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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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Wellstar MCG Health Imaging (formerly AU Health Imaging) is seeking a highly motivated, enthusiastic, compassionate individual who is a strong communicator to join an energetic, patient-focused team.
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The SRS RN CM II will be an expert at the use of Allscripts, MCG, InterQual and other CM software and processes. Advanced PC, data management and analysis skills required, (experience with InterQual, and or MCG and Allscripts an Asset.
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Work closely with the pre-sales engineer team to prepare presentations that showcase the products offered by MCG. Create new and leverage existing C-Level relationships using Insight, Challenger, SPIN, or other consultative sales methodologies to communicate MCG´s unique value proposition effectively.
$110,000 - $120,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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For information about Montgomery County's comprehensive benefit offerings, please visit the MCG Career 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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MCG Careers Total Rewards. Montgomery County Government also provides hiring preference to certain categories of veterans and veterans/persons with a disability. MCG Careers Total Rewards. Experience with Siebel Customer Relationship Management software for tracking customer complaints, compliments, and comments.
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For information about Montgomery County Government’s comprehensive benefits package, please visit the MCG Total Rewards webpage. For information about Montgomery County Government’s comprehensive benefits package, please visit the MCG Total Rewards webpage.
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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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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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Oversee the collection, analysis, and reporting of Care Coordination, BHT, ABA and CDE Referral, Case Management and Utilization Management based on MCG clinical guidelines, state, and federal standards.
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The Patient Access Services Director, in collaboration with physician, patient care and administrative leaders, provides leadership, direction and overall administrative management for all patient registration areas, emergency services and medical group departments for Wellstar MCG Health, Augusta and reports directly to the Assistant Vice President of Patient Access Services.
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For information about Montgomery County Government's comprehensive benefits package, please visit the MCG Total Rewards webpage and check out our competitive benefits! For information about Montgomery County Government's comprehensive benefits package, please visit the MCG Total Rewards webpage and check out our competitive benefits.
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Apply clinical knowledge when processing all deferrals and or denials, supported by clinical criteria, including but not limited to DMHC, DHCS, CMS, Health Plan, Milliman Care Guidelines (“MCG”), and UpToDate.
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Experience with Milliman Care Guidelines (MCG) The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services.
$49.27 - $81.3 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Utilizes MCG guidelines/pathways to determine admission status, level of care, goal length of stay and continued provision of services as evidenced by audit of documentation in EMR. Completes an initial screen of all patients on admission (not to exceed within 24 hours of admission) utilizing MCG criteria to identify needs related to care coordination and/or discharge planning.
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