704 rcm manager jobs found

Planned Parenthood of Orange and San Bernardino Counties has a full-time opportunity for a Revenue Recovery Analyst in Anaheim, CA. The Revenue Recovery Analyst identifies, collects, and determines root causes of underpaid claims by auditing payor performance and analyzing actual payments of payors to ensure contract compliance, which is operationally critical and sensitive in nature. The Revenue Recovery Analyst will support the RCM collection team with training and escalated claim follow-up. The Revenue Recovery Analyst performs payment variance deep dive and review activities related to the incorrect processing of claims across PPOSBC. This position will focus on the resubmission, reprocessing, and correcting of denied or rejected/exhausted insurance claims (2nd Level) as well as all high-volume facilities, top payors, and high-level, complex claim issues. At PPOSBC, we understand the importance of a well-rounded benefits program and are dedicated...

STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING! Strategic Staffing Solutions is currently looking for a Software Engineer for a W2 contract opportunity with one of our largest clients! Candidates should be willing to work on our W2 ONLY. Job Title: Software Engineer- NICE/Actimize Job # :237633 Role Type : W2 only. Duration: 12 months Location : SUMMIT NJ W2 hourly: 75$ per hour Schedule: Hybrid Key Skills: • 2+ Experience using NICE Actimize Case Management solution development (ActOne / RCM) • 1+ years of hands-on experience of Act One/RCM Java plugin development • 2+ years of experience writing code in Java application and knowledge of Java memory mode • 4+ years of SQL. • 1+ years of cloud experience such as AWS, Azure, PCF etc. POSITION SUMMARY: Consult on complex initiatives with broad impact and large-scale planning for Software Engineering. Review and analyze complex multi-faceted, larger scale or longer-term Software...

Remote, Nationwide - Seeking Office Assistant Everybody Has A Role To Play In Transforming Healthcare At Vituity you are part of a larger team that is driven by our purpose to improve lives. We are dedicated to transforming healthcare through our culture by working together to tackle healthcare's most pressing challenges from the inside. Join the Vituity Team. At Vituity we've cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call "culture of brilliance." Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done. Vituity Locations: Vituity has opportunities at 475 sites...

Ready to be part of something special? Join our Family! Responsibilities: Ensure the safety of all employees and plant working conditions.   Assist in training and developing all maintenance personnel, i.e. compliance with MOSHA standards. Advise Maintenance Manager of all critical issues and assist in advanced planning to prevent problems. Manage and direct the workload of all plant mechanics. Staff, train and develop personnel as required to maintain the plant and equipment. Work with management to ensure compliance with all State and Federal environmental regulations. Work with management to meet all Company and plant goals. Work with Maintenance Manager to maintain the plant budgets for Maintenance labor, parts and repair spending, and maintenance of facility and grounds. Develop and manage the annual overhaul process. Develop preventative maintenance task lists. Utilize materials and labor in a manner to keep costs at a minimum.  Approve overtime. Ensure...

Description: Role and Responsibilities Sunbelt Medical Management is a management service organization offering back-office support, contracting & credentialing, and financial analysis for our clients. Sunbelt is a multi-specialty medical management and billing group with clients across all 50 states focused on bringing greater efficiency to healthcare revenue cycle management. Our goal is simple: To change the face of healthcare by creating efficiencies between providers, and their patients and the payers directly. The Revenue Cycle A/R Manager is responsible for outstanding accounts receivable activities for several client accounts managed by the organization. They are responsible for analyzing performance metrics and act as a liaison for 3rd party billing, and work with the leadership team. Qualified candidates have 3 years of RCM leadership experience with extensive knowledge of the medical billing and collections process including patient registration,...

