered Nurse specialties Primary Care Facility DOD / MTF California Travis Air Force Base Job Description Spectrum Healthcare Resources has an excellent opportunity for an Full time Primary Care Registered Nurse at Travis AFB in Fairfield, CA Are you a dedicated Primary Care Registered Nurse eager to make a

This role supports the U.S. Department of Veterans Affairs in conducting assessments for Veterans leaving military service or applying for disability benefits from the VA. The Advanced Practice Provider will perform face to face, in clinic assessments/evaluations with Veterans to complete the required Disability Benefits Questionnaire (DBQ) for submission to VA for eligib

Shift Options Day/Evening/NOC & Shift 1, 2 & 3 Do you have a passion to serve Seniors? More importantly, do you want to know that every day you are making a difference in a resident's life? Then come join our team! Great Place to Work Certified come make it greater!! So many perks and programs!! Employee Perks, Programs, and Benefits Flexible Scheduling In most cases, we

At HearingLife, we're committed to empowering our Team Members to excel in their roles from day one. We believe in providing a comprehensive onboarding program designed to equip individuals with the knowledge and skills necessary for success. As a leader in the hearing healthcare industry, we pride ourselves on fostering a supportive and collaborative work environment whe

Under close supervision, the Case Manager provides support and structure to youth in developing program plans by managing a caseload and administering the policies and procedures of the program as directed by the contracting agency and the Program Manager. Learns, uses and models the principles of the "What Works" system through evidence based practices in all interaction

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

Vantage is seeking a highly organized, self starting, and proactive Project Coordinator to drive core project management and coordination efforts across a wide spectrum of projects within the New Site Development and Utility Teams. This person will provide a key role in identifying and progressing data center developments from inception to construction shovel ready. This

Registered Nurse Job Locations US CA Berkeley ID 2023 5487 Overview LifeLong Medical Care has an amazing opportunity for a highly motivated Registered Nurse to join our multidisciplinary team providing exceptional primary care services at our West Berkeley Family Practice Health Center (WBFP) . The ideal candidate must be dedicated to providing high quality primary care t