The Itemization Review Nurse analyzes charges on a UBIB submitted by a medical facility to determine the accuracy of billed charges by collecting and reviewing supporting data. This role requires documenting work and final conclusions in a designated computer program while maintaining an understanding of surgical implants.
Remote Healthcare Jobs (12,430)
Job category = Healthcare
Market Physician Executive - South New Jersey
Monogram Health
·
Full Time
·
13 Weeks Ago
Monogram Health
The Market Physician Executive leads the in-home multi-specialty polychronic care model, overseeing daily clinical and business operations, and is responsible for developing and executing clinical strategies, policies, and protocols to drive improved patient health outcomes within the market. This role involves direct patient care, reviewing and approving care plans for advanced practice providers, and collaborating with community partners on patient care decisions.
The Medical Case Manager provides in-person and telephonic case management to injured workers, collaborating with patients, providers, and employers to facilitate recovery. Responsibilities include assessing treatment plans for appropriateness and medical necessity, attending provider visits, and developing long-term care strategies.
The Medical Case Manager provides in-person and telephonic case management to injured workers, collaborating with patients, providers, and employers to facilitate recovery. Responsibilities include assessing treatment plans for appropriateness and medical necessity, attending provider visits, and conducting home evaluations.
The Medical Case Manager provides in-person and telephonic case management to injured workers, collaborating with patients, providers, and employers to facilitate recovery. Responsibilities include assessing treatment plans for appropriateness and medical necessity, attending provider visits, and implementing care strategies like negotiating equipment delivery.
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The Medical Case Manager provides in-person and telephonic case management to injured workers, involving coordination with patients, physicians, providers, and employers. Responsibilities include assessing, planning, implementing, and evaluating the patient's progress while ensuring treatment plans are appropriate, medically necessary, and cost-effective.
The Medical Case Manager will provide case management to injured workers through in-person and telephonic communications, utilizing nursing knowledge to discuss and evaluate treatment plans for appropriateness and medical necessity. Responsibilities also include attending provider visits, facility discharge planning, and negotiating the delivery of necessary care services.
The Medical Case Manager will provide in-person and telephonic case management to injured workers, collaborating with patients, physicians, and employers to facilitate recovery. Responsibilities include assessing, planning, implementing, and evaluating treatment plans for appropriateness, medical necessity, and cost effectiveness.
The Case Management Supervisor directs the operations of their designated department, overseeing employees, ensuring quality of service, and handling human resources matters for the supervised department. Responsibilities may also include reviewing various reports, limited sales activities, and potentially overseeing clinical case management activities depending on RN status.
The Advocacy 24/7 Triage Nurse provides telephonic first aid and assessment to injured workers based on national standards to facilitate treatment goals. This involves recommending appropriate providers, educating callers on self-care, communicating the care plan, and documenting clinical assessments concisely.
The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals, aiming to support quality treatment and timely return to work. This involves assessing treatment plan appropriateness, communicating with physicians, and explaining conditions and plans to patients, family members, and adjusters.
The Medical Case Manager provides in-person and telephonic case management to injured workers, collaborating with patients, providers, and employers to facilitate recovery. Responsibilities include assessing treatment plans for appropriateness and necessity, attending provider visits, and coordinating long-term care strategies.
The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals to support quality treatment and timely return to work. This involves assessing treatment plans, communicating with physicians, and coordinating care delivery such as negotiating durable medical equipment.
The Medical Case Manager provides in-person and telephonic case management to injured workers, involving various stakeholders to facilitate recovery. Responsibilities include assessing treatment plans for appropriateness and necessity, attending provider visits, and coordinating care elements like durable medical equipment.
The Advanced Practitioner will deliver personalized, compassionate medical care primarily to individuals with CKD and/or ESRD/ESKD, conducting comprehensive annual wellness exams both in-home and virtually. Responsibilities also include coordinating care with other providers, maintaining accurate patient records, and participating in integrated care team meetings to improve patient outcomes and quality of life.