Reports to: Director of Nursing Full Wage Range: $40 - $58 USD per hour depending on experience and education. Schedule: Day Shif600am - 200pm Saturday - Wednesday Full Job Description: A Registered Nurse (RN) provides care to residents in a skilled nursing center, under the direction of the Director of Nursing Services (DNS) and as prescribed by the physician, by assessing resident needs, administering medications and treatments, providing direction to care staff, partnering with members of the care team to achieve positive resident care outcomes, and in compliance with clinical policies and procedures, nursing practices, and local, state, and federal regulations. Essential Duties: Performs assessments of residents, documents, and notifies Resident Care Manager (RCM), DNS, and/or physician of changes of condition and reaction to medications, treatments, and significant incidents. Takes temperature, pulse, blood pressure, and other vital signs, performs...

Reports to: Director of Nursing Full Wage Range: $40 - $58 USD per hour depending on experience and education. Schedule: PRN On Call as Needed Full Job Description: A Registered Nurse (RN) provides care to residents in a skilled nursing center, under the direction of the Director of Nursing Services (DNS) and as prescribed by the physician, by assessing resident needs, administering medications and treatments, providing direction to care staff, partnering with members of the care team to achieve positive resident care outcomes, and in compliance with clinical policies and procedures, nursing practices, and local, state, and federal regulations. Essential Duties: Performs assessments of residents, documents, and notifies Resident Care Manager (RCM), DNS, and/or physician of changes of condition and reaction to medications, treatments, and significant incidents. Takes temperature, pulse, blood pressure, and other vital signs, performs assessment of skin, and...

Job Description Company Summary If you have taken a moment to unwind with a bottle of beer, toast with glass of wine, or celebrate with a cocktail, chances are that you have shared that moment with Constellation Brands.  We are passionate producers of iconic beer, wine and spirits brands that consumers love.  From Corona Extra, to Robert Mondavi Wines, to High West Distillery, we produce over 100 premium brands with sales in nearly 100 countries, making us the number one multi-category beverage alcohol company in the U.S. Position Summary Do you have a passion for leading a team? Are you known as the go-to person for Maintenance? Do you enjoy troubleshooting and solving technical problems? If so, keep reading! As the Packaging Maintenance Supervisor, you will lead and coach the Packaging Maintenance technicians to assure all bottling systems and equipment function in an efficient and reliable manner.  This position focuses on downtime prevention and...

Reports to: Director of Nursing Full Wage Range: $40 - $58 USD per hour depending on experience and education. Schedule: 600am - 200pm - Sunday, Monday, and Every Other Tuesday, Wednesday, and Saturday. Full Job Description: A Registered Nurse (RN) provides care to residents in a skilled nursing center, under the direction of the Director of Nursing Services (DNS) and as prescribed by the physician, by assessing resident needs, administering medications and treatments, providing direction to care staff, partnering with members of the care team to achieve positive resident care outcomes, and in compliance with clinical policies and procedures, nursing practices, and local, state, and federal regulations. Essential Duties: Performs assessments of residents, documents, and notifies Resident Care Manager (RCM), DNS, and/or physician of changes of condition and reaction to medications, treatments, and significant incidents. Takes temperature, pulse, blood pressure,...

Reports to: Director of Nursing Full Wage Range: $40 - $58 USD per hour depending on experience and education. Schedule: 200pm - 1000pm - Sunday, and Every Other Saturday. Full Job Description: A Registered Nurse (RN) provides care to residents in a skilled nursing center, under the direction of the Director of Nursing Services (DNS) and as prescribed by the physician, by assessing resident needs, administering medications and treatments, providing direction to care staff, partnering with members of the care team to achieve positive resident care outcomes, and in compliance with clinical policies and procedures, nursing practices, and local, state, and federal regulations. Essential Duties: Performs assessments of residents, documents, and notifies Resident Care Manager (RCM), DNS, and/or physician of changes of condition and reaction to medications, treatments, and significant incidents. Takes temperature, pulse, blood pressure, and other vital signs,...

