Develops and supports technical capabilities to strengthen incident response and cyber resiliency across the enterprise. Responsibilities include monitoring alerts, investigating security threats, and maintaining SIEM and EDR platforms.
Carle Health
24 Remote Job Openings at Carle Health
Pre-Authorization Spec Team B- Must have Direct Pre Auth portal experience
Carle Health
·
Full Time
·
16 hours ago
Carle Health
The specialist identifies and processes prior authorization requirements for scheduled services using insurance portals and Epic. They communicate approvals or denials to providers and facilitate peer-to-peer reviews to reduce claim denials.
Provide remote radiology services including the interpretation of X-ray, CT, MRI, and US modalities. Work a night shift schedule to support the Radiology Department at Carle Foundation Hospital.
Provide remote radiology services including the interpretation of X-ray, CT, MRI, and US modalities. Work a night shift schedule to support the Radiology Department at Carle Foundation Hospital.
Coordinates the planning and implementation of clinical education and competency validation for radiology staff. Serves as a resource for orientation, policy development, and evidence-based practice to improve patient safety and quality outcomes.
RN -Utilization Management /Clinical Denial Management
Carle Health
·
Full Time
·
5 days ago
Carle Health
Oversee and manage functional and financial outcomes for hospitalized patients to ensure medical necessity and cost-effectiveness. Perform concurrent reviews of patient charts and collaborate with physicians to optimize resource utilization and patient throughput.
The specialist identifies and processes prior authorization requirements for scheduled and add-on services using insurance portals. They document results in Epic and communicate approvals or denials to providers to reduce claim denials.
The Medical Assistant provides direct patient care, including rooming patients, taking vitals, and assisting providers with minor orthopedic procedures. They are also responsible for maintaining clinic supplies and processing specimens accurately.
Oversee daily operations of a multidisciplinary eye department team to ensure quality, cost-effective care. Manage personnel duties including interviewing, performance evaluations, and budget monitoring while collaborating with leadership to ensure compliant operations.
RN - Clinical Documentation Integrity Specialist
Carle Health
·
Full Time
·
21 days ago
Carle Health
Performs inpatient chart reviews to ensure accurate DRG assignment and documentation of clinical care, severity of illness, and risk of mortality. Coordinates with medical staff and coders to identify diagnoses and manages the appeal process for DRG denials.
Neuroradiology/Emergency Radiology (Remote) - Physician
Carle Health
·
Full Time
·
a month ago
Carle Health
Provide remote daytime emergency and general radiology services with a specific focus on neuroradiology. Support a Comprehensive Stroke Center and Level I Trauma Center through diagnostic imaging and potential teaching/research opportunities.
Provide remote neuroradiology cross-sectional imaging services for a Comprehensive Stroke Center and Level I Trauma Center. Engage in teaching and research opportunities through the Carle Illinois College of Medicine.
Revenue Cycle Systems Analyst - Must have Epic Referrals experience /5k Sign on Bonus
Carle Health
·
Full Time
·
a month ago
Carle Health
The analyst implements, tests, and administers revenue cycle system applications, serving as a liaison between vendors and end-users. They are responsible for the maintenance of Epic modules, claims systems, and the development of customized application reports.
Manage the education and quality assurance processes for coding staff. Ensure accuracy and compliance in coding practices through oversight and training.
RN - Clinical Documentation Integrity Specialist
Carle Health
·
Full Time
·
a month ago
Carle Health
Performs inpatient chart reviews to ensure accurate DRG assignment and clinical documentation that reflects patient severity and risk of mortality. Coordinates with multidisciplinary teams to identify diagnoses and manages the appeal process for DRG denials.
The Director of Finance oversees the Foundation's accounting needs, including budgeting, financial statement preparation, and regulatory filings. They lead the accounting department, manage internal controls, and provide financial guidance to senior leadership.
Responsible for the accurate and timely coding of inpatient, outpatient, and professional fee encounters using ICD-10, CPT, and HCPCS systems. The role involves resolving billing edits, performing audits, and ensuring compliance with regulatory guidelines to optimize revenue.
Responsible for the accurate and timely coding of inpatient, outpatient, and professional fee encounters to ensure compliant billing. Acts as an expert resource for coding guidelines and performs audits to optimize revenue and maintain compliance standards.
Responsible for the accurate and timely coding of inpatient, outpatient, and professional fee encounters using ICD-10, CPT, and HCPCS systems. The role involves resolving billing edits, performing audits, and ensuring compliance with regulatory guidelines to optimize revenue.
Revenue Cycle Systems Analyst- Must have Epic HB Claims experience
Carle Health
·
Full Time
·
2 months ago
Carle Health
The Revenue Cycle Systems Analyst is responsible for implementing, modifying, testing, and administering revenue cycle system applications. They serve as a liaison between various stakeholders to resolve system functionality questions and recommend modifications.
HIM Cert Coder OP/Out Patient- Must have ED accounts experience
Carle Health
·
Full Time
·
2 months ago
Carle Health
Responsible for the accurate and timely coding of inpatient, outpatient, and professional fee encounters to ensure compliant billing. The role involves resolving billing edits, performing audits, and serving as an expert resource for coding guidelines.
Revenue Cycle Systems Analyst - Must have EPIC PB, build and configuration experience
Carle Health
·
Full Time
·
2 months ago
Carle Health
The analyst is responsible for implementing, testing, and maintaining Epic modules and other systems related to the revenue cycle and billing. They serve as a liaison between vendors and end-users to resolve functionality issues and develop customized application reports.
The Vice President of Pharmacy coordinates pharmaceutical care across all inpatient and outpatient facilities, establishing the scope of services and strategic plans. They oversee pharmacy budgets, supply chain strategies, and ensure compliance with accreditation standards and 340B regulations.
Vice President, Finance - Central & South Region
Carle Health
·
Full Time
·
3 months ago
Carle Health
The Vice President of Finance oversees all financial operations, budgeting, and strategic planning for the Central and South regions of Carle Health. They collaborate with regional leadership to drive revenue growth, improve operating margins, and ensure compliance with healthcare regulations.
