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PRN Nurse Practitioner
4 days ago
McLeod Health Florence, SC, United StatesQualifications/Training: · * Minimum of a master's degree as a Nurse Practitioner required. · Licenses/Certifications/Registrations/Education: · * A valid SC RN License as Advanced Practice Registered Nurse (APRN) verified by the LLR. · * Certification as a Nurse Practitioner by ...
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McLeod Health Florence, SC, United StatesPee Dee Surgical Group is seeking a Physician Assistant who wants to broaden their skillset and work in a team environment. · Candidates MUST be ATLS certified. · Qualifications/Training: · * Minimum of a master's degree of Science in Physician Assistant studies required. · Licen ...
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Nurse Practitioner/Digestive Health Center
10 hours ago
McLeod Health Florence, United StatesMcLeod Digestive Health Center is seeking a Nurse Practitioner to join their established practice in Florence, SC · The ideal candidate would have some experience working in a hospital and working with patients although new graduates are welcome to apply. · Qualifications/Trainin ...
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Nurse Practitioner/Pee Dee Surgical Group
10 hours ago
McLeod Health Florence, United StatesPee Dee Surgical Group is seeking a Nurse Practitioner who wants to broaden their skillset and work in a team environment. · Candidates MUST be ATLS certified. · Qualifications/Training: · * Minimum of a master's degree as a Nurse Practitioner required. · Licenses/Certifications/ ...
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Value Based Care Coordinator
6 days ago
HopeHealth Inc Florence, United StatesJob Description · Job DescriptionOverview of the Position: · The Value Based Care Coordinator (VBCC) will implement strategies to optimize practice performance in HopeHealth value-based care arrangements. The VBCC will be responsible for activities that help practices improve th ...
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Variable Refrigerant Service Technician
10 hours ago
Hoffman Mechanical Solutions Florence, United StatesJob Title: Variable Refrigerant Service Technician · Reports to: Variable Refrigerant Director of Technical Operation · FLSA Status: Full Time, Non-Exempt (Eligible for overtime) · We are 100% employee-owned through an Employee Stock Ownership Plan (ESOP). This is a retirement be ...
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McLeod Health Florence, SC, United StatesHours: Monday-Friday with variability · Call required: every 5th weekend and 1 day a week · Qualifications/Training: · * Minimum of a master's degree as a Nurse Practitioner required. · Job Description: · * Maintains a professional image and exhibits excellent customer relations ...
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McLeod Health Florence, SC, United StatesHours: Monday-Friday with variability · Call required: every 5th weekend and 1 day a week · Qualifications/Training: · * Minimum of a master's degree of Science in Physician Assistant studies required. · Job Description: · * Maintains a professional image and exhibits excellent c ...
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Nurse Practitioner/Pain Management
4 days ago
McLeod Health Florence, SC, United StatesFlorence Neurosurgery & Spine at McLeod Health is seeking a Pain Management Nurse Practitioner · Qualifications/Training: · * Minimum of a master's degree as a Nurse Practitioner required. · Licenses/Certifications/Registrations/Education: · * A valid SC RN License as Advanced Pr ...
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McLeod Health Florence, SC , USA, United StatesQualifications/Training: · * Minimum of a master's degree as a Nurse Practitioner required. · Licenses/Certifications/Registrations: · * A valid SC RN License as Advanced Practice Registered Nurse (APRN) verified by the LLR. · * Certification as a Nurse Practitioner by approved a ...
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McLeod Health Florence, SC , USA, United StatesMcLeod Plastics and Reconstructive Surgery is seeking a Nurse Practitioner in Florence, SC · Qualifications/Training: · * Minimum of a master's degree of science in nursing required. · Licenses/Certifications/Registrations/Education: · * A valid SC RN License as Advanced Practice ...
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McLeod Health Florence, SC, United StatesMcLeod Plastics and Reconstructive Surgery is seeking a Physician Assistant in Florence, SC · Qualifications/Training: · * Minimum of a master's degree of Science in Physician Assistant studies required. · Licenses/Certifications/Registrations/Education: · * State of South Caroli ...
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McLeod Health Florence, SC, United StatesQualifications/Training: · * Minimum of a master's degree of Science in Physician Assistant studies required. · Licenses/Certifications/Registrations: · * State of South Carolina Certification as Physician Assistant. · * Prescriptive privileges or are eligible to apply. · Job Des ...
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Physician Assistant/Pain Management
4 days ago
McLeod Health Florence, SC, United StatesFlorence Neurosurgery and Spine at McLeod Health is seeking a Pain Management Physician Assistant · Qualifications/Training: · * Minimum of a master's degree of Science in Physician Assistant studies required. · Licenses/Certifications/Registrations/Education: · * State of South ...