Reports to: Director of Nursing Full Wage Range: $30 - $53 USD per hour depending on experience and education. Schedule: 200pm - 1000pm - Sunday, and Every Other Saturday. Full Job Description: Essential Duties: A Licensed Practical Nurse (LPN) provides care to residents in a skilled nursing center, under the supervision of an Registered Nurse (RN), the Director of Nursing Services (DNS), and as prescribed by the physician, by following the care plan, administering medications and treatments, partnering with members of the care team to achieve positive resident care outcomes, and in compliance with clinical policies and procedures, nursing practices, and local, state, and federal regulations. Provides nursing care to residents by following the resident care plan and under the supervision of a Registered Nurse (RN). Evaluates residents for changes of condition and reaction to medications and treatments, documents, and notifies RN, Resident Care Manager (RCM),...

Reports to: Director of Nursing Full Wage Range: $30 - $53 USD per hour depending on experience and education. Schedule: 600am - 200pm - Sunday, Monday, and Every Other Tuesday, Wednesday, and Saturday. Full Job Description: Essential Duties: A Licensed Practical Nurse (LPN) provides care to residents in a skilled nursing center, under the supervision of an Registered Nurse (RN), the Director of Nursing Services (DNS), and as prescribed by the physician, by following the care plan, administering medications and treatments, partnering with members of the care team to achieve positive resident care outcomes, and in compliance with clinical policies and procedures, nursing practices, and local, state, and federal regulations. Provides nursing care to residents by following the resident care plan and under the supervision of a Registered Nurse (RN). Evaluates residents for changes of condition and reaction to medications and treatments, documents, and notifies...

Perrigo Senior Asset Reliability Manager Location: Eau Claire, WI, US, 54703 Perrigo Company is dedicated to making lives better by bringing Quality, Affordable Self-care products that consumers trust everywhere they are sold. Help us do it. External applicants please note: To apply to this position please click the APPLY button at the bottom of the application. (The SAVE button will only save your profile information but not submit an application for this open position.) Thank you. Description Overview The Sr. Asset Reliability Manager is responsible for assisting in development of Asset Care Program with Corporate Reliability Leader and execution of it at the Plant level. The position will provide supervision, support, coaching, training, and development of Plant Asset Care team to enable execution of the program within the Plant. The role will be responsible for monitoring day-to-day execution of Planned and Unplanned Maintenance and drive improvements over reduction...

CIVIL Quality Control Manager (QCM)-BASA Air Base Phillipines Fully Remote • Remote Worker - N/A, PHL Description CMS is anaward-winning (https://cmscorp.com/awards/) construction contractor with design-build experience and strong self-performance capabilities in mechanical, piping and fabrication work. Our scope of services encompasses new construction, renovations, airfields, fueling systems, and energy and sustainability for a wide range of commercial and Department of Defense (DoD) clients. As a prime contractor for the DoD, we have the ability to execute a full range of construction disciplines. In addition, our mechanical capability enables us to self-perform the most technically challenging mechanical, fuels and energy work.www.cmscorp.com CMS is currently looking for aCivil Quality Control Manager (QCM) Candidate must have a minimum offive (5) yearsof experience as a QC Manager on...

Midnight Sun Global Services, LLC Construction Quality Control Manager (QCM) Department: Midnight Sun Global Services Location: Texarkana, TX, USA Employment Type: Full Time Title : Construction Quality Control Manager (QCM) Location : Texarkana, TX Status : Full-time, 9 months (housing provided) Safety Sensitive : Yes Position Summary: Midnight Sun is seeking a well-qualified Construction Quality Control Manager to support a Federal contract at Red River Army Depot in Texarkana, Texas. Responsibilities include providing, implementing, and administering a quality control and assurance program to ensure that all work is performed in accordance with project plans and specifications as well as the standards and methods specified in the project Quality Control Plan. Duties/Responsibilities: Check and approve all items before submittal and stamp, sign, and date indicating action taken. Identify in writing all proposed deviations from the...

