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Clinical data associate • wilmington nc

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CLINICAL REIMBURSEMENT SPECIALIST

Liberty HealthWilmington, North Carolina, United States, 28403
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CLINICAL REIMBURSEMENT SPECIALIST.At Liberty Healthcare and Rehabilitation Services, we promote a challenging, but rewarding opportunity in a caring environment.We are currently seeking an experien...[internal_linking.show_more]

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Clinical Reviewer Registered Nurse (Remote)

MaximusWilmington, NC, US
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Essential Duties and Responsibilities: - Review requests for services including admission, discharges and continued stays for adherence to clinical criteria, state and federal policy, and related r...[internal_linking.show_more]

Retail Cleaning Associate

MarshallsWilmington, North Carolina, United States of America
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At TJX Companies, every day brings new opportunities for growth, exploration, and achievement.You’ll be part of our vibrant team that embraces diversity, fosters collaboration, and prioritizes your...[internal_linking.show_more]

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Clinical Consultant BCBA

COMP SERV HEALTH RESOURCES NORTH CAWilmington, NC, US
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BCBA Clinical Consultant (Part-Time).Clinical Director / Program Manager.The BCBA Clinical Consultant is responsible for providing oversight, supervision, and clinical support in the delivery of Ap...[internal_linking.show_more]

Clinical Pharmacist - PRN

Novant HealthWilmington, NC, United States
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The Pharmacy Vision is to deliver optimal medication management across all dimensions of care, every time, and that each Pharmacy employee understands how he or she contributes to the health system...[internal_linking.show_more]

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12-month Clinical Associate Professor, Master of Physician Assistant Studies

University of North Carolina WilmingtonWilmington, NC, US
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Brief Summary of Work for this Position.The Master of Physician Assistant Studies (MPAS) program, currently housed in the School of Social Work (SSW) within the College of Health and Human Services...[internal_linking.show_more]

Clinical Services Manager

Stanton OpticalWilmington, North Carolina, US
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Do you have a passion to train and coach team members to deliver a remarkable patient experience? Are you a role model and leader that advocates for your sales team? You will ensure that patients r...[internal_linking.show_more]

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Licensed Clinical Therapist (School Health)

New Hanover CountyWilmington, NC, United States
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New Hanover County Health and Human Services is seeking a Licensed Clinical Mental Health Professional to join our School Mental Health Program, supporting the emotional well-being and success of s...[internal_linking.show_more]

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Clinical Administrative Assistant

MedNorth Health CenterWilmington, North Carolina, United States
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Under the direction of the Chief Medical Officer, the Clinical Administrative Assistant assists in the daily operation of MedNorth Health Center (MNHC) clinic by providing the clinic with administr...[internal_linking.show_more]

Licensed Clinical Social Worker (LCSW)

AB Staffing SolutionsWilmington, North Carolina, United States
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Now hiring qualified Licensed Clinical Social Workers (LCSW) for Correctional Therapist/Counselor openings in North Carolina!.Weekly direct deposit every Friday.Benefits Available: Medical, Dental,...[internal_linking.show_more]

Licensed Clinical Manager

New H.O.P.E. CDCWilmington, NC, us
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CDC, we are a united team dedicated to selfless service and transforming lives through operational excellence.We are bridging entrepreneurial minds to cultivate potential to purpose.We believe in t...[internal_linking.show_more]

Licensed Clinical Social Worker

AB StaffingWilmington, NC, US
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Licensed Clinical Social Worker.Are you ready to explore new places while building your resume? At AB Staffing, we specialize in placing healthcare providers in facilities throughout the United Sta...[internal_linking.show_more]

Clinical RN Supervisor - Ambulatory Services

223 Aurora Medical Group, Inc.Olde Waterford Way,NC,Leland
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AMG Burlington Shared Services - General Administration.Schedule Details/Additional Information:.Supervises the day-to-day activities of non-physician staff, ensuring a high level of productivity.C...[internal_linking.show_more]

Clinical Director of Recovery Services

The Healing PlaceWilmington, NC, USA
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This position is responsible for the strategic leadership in the development and oversight of all Healing Place programs, and for educating the Healing Place Board and the public about Healing Plac...[internal_linking.show_more]

