- Intermountain Health (Denver, CO)
- **Job Description:** The RCO Audit & Appeals RN Consultant is responsible for consulting on clinical Appeals and Audits for Intermountain Health. The ... Audit / Appeals RN Consultant will execute clinical audits of medical records on behalf of Intermountain hospitals and clinics for denials review, defense… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …patterns of clinical outcomes demonstrate undesirable variation * Act as consultant and resource to medical staff regarding federal and state utilization and ... care, medical necessity, compliance with regulatory guidelines, payer relationships; clinical documentation integrity, and identification of trends in the over… more
- Trinity Health (Silver Spring, MD)
- …length of stay (LOS) management, patient flow/throughput management, appropriate clinical documentation, and CDI. Engages physicians in care coordination, care ... Trinity Health and Holy Cross Health. **ESSENTIAL FUNCTIONS** **1.** Inpatient/Observation Clinical Optimization: Serves as physician expert and provides support to… more
- Trinity Health (Silver Spring, MD)
- …length of stay (LOS) management, patient flow/throughput management, appropriate clinical documentation and CDI. Provides oversight for other Physician Advisors. ... of hospitalization, LOC status, LOS management, continued stay decisions, clinical review of patients, utilization review activities, resource utilization/management,… more
- City and County of San Francisco (San Francisco, CA)
- …prepares written care summaries for the purpose of coordinating care; + Performs clinical evaluations in the more difficult individual cases by participating in the ... training and coordination of programs and services; acts as consultant to other agencies and participates in negotiation and...+ May perform Quality Improvement activities such as chart audit and compliance review. + The 2932 Senior Behavioral… more