EDUCATION/ QUALIFICATIONS: · Graduate from an accredited school of Vocational nursing required · Licensed Vocational Nurse... will be required of all certified individuals. JOB KNOWLEDGE/EXPERIENCE: · Three years hospital nursing clinical experience preferred · Case...
EDUCATION/ QUALIFICATIONS: · Graduate from an accredited school of Vocational nursing required · Licensed Vocational Nurse... will be required of all certified individuals. JOB KNOWLEDGE/EXPERIENCE: · Three years hospital nursing clinical experience preferred · Case...
and continued hospital stay applying appropriate clinical criteria. Performs admission review within 24 hours or the first business... and is responsible for coordinating, communicating, and facilitating the clinical progression of the patient's treatment. Accountable...
of clinical criteria documentation requirements used to successfully substantiate code assignments Perform clinical coding review... to ensure accuracy of medical coding and utilize clinical expertise and judgment to determine correct coding and billing...
needed. Utilization Management: When assigned UM tasks, the UM/CM must: Perform pre-authorization, concurrent, and discharge review... of a team to provide referral, authorization, medical review, and/or case management services to providers and Health Plan...
of clinical criteria documentation requirements used to successfully substantiate code assignments Perform clinical coding review... to ensure accuracy of medical coding and utilize clinical expertise and judgment to determine correct coding and billing...
and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity... is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic...
and continued hospital stay applying appropriate clinical criteria. Performs admission review within 24 hours or the first business... and is responsible for coordinating, communicating, and facilitating the clinical progression of the patient's treatment. Accountable...
, NSQIP, STS, and ACC) utilizing electronic processes and when indicated, concurrent chart reviews Perform daily chart review... Summary: * Responsible for chart abstraction and submission of clinical data to national registries with publicly reported...
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...
implementation, Multi-Disciplinary Rounding, and various nurse chart review and documentation optimizations. The ideal candidate... required changes and enhancements to clinical applications, and a a group of analysts leading projects that will standardize...
denies payment for days during concurrent review, contact the attending with this information. The attending can... for concurrent appeal of the denial Qualifications Education: Registered professional nurse licensed to practice in the state...
in identifying real and potential quality issues through measurement and analysis along with concurrent and retrospective review... and presenting clinical quality-related data. Previous case review experience. Preferred Qualifications Master's Degree...
for appropriateness of setting, utilization, care planning quality, and facilitates discharge planning on admission and concurrent basis... to discharge planning and mandated reporting. Review admissions, level of care, and continued stay while utilizing nationally...
related to requests for services which includes a clinical record review and interviews with members, clinical staff, medical... services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...
related to requests for services which includes a clinical record review and interviews with members, clinical staff, medical... services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...
related to requests for services which includes a clinical record review and interviews with members, clinical staff, medical... services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...
on Voice of the Customer (VOC) service needs and expectations. Review care of patients (concurrent and retrospective) to assess...Description A Brief Overview The Senior Improvement Nurse serves as a strategic partner, responsible...
Nursing. Upon hire: Oregon Registered Nurse License 5 years Clinical experience. 5 years Hospital experience... concurrent and retrospective support managing initiatives to comply and in accordance with Center for Medicare and Medicaid...
Nursing. Upon hire: Oregon Registered Nurse License 5 years Clinical experience. 5 years Hospital experience... concurrent and retrospective support managing initiatives to comply and in accordance with Center for Medicare and Medicaid...