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Provides analysis and education regarding regulatory and clinical changes impacting inpatient and post-acute care processes and reimbursement. Lead Tenet Utilization Review Teams market structure and operations management to effectively support utilization review and authorization confirmation functions to promote an appropriate level of care and prevent payer denials.
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Five (5) or more years of Inpatient and/or Outpatient HB coding experience in an acute care setting Registered Health Information Administrator (RHIA) (AHIMA) Registered Health Information Technician (RHIT) (AHIMA) Certified Coding Specialist (CCS) (AHIMA) Work Type: Full Time EEO is the law.
$28.7 - $38.34 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Our hybrid care model combines telehealth and in-person care services, which allows our collaborative, multispecialty group to continue to forge solid connections, provide accessible, affordable care, and elevate the healthcare experiences of seniors in post-acute settings.
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Acute Care Certification required OR Graduate of a Master's degree or higher Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) accredited Physician Assistant program.
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We are seeking an experienced Physician Assistant or Acute Care Nurse Practitioner to join our lung transplant team in the ICU at Clements University Hospital (CUH). We are looking for a provider with inpatient medicine or acute care experience strongly preferred.
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Must have active certification as a Nurse Practitioner by one of the following: - Family Nurse Practitioner (FNP) by the American Nurses Credentialing Center (ANCC) - Pediatric Nurse Practitioner Primary Care (PNP-PC or PPCNP) by the Pediatric Nursing Certification Board (PNCB) or ANCC - Pediatric Nurse Practitioner Acute Care (PNP-AC) by PNCB - Neonatal Nurse Practitioner (NNP) by NCC OR Women's Health Nurse Practitioner (WHCNP) by National Certification Corporation.
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Summary:The Utilization Management Nurse is responsible for determining and managing medical necessity of acute inpatient admissions utilizing clinical criteria. This includes communication with the Physician's admitting patients to a Children's Health System of Texas (CHST) facility and collaboration with the Physician Advisor during the review process.
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Methodist Charlton Medical Center is a 314-bed, full-service, acute care teaching hospital that serves Cedar Hill, DeSoto, Duncanville, and Lancaster in southwestern Dallas County. 150 Top Places to Work in Healthcare by Becker’s Hospital Review, 2023.
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Provides direct and indirect patient care usingthe nursing process (assessment, planning, implementation, and evaluation). Hours of Work :77PDays Of Week :variesWork Shift :PRN (United States of America)Job Description :Your Job:Registered nurse renders highly professional and technical nursing care to assigned patients.
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The Company invests with leading seniors housing operators, post-acute providers and health systems to fund the real estate and infrastructure needed to scale innovative care delivery models and improve people's wellness and overall health care experience.
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Minimum Specifications Education - Advanced Practice Registered Nurse (APRN): Master's Degree in Nursing accredited through the Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for - Physician Assistant: Bachelor's Degree from an accredited college or university and successful completion of an accredited Physician Assistant Program recognized by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or its predecessors.
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Act as a clinical resource for unlicensed Post-Acute Care Coordinators, providing clinical expertise and helping to clarify referral source directives. Clinical expertise to review clinical information and criteria to determine if the service/device meets medical necessity for the member and ensure case review and elevation to complete the determination is rendered within the contractual and regulatory turnaround time standards to meet both contractual and regulatory requirements.
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The Utilization Management Nurse is responsible for determining and managing medical necessity of acute inpatient admissions utilizing clinical criteria. Reviews inpatient medical necessity criteria utilizing Indicia or Interqual, CHST clinical pathways, and clinical knowledge to determine appropriateness of admission, level of care, and continued stay.
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Welltower, a real estate investment trust ("REIT"), owns interests in properties concentrated in major, high-growth markets in the United States, Canada and the United Kingdom, consisting of seniors housing, post-acute communities and outpatient medical properties.
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Requirements: Board Certification-Acute Care Certification required OR Graduate of a Master's degree or higher Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) accredited Physician Assistant program, Basic Life Support (BLS), and Pediatric Advanced Life Support (PALS.
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acute care review jobs in Dallas, TX
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