Top 95311 Clinical Associate Jobs

RN Clinical Reviewer (CPC Medical Coding Academy) - San Juan, PR
UnitedHealth Group —San Juan, PR
- Full-time
- RN License
- Pass drug screening
- Research
Clinical Educator (RN) - Inpatient Hematology / Oncology & Bone Marrow Transplant Unit at Arthur M. Blank Hospital
Children's Healthcare of Atlanta —Atlanta, GA
- Full-time
- Nursing
- RN License
- Bachelor of Science
Quick Apply
RN Clinical Unit Leader - 5 South: Med/Surg - Post-Surgical/Ortho - Full Time - Nights
Henry Ford Health —Jackson, MI
- Full-time
- Nursing
- Surgery
- RN License
- Health insurance
- Dental insurance
Clinical Instructor (Part-time)
Sumner College —Bend, OR
- Part-time
- Laboratory
- CPR Certification
- Nursing
Quick Apply
Hospice Clinical Manager
Affinity Hospice Management LLC —South Portland, ME
- Full-time
- CPR Certification
- Nursing
- RN License
Quick Apply
11d
Clinical Consultant - Footmaxx
FOOT LEVELERS INC —Roanoke, VA
- $45,000 - $50,000 a year
- Anatomy knowledge
- Word processing
- Research
- Health savings account
- Paid holidays
Quick Apply
RN Registered Nurse Clinical Staff Leader - Operating Room
Penn State Health —Hershey, PA
- Full-time
- Background check
- Nursing
- Surgery
- Paid parental leave
- Health insurance
Clinical Operations Supervisor, RVT
The Sams Clinic Veterinary Specialists —Mill Valley, CA
- From $45 an hour
- Full-time
- CPR Certification
- Clinic experience
- In-person
- Continuing education credits
- Health insurance
Quick Apply
Clinical Care Leader, Inpatient - Surgical Services- FT Evening
Marshfield Clinic —Marshfield, WI
- $36.50 - $55.00 an hour
- Online Application
- Background check
- Nursing
- Surgery
- Health insurance
- Dental insurance
Quick Apply
RN Clinical Manager
Northeast Arc —Danvers, MA
- $118,000 - $119,500 a year
- Full-time
- Mid-level
- 3 years
- Travel
- Disability insurance
- Health insurance
Quick Apply
RN Clinical Nurse Coordinator ICU
HCA Florida Fort Walton-Destin Hospital —Fort Walton Beach, FL
- Full-time
- Mid-level
- Critical & Intensive Care
- 1 year
- Employee stock purchase plan
- Disability insurance
Quick Apply
Mental Health Practitioner- Sign on bonus available!
Stevens Community Medical Center —Morris, MN
- $26.27 - $45.32 an hour
- Full-time
- LMFT
- Hospital
- In-person
- 403(b) matching
- Loan repayment program
Quick Apply
Womens Med Surg Clinical Nurse Coord
HCA Florida Capital Hospital —Tallahassee, FL
- Full-time
- Mid-level
- Medical-Surgical
- Employee stock purchase plan
- Disability insurance
Quick Apply
Registered Nurse (RN) - Clinical Nurse Educator, ICU
Dartmouth-Hitchcock —Keene, NH
- $42.78 - $60.45 an hour
- 12 hour shift
- Nursing
- RN License
- 5 years
- Continuing education credits
- Loan repayment program
Assistant Clinical Services Director (RN)
Edgewood Healthcare —Pierre, SD
- No weekends
- Background check
- RN License
- Pass drug screening
- Health savings account
- Disability insurance
Quick Apply
6d
Clinical Dietitian - Home Infusion (Relocation to Sunny Yakima)
MultiCare Health System —Washington State
- $31.01 - $44.64 an hour
- Full-time
- Hospital
- Customer service
- Inpatient
- Health savings account
- Health insurance
Quick Apply
10d
Medical Assistant - CDT Technician, Preferably Male
Muscogee Nation Businesses Company —Minot AFB, ND
- $21.00 - $22.90 an hour
- Full-time
- Background check
- CPR Certification
- Vital signs
- Paid holidays
- Disability insurance
Quick Apply
6d
Clinical Manager - RN
Behavioral Pediatrics of Georgia —Statesboro, GA
- $29 an hour
- Full-time
- RN License
- Customer service
- Bachelor of Science
- Health insurance
- 401(k)
4d
Perinatal Clinical Nurse Specialist ( RN, CNS ) - Bronson Methodist Hospital - Full-time Days
Bronson Healthcare —Kalamazoo, MI
- Full-time
- Nursing
- RN License
- Hospital
Quick Apply
Clinical Supervisor - RCSP, MHSA & Forensic Mental Health Services
Frontier Behavioral Health —Spokane, WA
- $35.51 - $46.66 an hour
- Full-time
- LMFT
- Hospital
- Computer literacy
- Paid holidays
- Health insurance
Quick Apply

