you to apply for our Registered Nurse Clinical Reviewer opening. We review all applications. Qualified candidates will be contacted by a member...Description Introduction Do you have the career opportunities as a(an) Registered Nurse Clinical Reviewer you want...
*This position is onsite* ESSENTIAL FUNCTIONS ·Provides concurrent review of the clinical documentation in the medical records...Job Description: *This position is onsite* The Registered Nurse (RN) Clinical Documentation Improvement Specialist...
*This position is onsite* ESSENTIAL FUNCTIONS ·Provides concurrent review of the clinical documentation in the medical records...Job Description *This position is onsite* The Registered Nurse (RN) Clinical Documentation Improvement Specialist...
Responsible for concurrent review of clinical documentation for all selected admissions. Responsibilities: Essential Functions... 1. Performs concurrent review of clinical documentation for all selected admissions to ensure documentation supports...
is a Registered Professional Nurse and expert Clinical Documentation Specialist, responsible for leading clinical documentation... review data to accurately and cogently reflect patterns and trends that require improvement. Collaborates with Clinical...
: Conducts the initial concurrent review process for all selected admissions. Clarifies documentation in the medical record...Overview: Performs inpatient chart review to determine appropriate DRG assignment and assures appropriate documentation...
capture for DRG assignment and capture of SOI (Severity of Illness) and ROM (Risk of Mortality). Review, analyze, evaluate... and compose a comprehensive rebuttal via the appeal process in a timely manner to the DRG denial claims for clinical and coding...
documentation and provides feedback to clinical staff regarding these requirements during the concurrent record review process... records are complete and clinical documentation comprehensively represents the current health status of network patients...
for improvement Assists with preparation and presentation of clinical documentation monitoring/trending reports for review... supervision of the Supervisor, Clinical Documentation Improvement, the Clinical Documentation Improvement Specialist (CDIS...
Facility: VIRTUAL-GA The Remote Clinical Documentation Specialist (CDS) demonstrates strong clinical knowledge... and understanding of coding/DRG requirements to improve overall quality and completeness of clinical documentation in the patient...
for better? Job Description The Clinical Quality Documentation Specialist I reflects the mission, vision, and values of NM, adheres to the... and all other regulatory and accreditation standards. The Clinical Quality Documentation Specialist I position facilitates improvement in the...
Utilization Management Utilization Review and Care Transitions & Coordination Providing clinical information to payers... as indicated within a timely fashion. Review all new admissions and Observation patients within 24 hours of admission against High...
case for Secondary Physician review per Tenet policy. Ensures timely communication of clinical data to payers to support... activities: a) accurate medical necessity screening and submission for Physician Advisor review, b) care coordination, c...
Job Description: Overview REGISTERED NURSE CLINICAL DATA COORDINATOR St. Francis Hospital & Heart Center® is New... processes, procedures and guides as appropriate to their role. Performs appropriate targeted concurrent review to improve...
of processes related to the concurrent review of the clinical documentation in the inpatient medical record of Optum 360 clients... Responsibilities: Provides expert level review of inpatient clinical records within 24-48 hours of admit; identifies gaps in clinical...
of processes related to the concurrent review of the clinical documentation in the inpatient medical record of Optum 360 clients... Responsibilities: Provides expert level review of inpatient clinical records within 24-48 hours of admit; identifies gaps in clinical...
Registered Nurse, Licensed Clinical Pharmacist, or other Licensed Clinical Staff and three (3) years clinical experience.... Clinical services include cardiovascular services diagnostic imaging women’s services (digital mammography and bone density...
concurrent reviews and facilitate modifications to the clinical documentation to accurately reflect the severity of illness... and treated. QUALIFICATIONS: Minimum of 5 years recent staff nurse clinical acute care in-patient experience...
Registered Nurse, Licensed Clinical Pharmacist, or other Licensed Clinical Staff and three (3) years clinical experience.... Clinical services include cardiovascular services diagnostic imaging women’s services (digital mammography and bone density...
regulations concerning care coordination activities and programs. ▪ Supports clinical file review for internal and external NCQA...Overview: Under guidance from the CC Manager of Regulatory Performance, the Clinical Advisor is responsible...