Perform comprehensive medical record and claims reviews to make payment determinations for Medicare Part A services. Utilize coding principles and electronic databases to ensure departmental compliance with quality and ISO standards.
Remote Healthcare Jobs (12,051)
Job category = Healthcare
Perform comprehensive medical record and claims reviews to make payment determinations for Medicare Durable Medical Equipment. Utilize coding principles and electronic databases to ensure compliance with quality and production standards.
Supervising Physician – Dermatology (Remote)
Essen Medical Associates
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Full Time
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10 Weeks Ago
Essen Medical Associates
Provide remote clinical oversight and supervision for Dermatology Physician Assistants to ensure high-quality patient care and compliance with New York State regulations. Collaborate with PAs on treatment protocols and support clinical best practices through chart reviews and mentorship.
Conduct initial evaluations and develop collaborative treatment plans involving medication and therapy for clients. Provide ongoing monthly follow-ups and various modalities of talk therapy to achieve treatment goals.
The Assessment Coordinator manages the referral process, conducts patient assessments, and coordinates admissions for a mental health facility. They are also responsible for completing Core Measures (HBIPS) abstraction tools and handling insurance pre-certifications.
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Medical Science Liaison - Central
Dendreon Corporation
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Full Time
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10 Weeks Ago
Dendreon Corporation
The MSL engages in scientific exchange with experts in uro-oncology and immuno-oncology to provide technical information on PROVENGE. They are responsible for developing territory medical plans, gathering field insights, and supporting clinical trials.
ViiV Medical Science Liaison, Pacific Northwest (OR/WA/ID/AK)
ViiV Healthcare
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Full Time
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10 Weeks Ago
ViiV Healthcare
The MSL serves as a scientific expert in HIV treatment and prevention, engaging with healthcare providers to advance clinical practice and improve patient outcomes. They are responsible for gathering field insights to inform medical strategy and supporting clinical development activities.
The MSL serves as a scientific expert in HIV treatment and prevention, engaging with healthcare providers to advance clinical practice and improve patient outcomes. They are responsible for gathering field insights to inform medical strategy and supporting clinical development activities.
Design, build, and maintain scalable data pipelines within an Azure-based healthcare environment to enable interoperability and AI/ML use cases. Integrate complex data sources while ensuring data security, privacy, and governance standards are met.
Design, build, and scale data pipelines within an Azure-based healthcare environment to enable interoperability and AI/ML use cases. Integrate complex data sources and implement robust quality, validation, and monitoring frameworks.
Develop and implement medication therapy management programs, performing comprehensive medication reviews and action plans for members. Collaborate with clinical staff and providers to ensure evidence-based medication use and optimize patient outcomes.
Licensed Therapist (New York Licensure)
Kindbridge Behavioral Health
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Full Time
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10 Weeks Ago
Kindbridge Behavioral Health
Provide evidence-based teletherapy to individuals struggling with behavioral addictions and mental health challenges. Collaborate with a clinical team through case consultations and utilize a HIPAA-compliant platform for client care.
Lead and supervise a growing team of behavioral health providers to ensure high-quality, evidence-based pediatric care. Collaborate with operations to optimize clinical workflows, manage scheduling, and enhance the overall patient experience.
The Clinical Implementation Specialist leads the clinical planning, execution, and support for medical device and infusion pump implementations at healthcare facilities. This includes conducting workflow assessments, providing end-user training, and ensuring seamless integration with EMR systems.
Senior Clinical Research Associate (Oncology Experience Required) - UK (Remote) - FSP - REGISTER YOUR INTEREST
Parexel
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Full Time
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10 Weeks Ago
Parexel
The Senior CRA is responsible for ensuring data integrity, quality, and compliance with ICH GCP and local requirements at the site level. This includes conducting virtual and on-site monitoring, managing protocol deviations, and collaborating with Site Managers to ensure inspection readiness.
Provide virtual veterinary consultations for pet owners in Florida and other licensed regions. Collaborate with animal hospitals to support patient needs and alleviate the workload of brick-and-mortar practices.
Provide virtual veterinary consultations for pet owners in New York and other licensed regions. Collaborate with animal hospitals to support patient needs and alleviate the workload of brick-and-mortar practices.
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Director-Geriatric and Palliative Care-CAPC
Mount Sinai Health System
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Full Time
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10 Weeks Ago
Mount Sinai Health System
The Director serves as an internal subject matter expert and strategic leader for the Center to Advance Palliative Care. They are responsible for liaising with external audiences and communicating the organization's value proposition to partners and members.
Handle incoming and outgoing patient calls to resolve billing and account issues professionally. Perform insurance pre-verifications, process payments, and update patient accounts to ensure accurate revenue cycle management.
Build and manage a pipeline of experienced emergency veterinary clinicians through relationship-driven sourcing and networking. Partner with hospital leadership to align hiring with local culture and represent the brand at conferences and vet schools.
Associate Director, Medical Science Liaison - St. Louis/Indianapolis
Insmed Incorporated
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Full Time
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10 Weeks Ago
Insmed Incorporated
Build and maintain professional relationships with healthcare providers and researchers to provide scientific support for rare, pulmonary, and infectious diseases. Conduct scientific exchanges, present product data, and gather clinical insights to align with Medical Affairs plans.
Provide virtual veterinary consultations for pet owners in Florida and other licensed regions. Collaborate with animal hospitals to support patient needs and alleviate the workload of brick-and-mortar practices.
Manage complex medical billing and insurance cases from AI handoff to final resolution. Collaborate with Product and Engineering teams to improve internal playbooks and automate user workflows.
Partner with technical and project management consultants to optimize Epic systems, ensuring seamless integration and data migration. Provide guidance on Epic applications to improve hospital operations, financial outcomes, and user satisfaction.
Partner with technical and project management consultants to integrate and optimize Epic systems for healthcare clients. Focus on improving hospital operations and financial outcomes through system functionality and workflow enhancements.
Collaborate with cross-functional teams to optimize Epic systems and drive enterprise-wide digital transformation for healthcare clients. Provide technical expertise in EpicCare Inpatient modules to improve hospital operations, workflows, and patient outcomes.
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Partner with healthcare clients to deliver customized technical solutions and optimize Epic systems to improve clinical and financial outcomes. Lead cross-functional teams in workflow design, system upgrades, and stakeholder management to ensure alignment with strategic goals.
Behavioral Health Utilization Management Clinical Coordinator - Remote in Colorado preferred
UnitedHealth Group
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Full Time
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10 Weeks Ago
UnitedHealth Group
Responsible for processing Behavioral Health and Substance Use Disorder authorizations by applying medical necessity criteria and coordinating care for members. The role involves collaborating with medical directors on complex cases and managing transitions between levels of care.
Lead day-to-day data management activities for Phase 1b and Phase 2 clinical trials, ensuring data integrity and quality. Oversee CRO deliverables and collaborate with biostatistics and medical teams to manage database builds and locks.
Acts as the primary clinical resource for communities, providing direction to ensure nursing standards and regulatory compliance. Conducts QA audits, reviews quality indicator data, and mentors Wellness Directors to maintain a culture of safety.
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