Conducts audits of Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. Bachelor'...
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability ...
RN or LPN to work approximately 10-12 hours per week performing patient assessments. The pay for LPNs is $19-$23 per hour and the pay for RNs is $25-$28 per hour, depending on experience. The hours are completely flexible and assessments can be completed by phone on weekdays or on the weekend from t...
Remote Opportunity: Must work from WI, MN, or IA and hold licensing in both WI and the other state(s) they work in. Eagle Crest Communities is the largest not-for-profit senior care provider in Western Wisconsin with ten communities in the La Crosse, Holmen, and Onalaska, WI area. Remote Triage Nurs...
As such, individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. DaVita Integrated Kidney Care (IKC) is looking for a ...
Reviews, assesses, and evaluates clinical information used to support Utilization Management (UM) decisions based on established clinical criteria and applies intermediate knowledge of coding and medical record research. IHN) is designated as a regional Coordinated Care Organization (CCO) for Medica...
It is Northwell Health’s policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender i...
Mission Statement: To provide superior quality healthcare services that: PATIENTS recommend to family and friends, PHYSICIANS prefer for their patients, PURCHASERS select for their clients, EMPLOYEES are proud of, and INVESTORS seek for long-term returns. All resumes submitted by search firms to any...
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability ...
Bachelor's degree in Nursing or a Master's degree in Social Work or Health Education. Active, unrestricted State Registered Nursing license or Licensed Clinical Social Worker (LCSW), LMSW, or Advanced Practice Social Worker (APSW) in good standing. As a Case Manager at the National Healthcare Organi...
Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, ...
Molina’s Quality Management function implements, oversees, and maintains new and existing healthcare quality monitoring activities and programs; ensures quality monitoring audits and investigations are performed in accordance with prescribed quality standards; informs data collection, reporting, and...
You will perform retrospective clinical case reviews and draft appeals that focus on establishing the Medical Necessity of diagnosis in question by the payor or 3rd party audit firm. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant i...
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability ...
Mission Statement: To provide superior quality healthcare services that: PATIENTS recommend to family and friends, PHYSICIANS prefer for their patients, PURCHASERS select for their clients, EMPLOYEES are proud of, and INVESTORS seek for long-term returns. All resumes submitted by search firms to any...
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disabilit...
Mission Statement: To provide superior quality healthcare services that: PATIENTS recommend to family and friends, PHYSICIANS prefer for their patients, PURCHASERS select for their clients, EMPLOYEES are proud of, and INVESTORS seek for long-term returns. All resumes submitted by search firms to any...
Monitor referrals made to community based organizations, medical care and other services to support the members’ overall care management plan. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time...
Complete daily assignments per leadership direction Assess clinical data from medical records to obtain authorization for scheduled services Abstract and submit clinical data from medical records to insurance payers Utilize clinical screening criteria and reviews insurance payer medical policies to ...
Bachelor's degree in Nursing or a Master's degree in Social Work or Health Education. Active, unrestricted State Registered Nursing license or Licensed Clinical Social Worker (LCSW) or Advanced Practice Social Worker (APSW) in good standing. As a Case Manager at the National Healthcare Organization,...
Supports and participates in the mandatory Corporate Compliance Program training initiative on an annual or more frequent basis, as required. Obtain information from the field assessor to clarify information and provide the carrier with a thorough, high quality assessment product. Prepare profession...
Must be comfortable traveling to Medford Oregon, including Klamath Falls to Roseburg. In this role, you’ll work independently to make decisions and execute them for the best possible outcome for your patients, while feeling the impact you’re making every single day. Accredo, Evernorth Health Service...
Conducts audits of Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. Bachelor'...
Bachelor's degree in Nursing or a Master's degree in Social Work or Health Education. Active, unrestricted State Registered Nursing license or Licensed Clinical Social Worker (LCSW) or Advanced Practice Social Worker (APSW) in good standing. As a Case Manager at the National Healthcare Organization,...
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Actively participa...