in Georgia. Minimum 4 years experience in nursing in an acute care setting through direct patient care, utilization review, case... in Nursing with a minimum of two years experience in a JA Thomas Clinical Documentation Improvement program. Current RN license...
experience in nursing in an acute care setting through direct patient care, utilization review, case management or quality review... years experience in a JA Thomas Clinical Documentation Improvement program. Current RN license in Georgia. Minimum 4 years...
of working as a CDI/Coding auditor is preferred Prior experience of working in inpatient case management or utilization review... that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity...
disorder facility-based and outpatient professional treatment health benefits through telephonic or written review. Primary..., such as RN LCSW LMSW LMHC LPC LBA (as allowed by applicable state laws) LMFT or Clinical Psychologist to practice as a health...
disorder facility-based and outpatient professional treatment health benefits through telephonic or written review. Primary..., such as RN LCSW LMSW LMHC LPC LBA (as allowed by applicable state laws) LMFT or Clinical Psychologist to practice as a health...
. Assists with development of utilization/care management policies and procedures. Minimum Requirements: Requires BA/BS..., which would provide an equivalent background. Current, unrestricted RN license in applicable state required. Multi-state licensure...
auditor is preferred Preferred and Prior experience of working in inpatient case management or utilization review is preferred... within 180 Days Reg Nurse (Single State)-Preferred or RN - Multi-state Compact-Preferred or Cert Coding Spec-Preferred or Cert...
or written review. How you will make an impact: Uses appropriate screening criteria knowledge and clinical judgment to assess... active unrestricted license such as LCSW LMSW LMHC LPC LBA (as allowed by applicable state laws) LMFT RN or Clinical...
with providers, claims or service issues. Assists with development of utilization/care management policies and procedures...; or any combination of education and experience, which would provide an equivalent background. Current, unrestricted RN license...
are managed, evaluated, and capture accurate resource utilization at all the facilities levels. Partner with the Clinical... and Responsibilities: Develop and implements case management and clinical reimbursement programs. Review weekly/monthly RUG...