- State of Minnesota (St. Paul, MN)
- **Working Title: Case Mix Reviewer ** **Job Class: Nursing ... review (CMR) audit process. Working as a Case Mix Reviewer you will: + ... of Health (MDH) + **Division/Unit** : Health Regulation / Case Mix Review + **Work...and development opportunities. Elevate your career and use your nursing knowledge and expertise to be part of a… more
- First Atlantic Health Care (Saco, ME)
- … Review all care plans on a regular basis for accuracy, appropriateness, and case mix validity + Oversee and/or complete care plans for all residents process ... + Current, active, Maine RN licensure or current active, Maine Licensed Practical Nurse (LPN) + Strong nursing clinical assessment, care planning, and delivery… more
- Genesis Healthcare (Charles Town, WV)
- …for billing to the Business Office such as RUGs categories, modifiers, state case - mix scores, etc. *Serve as the nursing center resource for MDS/RUGs and ... impact in the communities we serve. Responsibilities The MDS Nurse -- RN manages the overall process and tracking...manages the overall process and tracking of all Medicare/Medicaid case - mix documents to ensure appropriate reimbursement for… more
- Geisinger (Danville, PA)
- …analyze the clinical information, using the documentation as the primary driver for overall System Case Mix Index. Job Duties The RN CDI Specialist acts as a ... analyze the clinical information, using the documentation as the primary driver for overall System Case Mix Index. This position is work on site in Danville, PA,… more
- University of Michigan (Ann Arbor, MI)
- …needs and position qualifications consistent with the respective unit objectives and patient case mix . + Interview and select qualified personnel. + Evaluate the ... you have questions regarding this posting or would like assistance with nursing opportunities please contact Nurse Recruitment at ###. **Required Qualifications… more
- HCA Healthcare (Kissimmee, FL)
- …multiple stakeholders. Responsibilities: + Directs and evaluates departmental operations, including the case management model, staffing (skill mix and FTEs), use ... teams and external stakeholders. The Director is a registered nurse with responsibility for all operational aspects of the...growth, we encourage you to apply for our Director Case Management opening. We promptly review all… more
- Rochester Regional Health (Rochester, NY)
- …system schedule. + Coordinates and/or facilitates on-going CDI meetings and training. + Analyzes Case Mix Index for trends, determine root cause and address as ... as establishing and attaining system targets for performance metrics related to improved case - mix and quality measures. The Director provides daily oversight of… more
- Tufts Medicine (Burlington, MA)
- …appropriate documentation or coding modifications. 4. Demonstrates a strong understanding of case mix index, MCC/CC capture, severity of illness/risk of ... Physician Advisors/Champions. **Job Description** **Minimum Qualifications:** 1. Bachelor's Degree in Nursing 2. Active Registered Nurse (RN) license in… more
- PruittHealth (Durham, NC)
- …status and ongoing educational needs of unit staff. 9. Reviews with DHS outcomes of case mix and clinical meetings, in order to identify clinical learning needs ... by Nationally accredited Nursing Organization highly preferred (ie Gerontological Nursing , CRNI, or Certified Nurse Educator). **Family Makes Us Stronger.**… more
- First Atlantic Health Care (South Portland, ME)
- … Review all care plans on a regular basis for accuracy, appropriateness, and case mix validity + Oversee and/or complete care plans for all residents ... + Current, active, Maine RN licensure or current active, Maine Licensed Practical Nurse (LPN) + Strong nursing clinical assessment, care planning, and delivery… more
- Catholic Health Services (Rockville Centre, NY)
- …legislation. + Develop financial models to project reimbursement impacts related to changes in volume, case mix , or payer mix . + Partner with managed care, ... Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices… more
- AdventHealth (Orlando, FL)
- …Compliant Documentation Management Program (CDMP) at AdventHealth. This includes management of the case mix index (CMI), length of stay (LOS), severity of ... of the position. The Clinical Documentation Integrity Manager is a Registered Nurse and/or a Registered Health Information Administrator with a high level of… more
- WMCHealth (Valhalla, NY)
- …prepare data related to CON requests as needed. + Gathers, compiles and analyzes case mix data monthly in order to establish operational and reimbursement ... and annual allowance calculations for the hospitals and the nursing home. + Assist in preparation, review ...(Champus) filing, annual DOH capital budgetsand 3 year occupational mix data. Responsible for research and compliance with cost… more
- UPMC (Williamsport, PA)
- …eligible after 9 months PTO: No accrual - additional compensation built in Case Mix : Plastics, Thoracic, Vascular, Trauma, and Pediatrics (No hearts/chest cases) ... **Certified Registered Nurse Anesthetist (CRNA) - UPMC Susquehanna, Williamsport, PA** UPMC Susquehanna's Anesthesia Department is seeking a full-time CRNA to join… more
- Brockton Hospital (Brockton, MA)
- The CDS works collaboratively with Coding, Medicine, Nursing , Case Management, the Quality Department and ancillary staff to perform concurrent analytical ... review of the medical record to ensure an accurate...of the patient condition in the associated DRG assignments, case - mix index, severity of illness & risk… more
- Alameda Health System (Alameda, CA)
- …orderly fashion. 7. Assigns, assists, and instructs all staff in the RAI Process, Case - Mix , PPS Medicare, Medicaid, and the clinical computer system in relation ... PB + Alameda, CA + Park Bridge + PB Nursing + Services As Needed / Per Diem -...plans as required by OBRA and PPS. 3. Assists Case Manager with the transfer of patients to other… more
- Commonwealth Care Alliance (Boston, MA)
- …through on plans. + Accountable for quality and financial outcomes, service utilization, targeted case mix and productivity levels of APCs + Participates in the ... for mentorship to interprofessional team. This can include 1:1 meetings with staff, review of productivity standards, and ensure quality of care standards are met +… more
- Arnot Health (Bath, NY)
- …as appropriate/required. + Assists clinical staff with documentation for MDS based Case Mix to ensure appropriate classification of residents for reimbursement. ... duties that may be assigned. EDUCATION: Current New York State Registered Nurse Licensure. BSN preferred. Certification in nursing specialty desirable. Minimum… more
- Kaleida Health (Buffalo, NY)
- …accurate reflection of the patient condition in the associated DRG assignments, case - mix index, documentation/coded quality metrics, and reimbursement. The CDS ... clinical team and collaborates extensively with Physicians/Providers, HIM coding team, Nursing , Patient Management, Quality Department and ancillary staff to perform… more
- CommonSpirit Health at Home (Houston, TX)
- …department. + Responsible for management of KPIs, SHP/CMS quality improvement indicators, HHRG/ Case mix weight. + On-going ability to coach and motivate ... for bill/pay rate changes. + Responsible for quarterly branch review , to include assessment of branch performance and branch...Responsible to assure full compliance with TJC standards, American Nursing Care P&P, Federal, State and County rules and… more