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'...
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...
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...
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...
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...
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...
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...
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...
The Primary Care Nurse completes triage and identifies abnormal patient symptoms, laboratory findings and notifies physician or provides treatment according to standard Primary Care developed protocols. Associate of Applied Science in Registered Nursing, Graduation from registered nursing program, B...
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...
The Primary Care Nurse completes triage and identifies abnormal patient symptoms, laboratory findings and notifies physician or provides treatment according to standard Primary Care developed protocols. Education: Associate of Applied Science in Registered Nursing, Graduation from registered nursing...
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...
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,...
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: 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...
The Primary Care Nurse completes triage and identifies abnormal patient symptoms, laboratory findings and notifies physician or provides treatment according to standard Primary Care developed protocols. Education: Associate of Applied Science in Registered Nursing, Graduation from registered nursing...
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, an...
The Primary Care Nurse completes triage and identifies abnormal patient symptoms, laboratory findings and notifies physician or provides treatment according to standard Primary Care developed protocols. Education: Associate of Applied Science in Registered Nursing, Graduation from registered nursing...
As a Utilization Management Nurse/Social Worker, you'll play a crucial role in our multidisciplinary team, ensuring that patients progress seamlessly through their care journey according to appropriate admission statuses. Proficient in Utilization Review processes, you'll maintain effective procedur...
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 ...
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...
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'...
Mercy Clinic Smith-Glynn Callaway - Hybrid Remote RN or LPN Full time, M-F 8a-5p Up to $2,500 hiring incentive available! *This position requires 12 weeks onsite training, and after training will work hybrid remotely at least 1 day per week onsite* Tuition Reimbursement up to $2,000 for continuing e...
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...