The RN Navigator advocates for patients by facilitating the diagnosis and treatment process through assessment, planning, and implementation of care. They serve as a liaison between patients and multi-disciplinary healthcare providers while providing essential education and resources.
Carle Health
21 Remote Job Openings at Carle Health
The role focuses on providing utilization management services for an adolescent psychiatric inpatient unit to ensure cost-effective and clinically appropriate care. Key duties include reviewing admissions, coordinating discharge plans, and collaborating with payors to maximize reimbursement.
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.
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.
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.
Neuroradiology/Emergency Radiology (Remote) - Physician
Carle Health
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Full Time
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7 days 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.
Revenue Cycle Systems Analyst - Must have Epic Referrals experience /5k Sign on Bonus
Carle Health
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Full Time
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7 days 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.
Oversees the 24/7 Patient Advisory Nurse call center and manages clinical operations within the Patient Contact Center. Responsibilities include staffing management, personnel actions, budget monitoring, and the development of department policies and competencies.
RN - Clinical Documentation Integrity Specialist
Carle Health
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Full Time
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11 days 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.
The Clinical Staff Pharmacist provides direct patient care by monitoring medication prescribing and administration and conducting medication reconciliations. They also collaborate with physician groups to develop clinical guidelines and supervise pharmacy technicians in dispensing medications.
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
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Full Time
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a month 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
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Full Time
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a month 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
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Full Time
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a month 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.
HIM Cert Coder/Quality Review Analyst OP Team A
Carle Health
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Full Time
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2 months ago
Carle Health
This role performs quality reviews of internal and vendor coding teams to ensure compliance and accuracy in medical billing. The analyst also manages coding-based denials, provides staff education, and assists with the onboarding of new coders.
Vice President, Finance - Central & South Region
Carle Health
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Full Time
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2 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.