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- El Segundo, CA
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Seeking: RN, BSN, MSN Leader with experience in Complex Case Management, Disease Management, Utilization Management, Care Management, Quality in a managed care setting with at least 5-7 years experience. Job description OVERVIEW OF POSITION: Responsible for the oversight, management and optimization of all CQI, UM and Care Management activities as they relate to inpatient, social service, home health, DME and other healthcare delivery programs for the enterprise. Participates in the....

- Chicago, IL
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Nationwide Search for the Best in Class of Contract Negotiators in Value-Based and Hospital Contracting. This national leader in healthcare, a Fortune 100 company which provides innovative solutions to over 12 million members, believes their most important assets are its employees. Join their team and help transform the health of the communities they serve, one person at a time. This starts with you, from your benefits to your retirement plan and reaches outwards to community support and....

- Westmont, IL
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Nationwide Search for Vice President Operations to lead Fortune 100 Healthcare Enterprise. Responsibilities include overseeing business operations, procurement opportunities, new product implementations, complex initiatives for business development. Utilizing cross-functional teams to meet corporate strategic objectives. Direct the development and implementation of operational work processes and systems with direct oversight for multiple departments within the business unit. Partner with....


Nationwide Search for a high-level nurse leader with a decade of medical management experience to lead a strong dynamic team part of a Fortune 100 growing enterprise. This highly visible role will involve presenting to key stakeholders, coordinating with the medical management, quality improvement, and credentialing teams to support the strategies, vision, and policies of the health plan organization. Must have Managed care NCQA/HEDIS Medicare/Medicaid/Exchange Managing Direct Reports....

- Yakima, WA
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Seeking local RN leaders with Case Management experience to Manage the day to day operations of the case management department for this healthcare enterprise. Review analyzes of activities, costs, operations, and forecast data to determine progress toward stated goals and statistical/financial purposes. Promote compliance with federal and state regulations and contractual agreements. Develop, implement and maintain compliance with policies and procedures regarding medical case management.....

- Cambridge, MA
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Regulatory Affairs Advisor - Medical Device Cambridge, MA Overview: Our client is a leading provider of consumer, business-to-business, and industrial digital imaging solutions to the United States and to Latin America and the Caribbean markets. They are committed to the highest level of customer satisfaction and loyalty, providing 100 percent U.S.-based service and support for all of the products it distributes in the United States. They are currently seeking a Regulatory Affairs Advisor for....


Assistant Director - Central Billing Office (CBO) | Alabama Competitive Compensation | Superb Benefits | Relocation Assistance Location ranks in top 25 U.S. places for an excellent cost of living | Affordable housing | Low property tax Surrounded by pristine lakes | A few hours drive to majestic mountain ranges or Gulf of Mexico beaches Our ideal candidate will have a minimum of five years hospital business office experience, in a leadership capacity, and is ideally seeking a higher level role


Seeking Director to head up Membership Administration Systems for this healthcare enterprise. A Highly visible role for Healthcare Leader with experience in Operations, Membership Services in the implementation of Healthcare Health Systems and Large scope multi-year project management. Job description Responsible for the management and leadership of a range of process improvement and process management activities. Activities managed include planning, performing, and implementing process....


Associate Director Patient Safety and Loss Prevention | RN or Clinical | New York, NY Competitive Compensation | World-Class Benefits | Exceptional Work/Life Balance Nurse & Clinical Professionals with Patient Safety / Risk Management, Quality or Medical Malpractice Credentials Highly Encouraged to Apply There has never been a better time to leverage your experience and passion for quality healthcare. Make your move from a clinical setting to the corporate world by joining a company that....


Director of Patient Safety and Loss Prevention | New York, NY (Clinical Professionals & Executives) Must live within daily commuting distance to Lower Manhattan Desired Traits: Strategic Thinker | Leader | Ambassador | Liaison | Consensus Builder | Facilitator | Communicator | Analytical Subject Matter Expert | Mentor | Coach | Educator Benefits/Perks: Career Development | Professional Challenge | Career Security | Pro-Active versus Re-Active Work Environment | Partner with a Pedigree....

