Jobs near Sussex: 2,641
RS
Relevance Score ranked on: CLINICAL
Diagnosis Related Group Clinical Validation Auditor
Waukesha, N17W24222 Riverwood Dr., Ste 300
Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. Utilizes audit...
Search Terms: Clinical, Auditor, Audit, Validation, Clinic
85.1
10mi
Updated: November 08
Clinical Referral Specialist II - Brookfield Clinic
Brookfield
Major Responsibilities:Reviews work queues to identify unscheduled ordered services and connects with the patient to schedule the appropriate service. Confirms and secures authorization or required pre-certifications for patients to receive specialty consultation or medical services, and closes the r...
Search Terms: Clinical, Specialist, Clinic, Medical, Authorization
84.8
9.2mi
Updated: November 05
CLINICAL CORP COMP CONSULTANT, FCH - CORPORATE COMPLIANCE
MENOMONEE FALLS
The Clinical Corporate Compliance Consultant reports directly to the Executive Director of Corporate Compliance and Internal Audit. The position performs complex compliance research and regulatory analysis in order to monitor regulations and support business operations, specifically as it relates to ...
Search Terms: Clinical, Compliance, Corporate, Consultant, Medical
84.3
6.1mi
Updated: October 19
Clinical Informatics Consultant - IntelliScript (Remote)
Brookfield
What We Do Milliman Intelli. Script is a group of a few hundred experts in fields ranging from actuarial science to information technology to clinical practice. Together, we develop and deploy category-defining, data-driven, software-as-a-service (Saas) products for a broad spectrum of insurance clie...
Search Terms: Clinical, Consultant, Remote, Medical, Technology
84.3
9.2mi
Updated: October 31
Sr. Associate Specialist, Product Surveillance, Clinical MR
Waukesha
Uses clinical product knowledge combined with skills in Product Surveillance to handle complaints and assess risk by providing guidance on clinical workflow and how products are used to identify potentially hazardous situations. Broadening knowledge of theories, practices and procedures in own discip...
Search Terms: Clinical, Surveillance, Product, Associate, Specialist
83.6
10mi
Updated: October 24
Clinical Services Manager - Residential DBT program
Oconomowoc
Responsible for all aspects of patient care provided in the assigned programs. Coordinate with the interdisciplinary team to understand the status of patient’s care. Apply established standards of care to insure a safe, therapeutic patient care environment. Provide direct services, when appropriate. ...
Search Terms: Clinical, Residential, Manager, Program, Resident
83.4
13mi
Updated: October 28
Clinical Reviewer
Oconomowoc
Provide clinical/programmatic recommendations based on guidance issued by Rogers Medical Directors, and Associate Medical Directors for prospective patients and their families/significant others. Review and evaluate completed admission screenings to provide a recommendation on appropriate program, le...
Search Terms: Clinical, Medical Director, Programmatic, Patient Access, Healthcare
83.1
13mi
Updated: October 28
Clinical Fraud Investigator II - SIU Fraud & Abuse
Waukesha, N17W24222 Riverwood Dr., Ste 300
Conducts data mining activities using available tools and internal data warehouse. Performs comprehensive analysis and clinical evaluation of the collected data. Performs in-depth investigations on identified providers as warranted. Examines claims for compliance with relevant billing and processing ...
Search Terms: Fraud, Clinical, Investigator, Healthcare, Benefits
82
10mi
Updated: November 12
CLINICAL SERVICES LIAISON, SPECIALTY INFUSION
MENOMONEE FALLS
Provides a positive and effective representation of Froedtert Home Infusion and Pharmacy Services and introduces the full scope of services offered to hospital case managers, physicians, nursing agencies and other referral sources. Works closely with the Home Infusion Manager to market and grow Froed...
Search Terms: Infusion, Clinical, Liaison, Health, Healthcare
81.9
6.1mi
Updated: November 02
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