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Highmark Health
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Carson City, Nevada
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members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member panel and utilizes data/analytics in conjunction with professional clinical
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Highmark Health
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Carson City, Nevada
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:
The position provides practice and regulatory guidance and enhancement to facilities and physician practice or department & physician organization's Revenue Cycle Center (RCC) with end to end procedure
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Highmark Health
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Carson City, Nevada
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clinical needs. The incumbent assesses health management needs of the assigned member panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical
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Highmark Health
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Carson City, Nevada
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panel of members that range in health status/severity and clinical needs. The incumbent assesses health ... clinical judgement to identify the right clinical intervention for each member. The incumbent will be
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Highmark Health
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Carson City, Nevada
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uses clinical and motivational interviewing skills to assess members’ needs and establish mutually ... telephonic clinical and psycho-social assessments that address the health and wellness needs of the
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Highmark Health
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Carson City, Nevada
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(Clinical, Analytics, etc.) in delivering client strategy.
Other duties as assigned or requested
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Highmark Health
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Carson City, Nevada
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** members that range in health status/severity and clinical needs. The incumbent assesses health management ... clinical judgement, to identify the right clinical intervention for each member. The incumbent is
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Highmark Health
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Carson City, Nevada
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accordance with the highest and most current clinical standards. The incumbent reviews escalated cases ... /Management or Public Health
EXPERIENCE
Required
5 years in Clinical, Direct
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Highmark Health
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Carson City, Nevada
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management for our community-based palliative care program. In addition, this role will provide clinical ... projects and engagement with process improvement. The role includes recognizing clinical gaps and
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Highmark Health
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Carson City, Nevada
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responsible for configuring, rolling out, and supporting the Clinical Documentation (Clindoc) Epic application ... **
3 years of experience in the healthcare industry with Epic Clinical Documentation (Clindoc
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Highmark Health
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Carson City, Nevada
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areas of the enterprise such as the strategic, financial, and clinical leadership of the enterprise, in ... as a subject matter expert working in concert with provider relations and clinical transformation
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Highmark Health
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Carson City, Nevada
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for clinical trials.**
GENERAL OVERVIEW:
Responsible for material accuracy of
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Highmark Health
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Carson City, Nevada
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informing providers and practice/office managers of the submission requirements for credentialing ... %)
Provides updates to on-site practice management staff and others with any changes to requirements for
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Highmark Health
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Carson City, Nevada
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Highmark's Utilization Management system for Prior Authorization clinical review, status research, etc
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Highmark Health
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Carson City, Nevada
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the home setting.
Implements current nursing practices.
Patients’ clinical assessments are ... standing with the State Board of Nursing in state of practice.
1 year acute care/IV experience
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