Department: Health Info Management Position Summary Summary: The Clinical Documentation Improvement Specialist... is responsible for improving the overall quality and completeness of clinical documentation; facilitates clarification to clinical...
related to supported technology. Manage utilization review, translation of foreign claims, coordination of benefits (COB.... ESSENTIAL RESPONSIBILITIES Coordinates the clinical care with the patient, family, physician(s), and other members of the...
walking, standing, stooping, bending, sitting, and some lifting of light weight objects. Concurrent Clinical Management... Title APP Urgent Care On-Call - Battle Creek Bronson Urgent Care Center in Battle Creek, MI seeks an Experienced Nurse...
. Qualifications: Licensed Registered Nurse, Licensed Clinical Pharmacist, or other Licensed Clinical Staff and three (3) years... clinical experience in an acute care setting Must be able to perform case reviews for medical staff peer review and medical...
a variety of tasks related to performing the following: integrated concurrent review for utilization; quality and risk... appropriate clinical documentation for review and to meet inpatient criteria by the Internal Guidelines. The Case Managers...
. Qualifications Licensed Registered Nurse, Licensed Clinical Pharmacist, or other Licensed Clinical Staff and three (3) years... clinical experience in an acute care setting Must be able to perform case reviews for medical staff peer review and medical...
on local structure to include providing clinical updates to payers and/or external review organizations, collecting data... discharge planning interventions and utilization review activity per department and medical center standards in a timely manner...
of the Case Management Department, including but not limited to clinical resource management, utilization review, discharge... determinations, and concurrent reviews. This role is accountable for the execution, adaptation, and outcomes of case management...
to include providing clinical updates to payers and/or external review organizations, collecting data, coordinating denial... and utilization review activity per department and medical center standards in a timely manner. Performs and documents accurate...
and facilitates discharge planning on admission and concurrent basis. WHO WE ARE With 12 ministries and access points... planning and mandated reporting. Review admissions, level of care, continued stay utilizing nationally recognized criteria...
related to supported technology. Manage utilization review, translation of foreign claims, coordination of benefits (COB.... ESSENTIAL RESPONSIBILITIES Coordinates the clinical care with the patient, family, physician(s), and other members of the...
to successfully substantiate code assignments Perform clinical coding review to ensure accuracy of medical coding and utilizes... daily case review assignments, with a high emphasis on quality Provide clinical support and expertise to the...
initial and concurrent utilization review to ensure certification/approval of in-patient and post discharge services. 5... classification. 1. Functions as a key point of contact between clinical case management staff, admissions and payors. Documents...
related to supported technology. Manage utilization review, translation of foreign claims, coordination of benefits (COB.... ESSENTIAL RESPONSIBILITIES Coordinates the clinical care with the patient, family, physician(s), and other members of the...
your best work. Job Summary: Evaluates medical record documentation for evidence of clinical information to support charges... applicable. Associates clinical and coding information to national and local coverage determination. Reviews the medical record...
your best work. Job Summary: Evaluates medical record documentation for evidence of clinical information to support charges... applicable. Associates clinical and coding information to national and local coverage determination. Reviews the medical record...
your best work. Job Summary: Evaluates medical record documentation for evidence of clinical information to support charges... applicable. Associates clinical and coding information to national and local coverage determination. Reviews the medical record...
, implementation and evaluation of Partnership’s clinical case management services. Collaborates with Supervisor(s) to oversee the..., and clinical management of assigned staff in accordance with industry best practices which includes training oversight, the...