- CoxHealth (Springfield, MO)
- …Job Summary This position is responsible for facilitating timely and accurate physician documentation in the medical record through concurrent chart review . ... team regarding proper clinical documentation utilizing approved guidelines. Understand and utilization of ICD-10-CM and PCS coding assignment and follow Official… more
- Ciena Health Care Management (Defiance, OH)
- …time frames. Assesses resident through physical assessment, interview and chart review . Discusses resident care needs with care givers, including physician ... schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator Remains current with the… more
- HireMaster (Maryville, TN)
- …of care and timely implementation of plan of care in accordance with hospital(s) Utilization Review Plan and CMS regulation. Maintains expert level knowledge of ... timely contacts with insurers to provide clinical information to support physician referrals. In collaboration with physicians, leads the multidisciplinary team… more
- Ciena Health Care Management (Cincinnati, OH)
- …time frames. Assesses resident through physical assessment, interview and chart review . Discusses resident care needs with care givers, including physician ... schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator Remains current with the… more
- Ciena Health Care Management (Midland, MI)
- … review Discusses resident care needs with caregivers, including physician , nursing, social services, therapy, dietary, and activity staff Reviews information ... schedule and maintain PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator Remains current with the… more
- Ciena Health Care Management (Detroit, MI)
- … review .Discusses resident care needs with care givers, including physician , nursing, social services, therapy, dietary, and activity staff.Reviews information ... schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management CoordinatorRemains current with the… more
- Ciena Health Care Management (Jackson, MI)
- …interdisciplinary team Assesses resident through physical assessment, interview and chart review . Discusses resident care needs with care givers, including ... physician , nursing, social services, therapy, dietary, and activity staff...PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator… more
- Kaiser (Hillsboro, OR)
- …with the ability to successfully pivot from a patient facing to a physician facing role throughout the day. Associates must thrive on being adaptable, flexible, ... illnesses), stress-related physical symptoms, ineffective patterns of health care utilization , and adjustment to new and chronic medical conditions.Effectively… more
- Christus Health (Tyler, TX)
- …therapy department.Participates in medical chart peer review , case record review and utilization review as deemed necessary.Assumes responsibility ... sets goals, plans programs and treats patients according to the physician 's orders; maintains required records and notes; assists with directing technicians… more
- Tenethealth (Frisco, TX)
- …and Individual facility leaders including Presidents, CMO, CFO, Facility Physician Service Line Heads, Physicians and other leaders. Communicates/Completes Clinical ... Documentation Improvement (CDI) activities and coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up and resolution. Develops a… more
- Tenethealth (Frisco, TX)
- …communicates documentation improvement opportunities and coding issues (lacking documentation, physician queries, etc.) to appropriate personnel for follow-up and ... and OPPS, ICD-9-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding… more
- Kaiser (Hillsboro, OR)
- …necessity for durable medical equipment, and out-patient education in effective utilization of prescribed respiratory medical interventions. Meets ATS standards 90% ... pulmonary function testing equipment.Measured by quality control monitoring, pulmonary physician interpretation of test results.Durable Medical Equipment Evaluations:Perform respiratory… more
- Health eCareers (Columbia, SC)
- …of care and timely implementation of plan of care in accordance with hospital(s) Utilization Review Plan. – 10%Promotes effective and efficient utilization ... management service for hospital patients, including, but not limited to, utilization management to ensure efficient, cost–effective patient progression through the… more
- Health eCareers (Memphis, TN)
- …physicians, other patient caregivers and Facility HIMS coding staff and Revenue Utilization Review Team to ensure clinical documentation and services rendered ... accuracy and completeness of clinical information used for measuring and reporting physician and medical center outcomes with continuing education to all members of… more
- Hackensack Meridian Health (Hackensack, NJ)
- The Utilization Review Physician collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical ... Hackensack University Medical Center. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… more
- Sutter Health (Sacramento, CA)
- …and case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Some awareness ... health care services. The PA will develop expertise on matters regarding physician practice patterns, over- and under- utilization of resources, medical… more
- Beth Israel Lahey Health (Boston, MA)
- …a difference in people's lives.** Position Summary: In conjunction with the admitting/attending physician , the Utilization Review RN assists in determining ... the level of care being billed. Conducts concurrent reviews as directed in the hospital's Utilization Review Plan and review of medical records to ensure… more
- CommonSpirit Health (Phoenix, AZ)
- …by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred. + Physician Advisor Sub-specialty Certification ... This role will be an expert on matters regarding physician practice patterns, over and under- utilization of...by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) preferred. **Required… more
- CVS Health (Oklahoma City, OK)
- …psychiatrist. * Experience with managed care, as a provider and manager of care utilization review or physician advisor experience. * Child/Adolescent Board ... Medical Director (Behavioral Health), you will: * Provide leadership and day-to-day physician oversight for utilization management team, including the management… more
- BayCare Health System (Riverview, FL)
- …certification by the American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) + Preferred - Physician Advisor Sub-Specialty ... the hospital through teaching, consulting, and advising the care management and utilization review departments and the hospital leadership. + Develops expertise… more
