Compliance Project Manager
CurrentPerformed Sanction Checks, Compliance and HIPAA Training, Billing and Coding Audits, Chargemaster Audits, PHI Monitoring of Computer Systems, Medical Record Auditing, Clinical and Financial Dashboards
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@cityofhope.org
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3 phones found area 626 and 800
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LinkedIn matched
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Merle Smith is listed as Hospital & Health Care Professional at City of Hope, a with 5113 employees, based in San Gabriel, California, United States. AeroLeads shows a work email signal at cityofhope.org, phone signal with area code 626, 800, and a matched LinkedIn profile for Merle Smith.
Merle Smith previously worked as Compliance Project Manager at City Of Hope and Clinical Decision Support Manager at City Of Hope. Merle Smith holds Ms, Nursing from University Of Phoenix.
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AeroLeads found 3 current-domain work email signals for Merle Smith. Compare company email patterns before reaching out.
Thorough, detail oriented, hardworking, self motivated, extremely good at medical record and financial data mining and analysis.
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Duarte, Ca
Performed Sanction Checks, Compliance and HIPAA Training, Billing and Coding Audits, Chargemaster Audits, PHI Monitoring of Computer Systems, Medical Record Auditing, Clinical and Financial Dashboards
Duarte, Ca
Performed Financial Analysis, Develop and Analyze Complex Financial, Clinical and Statistical Data, Development of Proforma Computer Based Models supporting various hospital initiatives including managed care pricing proposals, evaluation of programs and other statistical/financial studies.On-going support and analysis for on-going resource management inititiatives including Clinical Pathways and Patient Severity Analyses.
Duarte, Ca
Oversee planning and supervision of the Utilization and Discharge PlannersAssit management with Continuous Quality Improvement (CI) and Performance Improvement (PI) programs.Assist development of Quality Assessment and Risk Management for the Management Service Organization.Participate in the Clinical Research Committee for approval and review of Protocols.Support and assist Director of QRRM in preparaing responses to malpractic cases.
Duarte, Ca
Responsible for insurance appeals and follow-up for denied days or other major clinical problems related to patient care management.Develop and revise multidisciplinary clinical pathways through chart review and health team consultations. Responsible for developing 20 Surgical Clinical Pathways.
Duarte, Ca
Coordinate Patient Transition from the acute care setting to home.Perform concurrent review process (admission, continued stay review and discharge planning) on all patients under Titles SVIII and XI, V, private pay, and Managed Care contracts.Responsible for developing the authorization process mandated by the advent of managed care programs and outpatient utilization review in the ambulatory care setting.
Duarte, Ca
Assist in grant applicationa and budget preparation.Monitor variances against budget.Monitor grant expenditures and ensure compliance with budget limitsReview and publish information on the current state of research in professional nursing journals. Assist with the application of IND with the Food and Drug Administration.Involved directly in decisions concerning the management of patients in clinical trials and ensuring that research protocol criteria are met.
Duarte, Ca
Evaluate and triage calls, manage certain core areas, minor procedure room, surgical core, chemotherapy and transfusion areas.Supervise and coordinate patient and staff flow within clinic and assist with policy and decision-making.
Duarte, Ca
Provide home care for patients newly discharged from the hospital.Develop, formulate, and implement discharge plans for home patients.
Duarte, Ca
Duarte, Ca
Other employees you can reach at cityofhope.org. View company contacts for 5113 employees →
Stephanie Franks
Colleague at City Of HopeLa Verne, California, United States
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Anne Ramer
Colleague at City Of HopeVirginia Beach, Virginia, United States
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Deborah Nuńez Rn, Bsn
Colleague at City Of HopeLos Angeles Metropolitan Area, United States
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Morganne Brisson
Colleague at City Of HopeLa Mirada, California, United States
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Natty Gonzalez
Colleague at City Of HopeHuntington Beach, California, United States
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Paola Evelyn Alvarado
Colleague at City Of HopeLos Angeles Metropolitan Area, United States
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David Storman
Colleague at City Of HopeIrvine, California, United States
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Jennifer Christensen
Colleague at City Of HopeOrange County, California, United States
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MA
Maryam Abdollahi
Colleague at City Of HopeUnited States
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Stella Garcia
Colleague at City Of HopeWhittier, California, United States
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Quick answers generated from the profile data available on this page.
Merle Smith works for City of Hope.
Merle Smith is listed as Hospital & Health Care Professional at City of Hope.
AeroLeads has found 3 work email signals at @cityofhope.org for Merle Smith at City of Hope.
AeroLeads has found 3 phone signal(s) with area code 626, 800 for Merle Smith at City of Hope.
Merle Smith is based in San Gabriel, California, United States while working with City of Hope.
Merle Smith has worked for City Of Hope and Cith Of Hope.
Merle Smith's colleagues at City of Hope include Stephanie Franks, Anne Ramer, Deborah Nuńez Rn, Bsn, Morganne Brisson, and Natty Gonzalez.
You can use AeroLeads to view verified contact signals for Merle Smith at City of Hope, including work email, phone, and LinkedIn data when available.
Merle Smith holds Ms, Nursing from University Of Phoenix.
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