... Nursing Services etc. based on contract requirements). * Uses discretion to approve/validate UR or ... Prospective Review Urgent/ Non-urgent, Concurrent Review and Retrospective Review. * Completes ...
... Nursing Services etc. based on contract requirements). * Uses discretion to approve/validate UR or ... Prospective Review Urgent/ Non-urgent, Concurrent Review and Retrospective Review. * Completes ...
... Nursing Services etc. based on contract requirements). * Uses discretion to approve/validate UR or ... Prospective Review Urgent/ Non-urgent, Concurrent Review and Retrospective Review. * Completes ...
... Nursing Services etc. based on contract requirements). * Uses discretion to approve/validate UR or ... Prospective Review Urgent/ Non-urgent, Concurrent Review and Retrospective Review. * Completes ...
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Physician - Cardiovascular Electrophysiologist
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Quick apply
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Quick apply
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Quick apply
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Quick apply
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Quick apply
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... full-time opportunities across Texas, Louisiana, Oklahoma, and Arkansas. This role is heavily ... Build and maintain pipelines of active and passive CRNA and Anesthesiologist candidates through ...
Quick apply
... full-time opportunities across Texas, Louisiana, Oklahoma, and Arkansas. This role is heavily ... Build and maintain pipelines of active and passive CRNA and Anesthesiologist candidates through ...
Highlights include: * 57 full-time and part-time physicians (across all campuses but sounds more ... Remote messaging Nurses to reduce in basket messages sent through the portal * Outpatient Care ...
Highlights include: * 57 full-time and part-time physicians (across all campuses but sounds more ... Remote messaging Nurses to reduce in basket messages sent through the portal * Outpatient Care ...
Epic medical record system with remote access capabilities * Dedicated RN and Social Work Clinical Care Coordinators * Louisiana's Top Hospital for 11 consecutive years as recognized by US News and ...
Epic medical record system with remote access capabilities * Dedicated RN and Social Work Clinical Care Coordinators * Louisiana's Top Hospital for 11 consecutive years as recognized by US News and ...
Epic medical record system with remote access capabilities * Dedicated RN and Social Work Clinical Care Coordinators * Louisiana's Top Hospital for 11 consecutive years as recognized by US News and ...
Epic medical record system with remote access capabilities * Dedicated RN and Social Work Clinical Care Coordinators * Louisiana's Top Hospital for 11 consecutive years as recognized by US News and ...
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Physician - Pediatrician - Full Time Academic
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Collegialand multidisciplinary team of physicians and nurses with whom to collaborate * Physician ... Please refer to the to determine whether the position you are interested in is remote or on-site.
Epic medical record system with remote access capabilities * Dedicated RN and Social Work Clinical Care Coordinators * Louisiana's Top Hospital for 11 consecutive years as recognized by US News and ...
Epic medical record system with remote access capabilities * Dedicated RN and Social Work Clinical Care Coordinators * Louisiana's Top Hospital for 11 consecutive years as recognized by US News and ...
Epic medical record system with remote access capabilities * Dedicated RN and Social Work Clinical Care Coordinators * Louisiana's Top Hospital for 11 consecutive years as recognized by US News and ...
Epic medical record system with remote access capabilities * Dedicated RN and Social Work Clinical Care Coordinators * Louisiana's Top Hospital for 11 consecutive years as recognized by US News and ...
Epic medical record system with remote access capabilities * Dedicated RN and Social Work Clinical Care Coordinators * Louisiana's Top Hospital for 11 consecutive years as recognized by US News and ...
Epic medical record system with remote access capabilities * Dedicated RN and Social Work Clinical Care Coordinators * Louisiana's Top Hospital for 11 consecutive years as recognized by US News and ...
Epic medical record system with remote access capabilities * Dedicated RN and Social Work Clinical Care Coordinators * Louisiana's Top Hospital for 11 consecutive years as recognized by US News and ...
Epic medical record system with remote access capabilities * Dedicated RN and Social Work Clinical Care Coordinators * Louisiana's Top Hospital for 11 consecutive years as recognized by US News and ...
... of Registered Nurses and former perioperative staff, who bring deep clinical expertise and a ... remote
... of Registered Nurses and former perioperative staff, who bring deep clinical expertise and a ... remote
... of Registered Nurses and former perioperative staff, who bring deep clinical expertise and a ... remote
... of Registered Nurses and former perioperative staff, who bring deep clinical expertise and a ... remote
Clinical Data & Records Specialist - Remote
New Orleans, LA ยท Remote
$23 - $32/hr
Employment Type: Full-Time Department: Clinical Administration & Operations Reports To: Agency ... Review incoming documentation to ensure accuracy, completeness, and compliance with agency ...