The Medical Case Manager provides in-person and telephonic case management to injured workers, collaborating with patients, providers, and employers to facilitate recovery. Responsibilities include assessing, planning, implementing, and evaluating patient progress while ensuring treatment plans are appropriate, medically necessary, and cost-effective.
The Medical Case Manager provides in-person and telephonic case management to injured workers, involving various stakeholders like physicians and employers, utilizing nursing knowledge to discuss and evaluate treatment plans for appropriateness and cost-effectiveness. Responsibilities also include attending provider visits, facility discharge planning, conducting home evaluations, and negotiating care implementation such as durable medical equipment.
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The Medical Case Manager provides in-person and telephonic case management to injured workers, collaborating with patients, providers, and employers to facilitate recovery. Responsibilities include utilizing nursing knowledge to discuss and evaluate treatment plans for appropriateness, medical necessity, and cost-effectiveness, often requiring significant local travel.
The Medical Case Manager provides in-person and telephonic case management to injured workers, involving various stakeholders to facilitate recovery. Responsibilities include assessing, planning, implementing, and evaluating patient progress while discussing and evaluating treatment plans for appropriateness and cost-effectiveness.
The Medical Case Manager provides in-person and telephonic case management to injured workers, involving various stakeholders like physicians and employers, utilizing nursing knowledge to discuss and evaluate treatment plans for appropriateness and cost-effectiveness. Responsibilities also include attending provider visits, discharge planning conferences, conducting home visits, and negotiating the delivery of necessary medical equipment and services.
The Medical Case Manager provides in-person and telephonic case management to injured workers, collaborating with patients, providers, and employers to facilitate recovery. Responsibilities include assessing, planning, implementing, and evaluating patient progress while ensuring treatment plans are appropriate, medically necessary, and cost-effective.
The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals, aiming to support quality treatment and timely return to work. This involves assessing treatment plan appropriateness, communicating with physicians, and explaining conditions and plans to patients, families, and adjusters.
Bilingual Telephonic Case Manager I
CorVel Corporation
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Full Time
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13 Weeks Ago
CorVel Corporation
The Bilingual Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals, aiming to support quality treatment and timely return to work. This involves assessing treatment plan appropriateness, communicating with physicians, and explaining medical conditions to various stakeholders.
The Medical Case Manager provides in-person and telephonic case management to injured workers, collaborating with patients, providers, and employers to facilitate recovery. Responsibilities include assessing treatment plans for appropriateness and medical necessity, attending provider visits, and developing long-term care strategies.
The Medical Case Manager will provide in-person and telephonic case management to injured workers, collaborating with patients, providers, and employers to facilitate recovery. Responsibilities include assessing treatment plans for appropriateness and necessity, attending various provider and facility visits, and conducting home evaluations.
The Itemization Review Nurse analyzes charges on a UBIB submitted by a medical facility by collecting supporting data to determine the accuracy of billed charges. This role requires appropriate documentation of work and final conclusions in the designated computer program.
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The Medical Case Manager facilitates recovery for injured workers by providing in-person and telephonic case management, collaborating closely with patients, providers, and employers. Responsibilities include assessing treatment plans for appropriateness and medical necessity, attending provider visits, and implementing necessary care like negotiating equipment delivery.
The Professional Review Nurse analyzes medical services to determine the appropriateness of charges on medical bills and reviews medical reports to assess the quality of medical care provided. Key duties involve identifying review necessity, collecting and analyzing data, and using clinical expertise to detect inappropriate billing practices and errors.
The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals, aiming to support quality treatment and timely return to work. Responsibilities include providing medical case management, assessing treatment plan appropriateness, and communicating recommendations to physicians and payers.
The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals, aiming to support quality treatment and timely return to work. This involves assessing treatment plan appropriateness using clinical expertise and communicating directly with treating physicians to evaluate and recommend alternative care options.
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