HEALTHCARE IS CALLING!
Job Description
Exciting Opportunities exist for QA/RN's at one of the state's premier agencies.
- Responsible
for reviewing clinical records to ensure compliance with agency policy,
reimbursement requirements, maximization of utilization (both frequency
and disciplines) and quality clinical standards of practice.
- Conducts continuous utilization review of clinical records on a weekly basis to prepare for branch bi-weekly Medicare bills.
- Participates
in agency wide quality improvement activities including developing,
implementing and maintaining educational training programs.
Desired Skills & Experience
Requirements
- Knowledge of Medicare Program, coverage requirements and payment provisions (PPS & FFS)
- Knowledge of Medicare appeals process and other health program funing/insurance eligibility.
- Knowledge of principles of utilization management.
- Experience with OASIS a plus
Please send resume to themadrecruiter@gmail.com for immediate consideration!
No comments:
Post a Comment