- The Christ Hospital (Cincinnati, OH)
- …to maximize reimbursement. Maintain knowledge of current HMO/PPO/Medicaid/ Medicare /commercial insurance regulations and requirements. Requires working knowledge ... Carriers and Plan Administrators to verify patient benefits. Evaluates and prepares chart documentation to establish that Medical Necessity guidelines have been met.… more
- DHR Health (Edinburg, TX)
- …and review processes highly desirable. Knowledge and understanding of Medicare and Medicaid guidelines and regulations pertaining to utilization review ... manner to set up services required. Works with attending physician and care team members to move patient through...issue Hospital Issued Notice of Non-coverage and Hospital Requested Review for Medicare patients according to policy.… more
- Kaiser Permanente (Decatur, GA)
- …activities will include daily review of hospital care by chart review and discussion with attending physician , admission and concurrent review for ... Description: Job Summary: Responsible for working collaboratively with physician partners to optimize quality and efficiency of care for hospitalized members by… more
- CVCH (Chelan, WA)
- …Quality, and Citizenship Goals) Job Summary The Nurse Practitioner or Physician Assistant Certified (Advanced Practice Provider-APP) primary job function is to ... plan which is in accordance with State of Washington Physician Assistant licensure requirements, in cooperation with supervising ...BLS. All Providers must be eligible for enrollment in Medicare and must not be currently opted out of… more
- Eventus WholeHealth (Charlotte, NC)
- …specialty notes, hospital and SNF records are available in EHR for provider review Review patients' medical history and information from all available ... family input and specialty referrals Document client services in patients chart , including updated history and medication reconciliation from their transition of… more
- FC Compassus LLC (Lorain, OH)
- …an integrated review within 24 hours of admission. Performs a chart review daily for concurrent utilization and discharge planning. Understands payer ... corrective approaches to improve care or prevent delays. Is knowledgeable of Medicare compliance standards and assures that these standards are met. Utilizes the… more
- Oakwood Village (Madison, WI)
- …or issues, to ensure outcomes within recommended quality measures. Completes a comprehensive chart review of all patients readmitted or transferred to ER and ... patient, responsible party, and post skilled facility partners to include primary physician follow up appointment, and is responsible for the recapitulation of stay.… more
- Bassett Healthcare Network (West Winfield, NY)
- …aware of the patients' lobby experience, and completion of all referral duties. Performs chart review in preparation for providers clinic. Makes best effort to ... of Advanced Beneficiary Notice signatures and form processing to meet Medicare regulations. Ensures all corrections (demographics, insurance eligibility etc. based… more
- LHC Group, Inc. (Reno, NV)
- …all regulations, laws, policies, and procedures applicable to hospice and Medicare / Medicaid issues when applicable daily. Immediately available (or has Alternate ... daily reports on patients from staff. This process also includes review of patient care paperwork, referral information, recertification processes, discharge… more
- UPMC (Pittsburgh, PA)
- …documentation guidelines. + Analyze medical record documentation and coding through a chart review process that identifies incorrect coding, coding lacking ... UPMC Health Plan has an exciting opportunity for a Physician Educator position in the HCC Risk Adjustment Department....and medical record documentation reviews. + Maintain confidentiality of chart review results and member information. +… more
- CenterWell (Denver, CO)
- … for nurse practitioners or physician assistants, including completing regular chart review and coordinating monthly meetings. . Be available to act ... We are excited to offer the role of Virtual Physician Collaborator for CenterWell Medical Group, a new virtual.... Meet with clinic leaders about quality of care, review of outcome data, policy, procedure, and records issues.… more
- CareOregon (Portland, OR)
- …of complex care needs, conflict and ethical issues. + Provides clinical chart review , supervision and supporting documentation of nurse practitioner and ... care costs and increase provider/care team satisfaction. Housecall Providers has saved Medicare millions of dollars, while providing better care to our patients,… more
- CenterWell (Las Vegas, NV)
- …a positive and welcoming environment for all. The Nurse Practitioner / Physician Assistant takes medical histories, examines and treats patients, orders and ... for patients and monitors care using available data and chart reviews. + Assists in the coordination of patient...through daily huddles. + Helps Regional Medical Director (RMD), Physician and Center Administrator in setting a tone of… more
- CenterWell (North Augusta, SC)
- …and welcoming environment for all. **Responsibilities:** The Nurse Practitioner (NP) or Physician Assistant (PA) works in our team-based care environment. We are a ... for patients and monitors care using available data and chart reviews. . Assists in the coordination of patient...through daily huddles. . Helps Regional Medical Director (RMD), Physician and Center Administrator in setting a tone of… more
- CenterWell (Savannah, GA)
- …+ Assisting in resolution of inquiries, requests, and complaints from patients + Ongoing chart review / audit of clinical staff to ensure quality care and ... on teamwork and providing a positive and welcoming environment for all. The Physician Lead serves as a health-care professional and capable of handling a variety… more
- CenterWell (Grand Prairie, TX)
- …pay + bonus) could exceed $300K depending on experience and location.** The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a ... and spend more time with those they do. The Physician focuses on outpatient medicine, continuity of care, health...for patients and monitors care using available data and chart reviews. Assists in the coordination of patient services,… more
- CenterWell (San Antonio, TX)
- …part of our caring community and help us put health first** The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a value-based ... for patients and monitors care using available data and chart reviews. + Assists in the coordination of patient...Leadership. + Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues.… more
- CenterWell (Deerfield Beach, FL)
- …a part of our caring community and help us put health first** The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a value ... for patients and monitors care using available data and chart reviews. . Assists in the coordination of patient...Leadership. . Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues.… more
- CenterWell (Beaumont, TX)
- …a part of our caring community and help us put health first** The Physician serves as a health-care professional and capable of handling a variety of health-related ... problems. The Physician work assignments involve moderately complex to complex issues...for patients and monitors care using available data and chart reviews. . Assists in the coordination of patient… more
- CenterWell (Deland, FL)
- …a part of our caring community and help us put health first** The Physician serves as a health-care professional and capable of handling a variety of health-related ... problems. The Physician work assignments involve moderately complex to complex issues...for patients and monitors care using available data and chart reviews. . Assists in the coordination of patient… more
