member care being delivered Collects, documents, and maintains concurrent review findings, discharge plans, and actions... and concurrent review findings Assists with providing education to providers on utilization processes to ensure high quality...
's Best Hospitals. Summary of Essential Duties: The Utilization Management (UM) Registered Nurse - Medicare Short Stay & Concurrent... of concurrent payer denials. * This role ensures timely, accurate, and compliant clinical validation in accordance with CMS...
utilization reviews for our Southern CA ministries. Conduct clinical reviews and review medical records daily during admission...Job Category: Health Information Management Job Description: Provide prospective, retrospective, and concurrent...
reviews for our Southern CA ministries. Conduct clinical reviews and review medical records daily during admission...Job Category: Health Information Management Job Description: RN Utilization Review at Irvine, CA. This position...
reviews for our Southern CA ministries. Conduct clinical reviews and review medical records daily during admission...Job Category: Health Information Management Job Description: RN Utilization Review at Irvine, CA. This position...
outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical... delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective...
effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the... seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost...
for our Southern CA ministries. Conduct clinical reviews and review medical records daily during admission for all payers...Job Category: Health Information Management Job Description: RN Utilization Review at Irvine, CA. This position...
We are hiring an RN Clinical Supervisor for the Hospice department in our beautiful Santa Barbara branch! Eventual hire... can expect to spend half their time in the office and half in the field, administering patient care or nurse training...
We are hiring an RN Clinical Supervisor for the Hospice department in our beautiful Santa Barbara branch! Eventual hire... can expect to spend half their time in the office and half in the field, administering patient care or nurse training...
: Position Accountabilities 1. On a daily basis, initiate and perform concurrent documentation review of selected inpatient...) Job Description: Shift: Days Job Type: Per Diem Job Summary Reporting to the Manager, CDI (Corporate), the Clinical Documentation...
: Position Accountabilities 1. On a daily basis, initiate and perform concurrent documentation review of selected inpatient...) Job Description: Shift: Days Job Type: Per Diem Job Summary Reporting to the Manager, CDI (Corporate), the Clinical Documentation...
CDI operations to meet departmental and organizational goals. Monitors workflow processes, concurrent review assignments... Registered Nurse license or foreign medical graduate Req Certified Coding Specialist - CCS (AHIMA) Req Certified Clinical...
from home option and provides clinically based concurrent and retrospective review of inpatient medical records to evaluate the... for improving the overall quality and completeness of clinical documentation. Promotes a partnership between the concurrent...
from home option and provides clinically based concurrent and retrospective review of inpatient medical records to evaluate the... for improving the overall quality and completeness of clinical documentation. Promotes a partnership between the concurrent...
, and compliant. ? The Clinical Appeals and CDI Specialist provides nurse consultation services that consist of reviewing... by the client; Review clinical documentation and assign accurate diagnosis codes according to guidelines and project...
and concurrent review, and collaborates with onsite staff, physicians, providers, member/family interaction to develop and implement... and productive workplace environment. Perform telephonic and/or onsite admission and concurrent review, and collaborates...
Utilization Management Nurse Manager. In this role you will be assigned to members based on an alpha split and then review.... Conduct clinical review of claims for medical necessity, coding accuracy, medical policy compliance and contract compliance...
effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the... seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost...
and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity... to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic...