- State of Colorado (Fremont County, CO)
- …by supervising residents' whereabouts, interactions, and conditions and refer to the charge nurse if necessary Hygiene Care + Collaborate with the charge nurse ... the effectiveness and appropriateness of the Treatment Care Plan, inform the charge nurse of refusals of hygiene care. + Document observations and care provided on… more
- State of Colorado (Garfield County, CO)
- …a current, valid CNA license. Substitutions: Current, valid certification as a Nurse Aide (CNA) from the Colorado Department of Regulatory Agencies will substitute ... or emergent resident care situations, seek assistance of the RN and/or MD/DON, and initiate appropriate emergency interventions as...appeal with the State Personnel Board or request a review by the State Personnel Director if your application… more
- Community Health Systems (Franklin, TN)
- …CHS hospitals via scanned, electronic and hybrid medical records. Based on review findings, writes appeal letters to include supporting documentation. + Utilizes ... appeal status. + Consults with Coordinator and/or Director, Coding Denials and Appeals during any audit discrepancies. + Attends coding education to include… more
- Elderwood (Waverly, NY)
- …Overview Mon-Fri 8am-4pm The Managed Care Coordinator assists and supports the LPN/ RN MDS Coordinator with case management responsibilities. The candidate is the ... updates as requested by Insurance Companies, handles Third Party appeals , peer to peers as applicable and with clinical...as applicable and with clinical oversight provided by the LPN/ RN MDS Coordinator. Attends team meetings at the discretion… more
- CaroMont Health (Gastonia, NC)
- …staff departments and committees. Assist with retrospective reviews and preparation of appeals as indicated. Facilitate peer review activities and integrate ... healthcare with the best clinical outcomes possible. Provide physician and nurse education to achieve compliance with best practice and evidence-based guidelines.… more
- University of Southern California (Arcadia, CA)
- …impact DRG assignments. + Minimum of three years' experience in clinical disciplines ( RN , MD, FMG) or utilization review /case management in an acute care ... and other clinical staff. + Meets established productivity targets for record review and appropriate query placement. + Demonstrates working knowledge of ICD-10 CM… more