RN Utilization Management Optech, LLCRN Utilization ManagementDetroit, MIRemoteJob Description: Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service and level of care, including appeal requests initiated by providers, facilities and members. Analyze, research, respond to and prepare documentation related to retrospective review requests and appeals in accordance with local, state and federal regulatory and designated accreditation (e.g.
RN Health Care Facility Surveyor Greenlife Healthcare StaffingRN Health Care Facility SurveyorMacomb, MIRemote$75,000–$90,000 / yearThe Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
Clinical Documentation Specialist - (Remote) Trinity HealthClinical Documentation Specialist - (Remote)Pontiac, MichiganRemoteMust possess one of the following: Current Registered Nurse License in the State of practice, Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) required, Licensure as a physician assistant (PA) or Nurse Practitioner/Advanced Practice Nurse (NP/APN) or completion of medical school. Two (2) years’ experience as an inpatient coder preferred or experience in Critical Care, Medical or Surgical Inpatient Care Nursing, as an RN, physician assistant (PA), nurse practitioner/advanced practice nurse (NP/APN).
Supervisor, Clinical Documentation Integrity (Remote) Trinity HealthSupervisor, Clinical Documentation Integrity (Remote)Livonia, MichiganRemoteResponsible for scheduling and staffing assignments for the Clinical Documentation Specialist and Clinical Documentation Integrity Coordinator positions, facilitating management of personal time off and schedule change requests, assuring adequate staffing is in place. Works closely with Clinicians, Coding, Quality and Denials teams to facilitate documentation within the medical record and supports the patient’s severity of illness, risk of mortality, clinical validity and proper DRG assignment.
**Manager- Outpatient Clinical Documentation Improvement/Full Time/Remote Henry Ford Hospital**Manager- Outpatient Clinical Documentation Improvement/Full Time/RemoteTroy, MIRemoteAs the Outpatient Clinical Documentation (CDI) Manager, you'll lead the strategy, people, and processes behind one of the most critical functions in modern healthcare: ensuring documentation tells the full, accurate story of every patient encounter. Excellent oral and written communication skills, including the ability to teach complex technical/analytical concepts to physicians, system leadership, management and staff.
NewUtilization Review Clinician - Behavioral Health Centene Corporation GroupUtilization Review Clinician - Behavioral HealthMIRemote$27.02–$48.55 / hourYou'll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. Candidates with 5+ years of behavioral health experience in a hospital-based, acute care, inpatient psychiatric, or behavioral health inpatient setting are highly preferred.
Supervisor, Clinical Documentation Integrity (CDI) - (Remote) Trinity HealthSupervisor, Clinical Documentation Integrity (CDI) - (Remote)Livonia, MIRemote$47.23–$70.85 / hourResponsible for scheduling and staffing assignments for the Clinical Documentation Specialist and Clinical Documentation Integrity Coordinator positions, facilitating management of personal time off and schedule change requests, assuring adequate staffing is in place. Works closely with Clinicians, Coding, Quality and Denials teams to facilitate documentation within the medical record and supports the patient's severity of illness, risk of mortality, clinical validity and proper DRG assignment.
NewProgram Manager III Epitec IncProgram Manager IIIDetroit, MIRemote$53–$55 / hourEpitec is seeking an experienced Program Manager II - HIT Fund Contract Administrator to oversee a large-scale healthcare technology funding initiative focused on supporting rural healthcare providers. The ideal candidate will bring expertise in healthcare administration, contract management, fiscal oversight, and health information technology while working collaboratively with internal and external stakeholders to improve healthcare technology capabilities in rural communities.