New
Quick apply
Clinical Data & Records Specialist - Remote
New Orleans, LA ยท Remote
$23 - $32/hr
Employment Type: Full-Time Department: Clinical Administration & Operations Reports To: Agency ... Review incoming documentation to ensure accuracy, completeness, and compliance with agency ...
New
Full Time Remote Rn Chart Review information
What is the difference between Full Time Remote Rn Chart Review vs Full Time Remote LPN Chart Review?
| Aspect | Full Time Remote Rn Chart Review | Full Time Remote LPN Chart Review |
|---|---|---|
| Credentials | Registered Nurse (RN) license | Licensed Practical Nurse (LPN) license |
| Work Environment | Remote, healthcare documentation review | Remote, healthcare documentation review |
| Industry Usage | Common in healthcare, insurance, and legal sectors | Less common, primarily in healthcare documentation |
| Job Focus | Detailed medical record review, complex case analysis | Basic record review, data entry, and documentation |
While both roles involve remote healthcare documentation review, RNs typically handle more complex cases requiring clinical expertise, whereas LPNs focus on more routine record reviews. The choice depends on your credentials and desired level of clinical involvement.
Care Coordinator RN remote work: Baton Rouge or New Orleans
Baton Rouge, LA โข On-site, Remote
Full-time
Re-posted 4 hours ago
Job description
- Performs care coordination services for assigned recipients who are eligible for home health services (Home Health Visits, PPEC, Personal Care Services and/or Private Duty Nursing Services etc. based on contract requirements).
- Uses discretion to approve/validate UR or forward to 2nd level reviewer. Provides first level utilization review for all inpatient and outpatient services requiring authorization: Prospective Review Urgent/ Non-urgent, Concurrent Review and Retrospective Review.
- Completes prior authorizations as appropriate in a timely manner.
- Conducts an initial survey to recommend appropriate (home health assessment) for the recipient, unless this has already been done during the current fiscal year
- Conducts a home and/or PPEC visit as needed or if contract requirement
- Schedules and convenes initial face-to-face meeting in the recipient's home and/or PPEC comprised of the recipient (if able) and the parent or legal guardian.
- Assesses, plans, implements, monitors and evaluates the options and services required to meet the recipient's health care needs.
- Documents recipient's assessment findings, actions, and outcomes.
- Documents all communication, interventions and follow up tasks in the Care Coordination System within one (1) business day of each intervention and/or encounter.
- Identifies patient care issues and makes recommendations on patient care issues.
- Collaborates with the parent or legal guardian and healthcare team to arrange for identified home care needs.
- Responsible for maintaining regular monthly contact (telephonically or face-to-face) with the recipient and the recipient's parent or legal guardian.for purpose of updating Plan of Care (POC), resolving issues and identifying additional issues
- As part of the multidisciplinary team, regularly meets with the team and contributes to the development of a comprehensive plan of care based on the needs of the recipient and recipient's parent or legal guardian.
- Evaluates and modifies recipient's the plan of care as needed. Regularly communicates changes to the recipient's parent or legal guardian, healthcare team, and other agencies involved in the recipient's care.
- Monitors assigned caseload eligibility status on a monthly basis, based on their status in MMIS.
- Completes a Staffing Tool (Freedom of Choice) any time a parent or legal guardian expresses the desire to reconsider a recipient's placement into a Skilled Nursing Facility
- Follow guidelines for additional required calls and visits for Skilled Nursing Facility (SNF) transitions to community settings for six (6) months.
- Functions as a resource to the community.
- Manages daily workload associated with quality review process, including facilitation of case assignments and follows up to ensure that all cases requiring additional assistance or care coordination are completed within timelines required by contract.
- Prioritizes and addresses requests and assignments in a professional manner to develop cooperative relationships to ensure that customer confidentiality is assured.
- Provides courteous and prompt service to all internal and external customers at all times.
- Attends staff meetings and continuing education sessions and will assist with learning opportunities as needed.
- Participates in special projects, as needed.
- Assists with the implementation of quality improvement initiatives.
- Performs other duties as assigned.
Equal Opportunity Employer
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