Utilization Management Nurse II - Case Management

and accurately utilize approved screening criteria (InterQual/MCG/Centers for Medicare and Medicaid Services “CMS” Inpatient List... appropriate status and that necessary authorization has been obtained as required by the payor or regulatory guidance (i. e., CMS...

Lugar: Tyler, TX | 29/09/2024 07:09:18 AM | Salario: S/. No Especificado | Empresa: Christus Health

Cardiac ICU Nurse

Certification. Other accolades include CMS 5 stars Practice Green Health 2021 Leapfrog Hospital Safety Grade A Level 4 Epilepsy...

Lugar: Sacramento, CA | 29/09/2024 07:09:57 AM | Salario: S/. No Especificado | Empresa: CommonSpirit Health

Risk Adjustment Education Specialist - Health Plan Admin

experts for proper risk adjustment coding and CMS data validation. Work in conjunction with other departments, including... Provider Relations, Quality, and the Medical Director, to ensure compliance with CMS risk adjustment guidelines. Analyze MRA...

Lugar: Irving, TX | 29/09/2024 07:09:40 AM | Salario: S/. No Especificado | Empresa: Christus Health