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Manages comprehensive Precertification integrity system and works toward goals and objectives for departmental denial management. Has a sound understanding of the payor policies related to denials and appeals process for all Institutes deemed within Healthcare Access scope.
• Reviews and analyzes denial data for all Institutes within the scope of HCA to determine denial trends and developes remediation plans and/or workflow resolutions
• Analyze CPT codes with payer policy change to ensure teams stay abreast to all relevant payer policy updates and pre authorization standards
• Collaborate with Revenue Cycle University to develop annual CLN’s and quality assurance...
Manages comprehensive Precertification integrity system and works toward goals and objectives for departmental denial management. Has a sound understanding of the payor policies related to denials and appeals process for all Institutes deemed within Healthcare Access scope.
• Reviews and analyzes denial data for all Institutes within the scope of HCA to determine denial trends and developes remediation plans and/or workflow resolutions
• Analyze CPT codes with payer policy change to ensure teams stay abreast to all relevant payer policy updates and pre authorization standards
• Collaborate with Revenue Cycle University to develop annual CLN’s and quality assurance...
Manages comprehensive Precertification integrity system and works toward goals and objectives for departmental denial management. Has a sound understanding of the payor policies related to denials and appeals process for all Institutes deemed within Healthcare Access scope.
• Reviews and analyzes denial data for all Institutes within the scope of HCA to determine denial trends and developes remediation plans and/or workflow resolutions
• Analyze CPT codes with payer policy change to ensure teams stay abreast to all relevant payer policy updates and pre authorization standards
• Collaborate with Revenue Cycle University to develop annual CLN’s and quality assurance...
The Clinical Educator II is a nursing professional who is responsible for a variety of training and developmental duties in healthcare. The Clinical Educator II possesses master-level competencies to ensure nurses and unlicensed assistive personnel have the skills and training to succeed in their individualized units or specialty.
The Registered RN is a professional care-giver who, as a member of a multidisciplinary
health care team, assumes responsibility and accountability for a group of patients for a
designated time frame and who supervises and provides care to these patients utilizing the
nursing process including the therapeutic use of self.
Functions in the role of providing a safe environment for patients requiring close observation. Assists in providing direct, indirect, and non-patient care responsibilities. Contributes to quality patient care by serving as a significant member of the health care team.
NEW COMPETETIVE RATES!
Interviews and screen patients prior to MRI procedures to ensure there are no safety
concerns/contraindication.
Performs MRI procedures following the protocols established by the Radiologists.
Begins studies, transfers images, documents patient history and completes studies in
EPIC/ EMR and PACS system
Experience with Cardiac and Pediatrics preferred.
Siemens experience preferred.
Able to correctly apply MRI compatible monitoring system/IV infusion pump to...
Provides assessments, (crisis intervention), social work consultation, referrals, short term
counseling to facilitate discharge planning, and complex discharge planning for patients and
their families.
Support and participates in the Patient-centered Medical Home (PCMH) concepts of team- based care.
Assess, plan, implement, coordinate, monitor and evaluate healthcare options and services with the goal of increasing the likelihood of improvement to the health status of identified populations across the continuum.
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Support and participates in the Patient-centered Medical Home (PCMH) concepts of team- based care.
Assess, plan, implement, coordinate, monitor and evaluate healthcare options and services with the goal of increasing the likelihood of improvement to the health status of identified populations across the continuum.
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