There is a place for you at Highland Rivers Behavioral Health! Highland Rivers provides treatment and recovery services to individuals impacted by mental illness; substance use disorders and intellectual developmental disabilities. JOB SUMMARY : The Highland Rivers Behavioral Health Intensive Case Management (ICM) Team is a medium intensity community-based program for adults with severe and persistent mental illnesses. The ICM case manager works with the individual and other supports and service providers to develop an Individual Recovery Plan (IRP) that includes the medical, behavioral, social, educational, vocational, housing, financial and other needs of the eligible individual. Services help individuals develop strategies and support to avoid out-of- home placement and reduce the need for more intensive services, and coordinate access to other needed community services and resources.Highland Rivers is seeking Case Managers for the Intensive Case Management program in Whitfield...

There is a place for you at Highland Rivers Behavioral Health! Highland Rivers provides treatment and recovery services to individuals impacted by mental illness; substance use disorders and intellectual developmental disabilities. JOB SUMMARY : The Highland Rivers Behavioral Health Intensive Case Management (ICM) Team is a medium intensity community-based program for adults with severe and persistent mental illnesses. The ICM case manager works with the individual and other supports and service providers to develop an Individual Recovery Plan (IRP) that includes the medical, behavioral, social, educational, vocational, housing, financial and other needs of the eligible individual. Services help individuals develop strategies and support to avoid out-of- home placement and reduce the need for more intensive services, and coordinate access to other needed community services and resources.Highland Rivers is seeking Case Managers for the Intensive Case Management program in Bartow...

Midnight Sun Global Services, LLC Construction Manager – Triple Hat (QCM/SSHO/Superintendent) Department: Midnight Sun Global Services Location: Silver Spring, MD, USA Employment Type: Full Time Title : Construction Manager - Triple Hat (QCM/SSHO/Superintendent) Location : Silver Spring, MD Status : Full-time Safety Sensitive : Yes Position Summary: Midnight Sun Global Services is seeking a well-qualified Construction Manger which will triple hat the positions of Quality Control Manager / Site Safety and Health Officer / Superintendent in support of a Federal construction projects. The QCM responsibilities include providing, implementing, and administering a quality control and assurance program to ensure that all work is performed in accordance with project plans and specifications as well as the standards and methods specified in the project Quality Control Plan. SSHO responsibilities include daily administrative and technical management with a...

Midnight Sun Global Services, LLC Construction Manager – Triple Hat (QCM/SSHO/Superintendent) - Temporary Department: Midnight Sun Global Services Location: Silver Spring, MD, USA Employment Type: Full-Time, Temporary Title : Construction Manager - Triple Hat (QCM/SSHO/Superintendent) - Temporary Location : Silver Spring, MD Status : Full-time; Temporary Safety Sensitive : Yes Position Summary: Midnight Sun Global Services is seeking a well-qualified Construction Manger which will triple hat the positions of Quality Control Manager / Site Safety and Health Officer / Superintendent in support of a Federal construction projects. The QCM responsibilities include providing, implementing, and administering a quality control and assurance program to ensure that all work is performed in accordance with project plans and specifications as well as the standards and methods specified in the project Quality Control Plan. SSHO responsibilities include daily...

Work Schedule: Full time FTE Day/Evening  Exempt Status  For Information on  Employee Benefits Sign-On Bonus: $15,000  Salary Ranges $89,897 - $134,867  Additional Information: This position does not provide remote capabilities. Relocation assistance may be available.  Island Health has an exciting opportunity for a Manager within the Health Information Management team.  Job Purpose: The Manager of Inpatient Nursing (ACU/ICU/CM) reports to the Inpatient Director of ACU/ICU/CM). The Manager of Inpatient Nursing is responsible for the oversight, planning, direction and coordination of services of the ACU, ICU and Care Management Department. The Inpatient Nursing Manager will be the subject matter expert for Care Management (CM) and Utilization Review (UR). Responsibilities include staffing, training, performance management, compliance and fiscal management of departmental assets, and implementing and evaluating quality improvement plans....