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Overview and QualificationsnRole Summary: Provides leadership which facilitates the delivery of professional nursing care for the comfort and well-being of patients. Utilizes the nursing process of assessment, planning, implementation, and..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Programs Analyst works on..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement...
Overview and QualificationsnJOB SUMMARY: The Administrative Supervisor is responsible for the clinical operational and administrative oversight for all departments in the absence of the Managers and Directors.n nREQUIRED EDUCATION: Bachelor's..
Description The Medical Coding Auditor reviews medical records to verify coding (ICD-10 CM/PCS). The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the..
