4 jobs found

Description Summary: Ensures that services are delivered and documented in a manner that balances quality of care with efficiency, cost-containment and compliance. Responsibilities: Reviews admissions and service requests within assigned unit for prospective, concurrent, and retrospective medical necessity and/or compliance with reimbursement policy criteria. Provides case management and/or consultation for complex cases. Assists departmental staff with issues related to Milliman (or similar) guidelines, status determination, medical records/documentation, precertification, reimbursement and concurrent denials appeals. Collaborates closely with case managers to make sure status' and level of care is accurate. Communicates with payers as needed to ensure patient accounts are secured. Assesses and coordinates patient's discharge planning needs with members of the healthcare team. Within scope of job, requires critical thinking skills, decisive judgement and the ability to...

Description Location: Patient Access Specialist positions available in our ambulatory care settings, in primary care and specialty care clinics in Aurora, CO. FTE: Full-time positions, several opportunities available. Pay: $19.67 - $25.57 / hour. Pay is dependent on applicant's relevant experience At UCHealth, We Improve Lives PAS: The Patient Access Specialist role performs receptionist, registration, and clerical duties associated with registering patient for services. Responsibilities: Meets with patient and/or patient's caregiver to exchange necessary information and documentation. Provides explanation of visit, instructions, and addresses concerns and questions. Communicates with referring provider's office, clinical department(s), and/or other appropriate personnel to exchange necessary information and determine schedule. Verifies insurance benefits and obtains pre-certification/authorization as necessary. Determines and accepts required payments,...

Description The Opportunity Director of Clinical Engineering, Metro Denver Region Denver Metro Area The Director of IT, Clinical Engineering is a strategic and operational leader responsible for the comprehensive management and oversight of the regional hospitals' clinical engineering services. This role ensures the safe, effective, and efficient utilization of medical equipment and technology across all clinical areas. The Director will lead a team of biomedical engineers, technicians, and other support staff in providing a full range of services, including equipment maintenance, repair, calibration, safety testing, technology assessment, integration, cybersecurity, acquisition support, and user training. The Director will collaborate closely with clinical staff, other areas of IT, facilities, and other departments to optimize the lifecycle management of medical devices and contribute to the delivery of high-quality patient care. This position is an onsite role and does...

Description The Opportunity UCHealthseeks an accomplished, experienced finance leader to serve as its next Chief Financial Officer (CFO) for UCHealth Medical Group. This is an outstanding opportunity to join a top-tier multispecialty physician-led group practice owned by UCHealth. This position is part of a high-performing, quality-focused senior leadership team in a results-driven, growing health care system. The new Chief Financial Officer must advance the vision of "From Health Care to Health" by forging strong relationships with the health system enterprise, UCHealth Medical Group physicians, and physician leadership to create an overall entity unparalleled in the United States today. The successful candidate will be an operationally focused, results-oriented finance executive with a substantive track record of leadership in a complex healthcare delivery system. Candidates should be well versed in contemporary healthcare financial management in ambulatory and physician...