Individual must be able to fulfill the following responsibilities: Performing data quality reviews on inpatient and or outpatient medical records. Ensuring compliance with all APC/DRG mandates and outpatient reporting requirements.
Complex Case Management. 1-3 years in case management, disease management, managed care or medical or behavioral health settings. Active, unrestricted State Registered Nursing license in good standing. Must have valid driver's license with good driving record.
A healthcare company is filling a position for a Remote Certified Medical Coding Auditor in Temple. Candidates will be responsible for the following: Performing coding quality audits. Providing feedback to coders and educating coders.
A healthcare company is filling a position for a Remote Certified Disease Medical Coder III in Dallas. Core Responsibilities of this position include: Analyzing and interpreting documentation from medical records. Completing an accurate coding of diagnoses and procedures.
Perform retrospective medical necessity reviews to determine appellate potential of clinical disputes. Construct and document a succinct and fact-based clinical case to support appeal. Assist Law Department with any medical necessity reviews as capacity allows.
Core Responsibilities Include: Performing assessment and utilization review for medical requests. Identifying, coordinating, and implementing high quality, cost-effective alternatives. Supporting physician decision-making. Position Requirements Include:
Performing clinical/medical reviews of previously denied cases. Identifying and reporting quality of care issues. Qualifications Include: Graduated from an Accredited School of Nursing. 3-5 years clinical nursing experience. 1-3 years Managed Care Experience.
3+ years of case and/or utilization management experience. Experience in psychiatric and medical health care settings. Working knowledge of utilization review procedures. Familiarity with mental health community resources. Unrestricted license as a LIMHP, LCSW, LMFT, LPC, PhD, PsyD or RN.
A medical research company is in need of a Telecommute Regional Marketing Liaison in the Dallas Area. Candidates will be responsible for the following: Executing marketing initiatives, including pre-launch, launch and lifecycle management.
A research company is filling a position for a Remote Senior Medical Writer in Houston. Candidates will be responsible for the following: Writing and editing clinical development documents. Completing writing assignments in a timely manner.