…role: + Oversee the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your surgeons needs + Coordinate

…RN needs for patient quality of care and safety. ESSENTIAL DUTIES: + Utilization of a high degree of discriminative judgement while providing medical management

…clinicians regarding deficiencies or OASIS corrections (with feedback from Quality Review Specialist) to ensure the medical records reflect compliance with medical

…activities, quality audits, quality improvement and patient safety teams, peer review processes, etc. * Develops collaborative relationships with physicians and

…communication. Demonstrates knowledge of health care economics through cost effective utilization of resources. **What qualifications you will need:** + Demonstrates

…patient throughput while supporting a balance of optimal care and appropriate resource utilization . What You Will Do In This Role: + Performs a comprehensive

…denials for experimental, coding or other issues that may require record review . Provides billing with information needed to obtain payment of claims. Remote

…medical guidance and expertise. + Develop, implement, and monitor the outcomes of utilization review and disease management programs to meet the quality and

…of practice Fiscal Responsibility (includes productivity, HHRG rating, supply management, utilization review ) * Demonstrates ability to prioritize individual

…and billing needs are met. + Participate in ACT Treatment Team meetings, Incident Review meetings, Utilization Review meetings, Treatment Plan Review