Assess the clinical indicators and suggestions of various query requests received from the MD Reviewer/ DRG Integrity Specialist Collaborate and communicate as necessary to clarify and avoid misinterpretation to ensure the query is optimally written and distributed to the correct client provider Creates queries in a compliant manner in accordance with AHIMA and ACDIS comp

Summary Reports to the Director of Care Management or designee. Conducts surveillance over medical necessity of patient care records. In collaboration with the physician of record and the Utilization Review Committee physician ensures the appropriate level of patient care is provided and that admission and concurrent authorizations from third party payers are obtained. En

Bilingual (Spanish) Retail Sales & Service Consultant Blue Cross & Blue Shield of Rhode Island, 500 Exchange Street, Providence, Rhode Island, United States of America Req #1945 Friday, May 10, 2024 Please email if you are a candidate seeking a reasonable accommodation for the application and/or interview process. Salary Range $24.66 $33.32 Type of position In Person (War

The Human Resources Generalist is responsible for a wide variety of HR tasks, including but not limited to; employee relations support, policy creation and implementation, HR data systems maintenance, reporting, and employment law compliance. This role will be responsible for working with assigned Leadership to identify improvements and actions in support of attracting an

Summary Coordinates the flow of patient activity and information on the unit/clinic based on currently approved policies and procedures recognized by the Hospital. Functions as a member of the Health Care Team under the direction of Clinical Manager or designee to perform a variety of clerical duties. The Unit Secretary is responsible for good interpersonal and clerical s

Lead QA Oversight Analyst 500 Exchange Street, Providence, Rhode Island, United States of America Req #1941 Friday, May 10, 2024 Please email if you are a candidate seeking a reasonable accommodation for the application and/or interview process. Location Hybrid Compensation $95,700 $159,400 Jump into the new world of health insurance At Blue Cross & Blue Shield of Rhode I

Summary Under the general supervision of the Manager or Lead Therapist of the Respiratory Care Department administers respiratory care to patients obtains and analyzes blood gas specimens and performs sleep studies and pulmonary function tests as ordered by a physician. Performs all essential functions with consideration of the age specific needs of the geriatric adult an

Aya Healthcare has an immediate opening for the following position MRI Tech in Providence, RI. We'll work with you to build the healthcare career of your dreams. Whether you want a job close to home or across the country, we've got you. Requirements Required Skills Abdomen, Magnetic resonance cholangiopancreatography (MRCP), Siemens, Brain, Head Magnetic resonance angiogr

Summary Under the general supervision of the Nurse Manager (or designee) and within hospital and departmental policies and procedures the professional registered nurse acts as a patient advocate in the application of the nursing process. All essential functions performed in this position reflect the age specific needs of the patients. Responsibilities Recognizes and repor

Candidate Location West Region and Central Region The primary responsibility of the Aero Mechanical Technician is to safely accomplish the installation, maintenance and repair of Aeroderivative General Electric Turbines LM2500, LM6000 and LMS100. The work includes but is not limited to borescope inspections, blade work, combustion/hot section replacements, engine swaps, a

In this role, you'll be part of Shyft Global Services, a wholly owned subsidiary of TD SYNNEX. We are a leading technology lifecycle service provider that partners with companies around the world to shift the way they do business. We're proud to deliver end to end product and customer lifecycle management services for original equipment manufacturers (OEMs) and other tech

Duties WHAT IS THE INFORMATION TECHNOLOGY (IT) DIVISION? A description of the business units can be found at The following are the duties of this position at the full working level. Provides direction for monitoring all program phases to integrate existing and future systems into new business systems, including identifying, acquiring, and allocating resources; ensuring ti

Lead transmission line siting investigation tasks and prepare siting documentation for regulatory review. Lead environmental resource investigation tasks and prepare permit applications and associated environmental reports. Prepare proposals and cost estimates. Coordinate with clients and regulatory agencies. Coordinate environmental field surveys including but not limite

Vertex has established a research site in the Boston area where research, development, and clinical manufacturing for cell and genetic therapies will be primarily based. Cell and genetic therapies represent two rapidly emerging therapeutic modalities with the potential to treat and even cure several of the diseases Vertex is focused on, including sickle cell disease, Duch

American Greetings is a global leader in the Celebrations marketplace. Celebrate with us and join our team today! As a Merchandiser with American Greetings, you are a vital part of our company's purpose helping people celebrate holidays, each other, and all of life's special moments, by making the world a more thoughtful and caring place every single day. We are looking fo