I want to receive the latest job alert for Clinical Associate

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

Clinical Associate jobs near

RN Clinical Reviewer (CPC Medical Coding Academy) - San Juan, PR

UnitedHealth Group -
San Juan, PR

Apply Now

Job Details

Full-time

Qualifications

Foreign language proficiency
RN License
Productivity software

Full Job Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Positions in this function investigates Optum Waste and Error stopped claims by gathering information, researching state and federal guidelines, and following internal procedure to determine the viability of the claim for further review in a production environment.

Primary Responsibilities:

Clinical Case Reviews -75%
- Perform clinical review of professional (or facility) claims vs. medical records to determine if the claim is supported or unsupported
- Maintain standards for productivity and accuracy. Standards are defined by the department
- Provide clear and concise clinical logic to the providers when necessary
- Examine, assess, and document business operations and procedures to ensure data integrity, data security and process optimization
- Investigate, recover, and resolve all types of claims as well as recovery and resolution for health plans, commercial customers, and government entities
- Investigate and pursue recoveries
- Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance
- Use pertinent data and facts to identify and solve a range of problems within area of expertise
- Other internal customer correspondence and team needs - 15%
- Attend and provide feedback during monthly meetings with assigned internal customer department
- Provide continuous feedback on how to improve the department relationships with internal team members and departments
Continuing education - 10%
- Keep up required Coding Certificate and/or Nursing Licensure
- Complete compliance hours as required by the department

***ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION***

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Coding Certificate or Nursing Licensure, for example:
Puerto Rico Registered Nurse
Certified Professional Coder (CPC) + CPC A
Certified Inpatient Coder (CIC)
Certified Outpatient Auditor (COC)
Certified Professional Medical Auditor (CPMA)
Certified Coding Specialist (CCS)
Demonstrated proficiency with computers, including Microsoft Suite of products
Ability to observe an on-site work model
Willing or able to work from Monday to Friday, 40 hours per week during our business operating hours of 8am - 7pm ATL
Professional proficiency in both English and Spanish (Please note that an English proficiency assessment will be required for this position)

Preferred Qualifications:

Experience working with medical claims platforms
Medical record coding experience with experience in Evaluation and Management Services in the outpatient/office setting
Presentation or policy documentation experience
Proven knowledge of CMS and AMA coding rules specific to CPT, HCPCS
Proven knowledge of CMS Coverage, Federal and State Statues, Rules and Regulations
Proven knowledge of Medicaid/Medicare Reimbursement methodologies
Proven working knowledge of the healthcare insurance/managed care industry
Proven working knowledge of medical terminology and claim coding

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
#pjpr

Apply Now

Refine Your Search

Clinical Associate jobs

RN Clinical Reviewer (CPC Medical Coding Academy) - San Juan, PR

Clinical Educator (RN) - Inpatient Hematology / Oncology & Bone Marrow Transplant Unit at Arthur M. Blank Hospital

RN Clinical Unit Leader - 5 South: Med/Surg - Post-Surgical/Ortho - Full Time - Nights

Clinical Instructor (Part-time)

Hospice Clinical Manager

Clinical Consultant - Footmaxx

RN Registered Nurse Clinical Staff Leader - Operating Room

Clinical Operations Supervisor, RVT

Clinical Care Leader, Inpatient - Surgical Services- FT Evening

RN Clinical Manager

RN Clinical Nurse Coordinator ICU

Mental Health Practitioner- Sign on bonus available!

Womens Med Surg Clinical Nurse Coord

Registered Nurse (RN) - Clinical Nurse Educator, ICU

Assistant Clinical Services Director (RN)

Clinical Dietitian - Home Infusion (Relocation to Sunny Yakima)

Medical Assistant - CDT Technician, Preferably Male

Clinical Manager - RN

Perinatal Clinical Nurse Specialist ( RN, CNS ) - Bronson Methodist Hospital - Full-time Days

Clinical Supervisor - RCSP, MHSA & Forensic Mental Health Services

I want to receive the latest job alert for Clinical Associate

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected