and process appeals by reviewing medical records and clinical data to determine medical necessity for services in accordance... with interdepartmental teams to improve clinical appeals processes and procedures to prevent recurrences based on industry best practices...
perspective on workplace flexibility. Position Purpose: Performs clinical reviews needed to resolve and process appeals... to improve clinical appeals processes and procedures to prevent recurrences based on industry best practices Performs...
reimbursement, through coordination of patient care, daily clinical reviews, quality documentation, appeals, and reporting... clinical experience in a psychiatric or mental health setting. Licensure: RN, LCSW, MFT, or MSW degree. Additional...
reimbursement, through coordination of patient care, daily clinical reviews, quality documentation, appeals, and reporting... clinical experience in a psychiatric or mental health setting. Licensure: RN, LCSW, MFT, or MSW degree. Additional...
feedback to the clinical management regarding clinician documentation, risk management, and compliance audit findings...Clinical Quality Nurse Specialist 40hrs/week If you are longing to put everything you’ve learned as a nurse...
, and educating the patient and caregivers as well as the nursing staff. She/he is a clinician, educator, investigator, consultant..., and leader. She/he makes clinical judgments based upon a synthesis of current research, concepts, principles, theories...