Perform comprehensive medical record and claims review to make payment determinations based on Insurance coverage, coding, and utilization of services and practice guidelines for Medicare B Physician Office and Professional Services, Ambulance Services, Laboratory, and others Performs first and second level of Medical Review in determination of claims payment review Condu

We are hiring for a full time RN Patient Care Manager at HomeCall Waldorf. At HomeCall, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy themeaningful connections that come from it for the whole patient, their families,each other, and the communities we serve it truly is all about helping people.You can find a home for your career here.

Job Description Under the direct supervision of a registered nurse, participates in the nursing process in delivering care to patients and their families. Duties and responsibilities include direct care activities required in daily practice on the assigned unit. Fulfillment of the job duties requires the employee to have access to medication storage areas and transport me

Requisition # 639747 Location Johns Hopkins Hospital, Baltimore, MD 21201 Category Advanced Practice Providers Schedule Rotating Shift Position Title Advanced Practice Provider Cardiovascular Surgical Intensive Care Unit (CVSICU) Location Johns Hopkins Hospital, Baltimore, Maryland About Us Join our esteemed team at Johns Hopkins Hospital as an Advanced Practice Provider

Performs direct patient care tasks under the direction of the Registered Nurse and performs various tasks as competency documentation designates. Position provides direct patient care limited to non invasive procedures, unless specifically certified in phlebotomy. Qualifications POSITION REQUIREMENTS Education/Qualification High School diploma At least six months of recen

7503 Surrats Road 2nd floor,Clinton,Maryland,20735,United States of America DaVita is seeking a Registered Nurse who is looking to give life in a hospital setting. You can make an exceptional difference in the lives of our patients and their families dealing with end stage renal failure or chronic kidney disease. Do you desire to deliver care in an empathetic, compassionat

Here at BridgePoint the Registered Nurse RN provides planning and delivery of direct and indirect patient care through the nursing process of Assessment, Planning, Intervention, and Evaluation. The Registered Nurse RN develops nursing care plan in coordination with patient, family and interdisciplinary staff as necessary. The Registered Nurse RN communicates changes in pa

Perform comprehensive medical record and claims review to make payment determinations based on Insurance coverage, coding, and utilization of services and practice guidelines for Medicare Part A SNF, DRG, and Outpatient Facilities and Services. Performs first and second level of Medical Review in determination of claims payment review Conducts in depth claims analysis uti

Coordinates admissions of hospice patients by making skilled assessments of patients initial physical, psychosocial and spiritual needs. Coordinates the establishment of the initial plan of care with the attending physician, m edical d irector and the i nterdisciplinary t eam. Provides skilled interventions and instructions to patient and caregivers to provide optimum sym

INTRODUCTION Under the supervision of the Director of Social Services, the Clinical Case Manager in consultation with the Social Services Assistant Director, works with diverse populations with multifaceted needs. Primary responsibilities include, but are not limited to, assisting clients in following through on established treatment plans, enhancing social functioning, a

Senior Clinical Quality Measure Developer Job Location US Remote | US DC | US VA Arlington | US NC Chapel Hill | US IL Chicago | US MD Columbia | US MD Rockville | US CA Sacramento | US WA Seattle | US MA Job ID 13043 Job Location United States Category Research Overview AIR is seeking a Senior Clinical Quality Measure Developer to join AIR's Learning, Translation, and Qu

Decypher is a leading integrator of professional, technology, and management solutions and services. We provide our services globally to Federal, Commercial, Local and State clients. Our employees are our most valuable asset and play an integral role in the success of Decypher and our clients. Working at Decypher is not a job, but a career where your talent and energy is

Professional care provider who assesses, plans, implements, and evaluates the nursing care of patients from admission through discharge. In collaboration with the patient and family, provides theory based professional nursing care and coordinates care delivery with various members of the interdisciplinary team. Minimum Qualifications Education Bachelor of Science in Nursi

Contributes to the provision of high quality, cost effective healthcare as a provider of direct and indirect patient care and by effective of the health care team. Functions as a competent member of the health care team. Essential Job Duties Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Clinical Decisi

Demonstrates clinical expertise in the area of Emergency Nursing in order to engage with staff nurses, physicians and support personnel in clinical decision making, patient flow, and problem solving in the areas of triage, minor care, and IMC Essential Job Duties Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functio