Licensed Clinical Social Worker / Associate / LCSW / Mobile Crisis

RHA Health ServicesWilmington, NC
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Licensed Clinical Social Worker / Associate / LCSW / Mobile Crisis.If you are a positive and personable individual looking for a satisfying and fun opportunity to make a real difference in the live...[internal_linking.show_more]

Clinical Site Supervisor

University of North Carolina WilmingtonWilmington, NC, United States
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The University of North Carolina Wilmington, the state's coastal university, is dedicated to the integration of teaching, mentoring, research and service.Widely acknowledged for its world-class fac...[internal_linking.show_more]

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Area Clinical Supervisor

New SeasonWILMINGTON, NC, US
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For over 30 years, New Season Treatment Centers have been a leading national health care service provider of outpatient treatment centers that specialize in providing safe, quality and best-in-clas...[internal_linking.show_more]

Clinical Field Educator, RN Required

WellCareWilmington, NC, United States
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Works under the supervision of the Director of Education.The primary responsibility of this position is to perform field staff education that ensures bedside competency to newly hired clinical empl...[internal_linking.show_more]

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BCBA - Clinical Supervisor

Maxim Healthcare ServicesWILMINGTON, North Carolina, United States
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Your expertise matters! Step into leadership as a BCBA Clinical Supervisor and enjoy autonomy, monthly bonuses, and CEU support.Start your next chapter in behavioral health today!.Clinical Supervis...[internal_linking.show_more]

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CLINICAL REIMBURSEMENT SPECIALIST

CLINICAL REIMBURSEMENT SPECIALIST

Liberty HealthWilmington, North Carolina, United States, 28403
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CLINICAL REIMBURSEMENT SPECIALIST

Liberty Cares With Compassion

At Liberty Healthcare and Rehabilitation Services, we promote a challenging, but rewarding opportunity in a caring environment.

We are currently seeking an experienced:

CLINICAL REIMBURSEMENT SPECIALIST

JOB SUMMARY:

  • Consults with assigned nursing facilities on a routine basis.
  • Monitors Medicaid Case Mix, Patient Driven Payment Model Metrics, Managed Care metrics and other payment metrics as indicated.
  • Facilities facility reviews to ensure that accurate coding of the MDS is completed in order to ensure maximum allowable reimbursement.
  • Conducts targeted site reviews for assigned facilities at least a semiannual basis. These reviews will include validating accuracy of coding and supportive documentation for various payer types.
  • Provides facility with a typed report of visits that provides a score indicating compliance with expectations.
  • Monitors the facility’s compliance with the standard policies and procedures implemented by Liberty Healthcare-Long Term Care.
  • Responds to questions by facility staff concerning the policies and procedures and RAI process.
  • Reviews and updates current policies and procedures according to federal/state requirements and current standards of practice.
  • Attends educational sessions pertinent to Long Term Care.
  • Assist with MDS as needed.
  • Works with other departments as needed to improve Quality of Care or to improve the process in which we conduct business.
  • Works with pharmacy, medical supply company and other vendors to evaluate MCA services provided in the facilities.
  • Assist new facilities in the implementation of Policies and Procedures.
  • Assist with orientation of new MDS Coordinators when needed.
  • Coordinates or participates in education sessions for the facilities such as DON meetings and new policy and procedure training.
  • Review MDS scheduler to ensure that facility MDS is current.

JOB REQUIREMENTS:

  • Must be a High School graduate
  • Must be a Registered Nurse, graduated from an accredited School of Nursing, and have a current, valid RN license from the Board of Nursing in the state of assignment and submit proof of license renewal every other year.
  • Willing to serve as MDS coordinator in a facility during vacancies in that position.
  • Dependable, flexible, and able to work and cooperate well with all nursing personnel, other departments and have understanding, patience, and tact in working with patients, families, doctors, and others.
  • Ability to make decisions regarding nursing problems.
  • Able to teach, instruct and direct orientation, continuing education, in-service as needed.
  • Must read, know, and follow personnel, department and Facility policies and procedures and adhere to local, state, and federal requirements.
  • Must have working knowledge of the rules and regulations related to Long Term Care.
  • Must have Long Term Care experience.
  • Extensive traveling to include overnight stays
  • Must have a neat professional appearance at all times.





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