and any associated case review and documentation. You'll enjoy the flexibility to work remotely * from anywhere within the... and providers to obtain information needed to perform the clinical review Must also be willing to be cross trained to assist...
of clinical criteria documentation requirements used to successfully substantiate code assignments Perform clinical coding review..., reimbursement trends, and client processes and requirements Maintain and manage daily case review assignments, with a high emphasis...
of clinical criteria documentation requirements used to successfully substantiate code assignments Perform clinical coding review..., reimbursement trends, and client processes and requirements Maintain and manage daily case review assignments, with a high emphasis...
· Experience in utilization review and/or quality assurance in a healthcare setting · Experience in conducting assessments..., and/or CLA services · Experience as a Registered Nurse/LPN, or licensed/certified professional in a related field or setting...
information about this position. The professional registered nurse has the authority, responsibility, and shift accountability... for the delivery of nursing care through the use of the nursing process. The Registered Nurse accepts accountability, applies...
electronic system. Gather initial utilization data and report results at Utilization Review meetings. Monitor and ensure... meetings to review resident issues and MDS variances. Conduct monthly reviews of the CASPER report to identify opportunities...