and/or prospective/retrospective to the patient visit to determine opportunities to query physicians regarding essential clinical... 1.00 Required Reg Nurse (Single State) 1.00 Required RN - Multi-state Compact 1.00 Required Additional Licenses and Certifications...
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...
or University preferred. Three (3) to Five (5) years of clinical experience as a Registered Nurse (RN) in an acute care setting... Repayment Assistance Program The Clinical Effectiveness Coordinator will analyze and report on key clinical performance...
or University preferred. Three (3) to Five (5) years of clinical experience as a Registered Nurse (RN) in an acute care setting... Repayment Assistance Program The Clinical Effectiveness Coordinator will analyze and report on key clinical performance...
process. Our team members review medical record documentation and apply clinical criteria and guidelines to ensure... data collection. Collaborates with coding staff on retrospective medical record review for severity, accuracy...
, and compliant. The Clinical Appeals and CDI Specialist provides nurse consultation services that consist of reviewing... in order to create educational strategies to ensure correct diagnosis code assignment by the client. Review clinical...
. Connecting. Growing together. In this position as a Coding & Clinical Auditor / DRG Specialist RN, you will apply your expert... to successfully substantiate code assignments Perform clinical coding review to ensure accuracy of medical coding and utilizes...
. Connecting. Growing together. In this position as a Coding & Clinical Auditor / DRG Specialist RN, you will apply your expert... to successfully substantiate code assignments Perform clinical coding review to ensure accuracy of medical coding and utilizes...
Job Description: Overview The Care Coordinator, RN for Denial Management is a Registered Nurse who is assigned... to the Patient Case Management Department to provide retrospective medical record review of a patient's hospital encounter...
Overview: The Care Coordinator, RN for Denial Management is a Registered Nurse who is assigned to the Patient Case... Management Department to provide retrospective medical record review of a patient's hospital encounter. Using a collaborative...
. Â A utilization nurse completes no less than 20 initial clinical reviews daily. Â Responsibilities also includes...Discover Where Amazing Works Case Manager - RN - Inpatient Units- Brooklyn Methodist - Days Located in Park Slope...
review and identifies trends. Conducts focused retrospective audits and regular scheduled audits of individual clinical... as a non-frequent driver' Licensure/Certification/Registration:: Registered Nurse (RN). Certified Clinical Documentation...
and development of improved strategies to benefit high risk patients. Provides clinical review against standard criteria for the... care with demonstrated clinical expertise. RN, BLS Preferred Job Requirements: BSN Current certification as a Care...
UM activities as required based on local structure to include providing clinical updates to payers and/or external review...Inpatient Care Manager RN Sherman Hospital Per Diem Job Summary: Works to enhance the effective utilization...
clinical updates to payers and/or external review organizations, collecting data, coordinating denial activity, supporting... Holiday (optional) Inpatient Care Manager RN Sherman Hospital Per Diem Job Summary: Works to enhance the effective...
%) Performs prospective, concurrent, post-service, and retrospective claim medical review processes. Utilizes clinical judgement.... Actively participates in the discharge planning process, including providing clinical review and authorization for alternate...
Management Nurse is considered a clinical expert in Denial Management and Avoidance and ensures all denied claims are accurately..., and financial outcomes. Responsibilities: Clinical Knowledge and Interpersonal Skills Completes clinical review of appropriate...
. Connecting. Growing together. In this position as a Coding & Clinical Auditor / DRG Specialist RN, you will apply your expert... to successfully substantiate code assignments Perform clinical coding review to ensure accuracy of medical coding and utilizes...
. Connecting. Growing together. In this position as a Coding & Clinical Auditor / DRG Specialist RN, you will apply your expert... to successfully substantiate code assignments Perform clinical coding review to ensure accuracy of medical coding and utilizes...
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