- Vestal, NY
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Supervisor of Inpatient Coding, Supervisor of Clinical Documentation Improvement opportunities at a teaching hospital system in upstate New York. Overview: Contribute to the flow within the HIM Department by assuring each inpatient record is optimally coded, attested to, billed and paid with the proper DRG/APC. Oversee clinical documentation improvement, working with physicians, care management and nursing. Customers served include HIM Department, Finance, Physicians, and Third Party Payors,....


Seeking local RN candidates for Manager, Prior Authorization & Referrals. If overseeing day to day functions of the call center that provides preauthorization and referral services to physicians for plan members is your thing. ... then we need you on our team.Oversee preauthorization nurses and referral specialists in their day to day activities including management of talk times, service levels, abandonment rate, and other key quantitative/qualitative factorsDevelop, implement and....


Physician Practice Billing Manager | Hospital Operated | Southeastern, US Competitive Compensation | Excellent Benefits | Comprehensive Relocation | Career Growth& Professional Development Candidates must have the following: Experience having successfully directed the Revenue Cycle for multiple practices on the Cerner Revenue Cycle system (Cerner Millennium)A/R Management experience on the Cerner system We are seeking a candidate with proven process & procedural development experience.

- Confidential, AL
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Director of Surgical Services | AlabamaHighly Competitive Compensation | Superb Benefits | Excellent Relocation PackageSupportive Executive Leadership Team | Dedicated & Compassionate StaffRanks in Top 25 U.S. Places for Low Cost of Living | Affordable Housing | Low Property TaxSurrounded by Pristine Lakes | A Few Hours Drive to Majestic Mountain Ranges or The Gulf of Mexico Beaches Galileo Search, LLC is representing another outstanding opening for an experienced Director of Surgical....


Director of Women & Children’s Services | AlabamaHighly Competitive Compensation | Superb Benefits | Excellent Relocation Package Supportive Executive Leadership Team | Dedicated & Compassionate Staff Ranks in Top 25 U.S. Places for Low Cost of Living | Affordable Housing | Low Property Tax Surrounded by Pristine Lakes | A Few Hours Drive to Majestic Mountain Ranges or The Gulf of Mexico Beaches Galileo Search, LLC is representing another outstanding opening for an experienced Director

- Los Angeles, CA
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Reporting into the Sr. V.P of Clinical Operations, this position will be in charge of overseeing, managing and optimization of all CQI, UM and Care Management activities as they relate to inpatient, social service, home health, DME and other healthcare delivery programs within the organization Individual will participate in the development, implementation and maintenance of all programs to ensure that patient care maximizes quality and continuity by utilization of appropriate resources and....

- Boston, MA
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We are hiring for a Director of Clinical Quality Improvement (DCQI), to provide leadership and oversight to the strategic development and implementation of the quality programs (performance improvement and accreditation) with responsibility for planning, organizing, directing the managerial and operational activities of the infrastructure required to support these services. Our client is an award winning hospital that is part of athe nation's largest healthcare system. The candidate provides....

- Palm Beach, FL
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We are hiring for a Director of Clinical Quality Improvement (DCQI), to provide leadership and oversight to the strategic development and implementation of the quality programs (performance improvement and accreditation) with responsibility for planning, organizing, directing the managerial and operational activities of the infrastructure required to support these services. Our client is an award winning hospital that is part of athe nation's largest healthcare system. The candidate provides....

- Oakland, CA
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Nationwide Search for Director to lead and coordinate all National Labor Relations to include national initiatives, collective bargaining as well as day-to-day labor relations for Healthcare enterprise.Serves as a key interface between National Labor Relations and its key customers, ensures positive labor relations climate through effective communications, collaboration, persuasion, and problem-solving; demonstrating knowledge and understanding of the national labor relations program and....

- Orlando, FL
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Exclusive Search for Director, Marketing to oversee creative marketing programs to brand and promote the organization.at the corporate and national level. · Responsible with establishing and maintaining the marketing department’s strategic vision, video storytelling, and visual brand, objectives, and policies & procedures · Direct fresh ideas, creative content, and marketing programs for this corporation and its entities · Interpret and clearly communicate relevant corporate strategic....

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