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Value Based Care Coordinator
1 day ago
HopeHealth, Inc. Florence, United StatesOverview of the Position: · The Value Based Care Coordinator (VBCC) will implement strategies to optimize practice performance in HopeHealth value-based care arrangements. The VBCC will be responsible for activities that help practices improve the health status and care for mem ...
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Preventive Professional
2 days ago
PGIC Florence, United StatesJob Description · Job Description Salary: · This position reports to a Licensed Professional and Agency Director(s). · Education and Experience: · Preventive professional" means, within the MHIDD/SAS system of care: · An individual who holds a license, provisional license, cer ...
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p/t nurse practitioner
1 week ago
The GEO Group, Inc. Florence, United StatesOverview · Are you a Nurse Practitioner looking for a challenging yet rewarding environment, where you can really make a difference? Are you passionate about people and believe that everyone deserves the highest quality of healthcare? If so, then we have the role for you As the ...
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Hospice Registered Nurse
1 week ago
Traditions Health Florence, United StatesPrimary functions are to administer skilled nursing care for clients of all ages in their place of residence, coordinate care with the interdisciplinary team, patients and their families, and a referring agency. Assumes the responsibility for coordination of care. · Traditions H ...
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School Nurse
1 week ago
Florence 1 Schools Florence, United StatesJob Title · School Nurse · Salary Scale · RN03 · Location · Sneed Middle · PSC Code · 360000 · Reports To · Principal · Shift Type · Full Time/Exempt · General Statement of Job · Under limited supervision, administers medical assistance and first aid to students and emergency ...
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p/t nurse practitioner
1 week ago
GEO Corrections & Detentions Florence, United StatesJob Description · Overview · Are you a Nurse Practitioner looking for a challenging yet rewarding environment, where you can really make a difference? Are you passionate about people and believe that everyone deserves the highest quality of healthcare? If so, then we have the r ...
Denials Prevention Coordinator - Florence, SC, United States - McLeod Health
Description
Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values.
Provide operational expertise, direction, and input to other departments as it relates to denials issues.
Serves as primary liaison between Managed Care and Payor Relations and other organizational departments to provide information regarding denial trends and projects that can be implemented on the local campuses to reduce denials.
Research online medical bulletins, policies, and authorization requirements for payers.
Participate and lead Denials Prevention meetings with other organizational stakeholders
Create and report all data requested for Denials reporting utilizing various software packages.
Skills in planning, leading, facilitating, and implementing improvement projects/teams.
Performs other duties as assigned by Director.
Work Schedule: 80 Hours bi-weekly
Experience with data manipulation, word processing, spreadsheets, and data analysis to report trends/patterns/statuses. Must be proficient with Microsoft Excel, Work, and PowerPoint.
Working knowledge of managed care terminology, managed care reimbursement methodologies, and billing/coding terminology (i.e ICD-10, CPT, Revenue Codes) preferred.
Complete working knowledge of all aspects of the revenue cycle
Excellent interpersonal, written and organizational skills required.
Experience in a progressive healthcare environment with responsibilities for data analysis preferred. Attention to detail and accuracy skills required.
Report writing experience preferred.
Must be flexible, able to work independently and able to achieve deadlines and deliverables with minimal supervision.
Experience with problem solving techniques.
Licenses/Certifications/Registrations/Education:
Bachelor Degree in Business or Healthcare with 3 years of experience in healthcare revenue cycle preferred.
Associates Degree with 6 years of experience in healthcare revenue cycle or High School Diploma with 10 years of experience in healthcare revenue cycle required or any equivalent combination of education and experience that provides the knowledge & skill required to perform the job duties.
Founded in 1906, McLeod Health is a locally owned and managed, not for profit organization supported by the strength of more than 900 members on its medical staff and more than 2,900 licensed nurses.
McLeod Health is also composed of approximately 15,000 team members and more than 90 physician practices throughout its 18-county service area.
With seven hospitals, McLeod Health operates three Health and Fitness Centers, a Sports Medicine and Outpatient Rehabilitation Center, Hospice and Home Health Services.
The system currently has 988 licensed beds, including Hospice and Behavioral Health.The hospitals within McLeod Health include:
McLeod Regional Medical Center, McLeod Health Dillon, McLeod Health Loris, McLeod Health Seacoast, McLeod Health Cheraw, McLeod Health Clarendon and McLeod Behavioral Health.
If you would enjoy working in a dynamic environment and are looking for an opportunity to become part of a stellar team of professionals, we invite you to apply online today.
