Utilization Management Dept. Full Time AM Shift 7:30 am-4 pm Consistently named best hospital, Lexington Medical... and concurrent stay medical record review to determine appropriateness of admission, continued stay, and setting. Follows patient...
education programs include family medicine and transitional year. Job Summary The Quality Review Specialist-RN provides... in quality or utilization review. Substitutable Education & Experience (Optional): None. Required Certifications/Licensure...
family medicine and transitional year. Job Summary Provides thorough concurrent review of medical record clinical... Documentation Expert - Inpatient CDEI), ACDIS (Certified Clinical Documentation Specialist (CCDS), or AHIMA (Certified Documentation...
in utilization review, discharge planning, and case management. Experience with Interqual, MCG, CMS LCD, and NCD's Your Name... and growing workforce that still feels like home. If you are an A/R Specialist with experience working denied claims...