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The Department of Neurology at the Medical College of Georgia at Augusta University is seeking an Epileptologist.
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The Department of Pediatrics at the Medical College of Georgia at Augusta University is actively seeking candidates for a faculty position full-time allergy-immunology faculty position at the Assistant Professor, Associate Professor, or Professor level to serve in the Division of Allergy-Immunology and Pediatric Rheumatology (Department of Pediatrics) and to join the faculty of the MCG Allergy-Immunology Fellowship Training Program.
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They must competently and accurately utilize approved screening criteria (InterQual/MCG/Centers for Medicare and Medicaid Services “CMS” Inpatient List). Utilizes MCG/InterQual Care Guidelines and/or health system-approved tools to track impact and variance.
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Performs a comprehensive review of medical history, doctor's orders, progress notes, therapy notes, vital signs sheet, laboratory results, discharge planning notes and other pertinent medical information to determine whether patient is meeting skilled care criteria based on MCG Recovery Care Guidelines and Healthplan SNF guidelines.
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Provides oversight of the utilization review process for medical necessity determinations for skilled nursing facilities using Recovery Care Guidelines-MCG and Home Health using the Medicare Benefit Policy Manual.
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Knowledge, Skills, and AbilitiesKnowledge of medical terminology, healthcare finances, alternative care options, utilization management, health plan criteria, established criteria such as MCG formerly known as Milliman Care Guidelines and its applications required.
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For information about Montgomery County's comprehensive benefit offerings, please visit the MCG Careers Total Rewards webpage and check out our competitive benefits! Montgomery County Government is an equal opportunity employer, committed to workforce diversity.
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Wellstar MCG Health Imaging is a full-service imaging center dedicated to providing consistent, quality, state-of-the-art outpatient imaging services, with a deep commitment to customer service and patient care.
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SYSTEMS: Cerner, InterQual and MCG/Milliman experience required. Case management nurse, case management RN, case manager nurse, case manager RN, CM RN, healthcare, health care, registered nurse, RN, R.N., nurse, nursing.
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MCG and its teaching hospitals also provide postgraduate education to more than 500 residents and fellows in 50 different Accreditation Council for Graduate Medical Education-approved programs.
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Milliman (MCG) Guideline and Interqual criteria experience highly preferred. Our highly specialized services meet the unique medical needs of children, from Pediatric and Neonatal Intensive Care to Children’s Emergency Services, the latest treatments for deformities of the spine including titanium rib implants and halo traction, a Heart Center, a specialized asthma program, a highly regarded Cancer and Blood Disorders Center, and growing maternal services to include consultation, delivery, and maternal fetal medicine.
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Responsibilities of the Remote Utilization Management Nurse:Responsible for performing medical reviews to assess, and coordinate quality care for patientsDetermine medical necessity utilizing MCG criteria and medical policy/contractual benefits.
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Montgomery County Government also provides hiring preference to certain categories of veterans and veterans/persons with a disability. Accuracy in all dimensions of work is critical to ensuring that the fire rescue and public safety community has the properly configured tools required to operate safely.
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Montgomery County Ethics Law : Except as provided by law or regulation, the County's "Public Employees" (which does not include employees of the Sheriff's office) are subject to the County's ethics law including the requirements to obtain advanced approval of any outside employment and the prohibitions on certain outside employment.
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Broad knowledge of health care delivery/managed care regulations and experience with evidence based care guidelines (i.e. MCG/Milliman, Interqual). The PAC Nurse is a telephonic position responsible for recommending discharge plans, assisting with transition of care, and managing the length of stay (LOS) for Long Term Acute Hospital (LTACH), Skilled Nursing Facility (SNF), and Institutional Rehab Facility (IRF) for their assigned and non-assigned post-acute care (PAC) facilities through collaboration.
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