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RN with Case Management Implementation- Nationwide

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Job Snapshot
Location:
Saint Louis, MO 63101 (map it!Map it! )
Employee Type:
Full-Time
Industry:
Other Great Industries
Manages Others:
Not Specified
Job Type:
Information Technology
Consultant
Education:
None
Experience:
Not Specified
Travel:
Road Warrior
Relocation Covered:
No
Post Date:
11/4/2009
Contact Information
Contact:
recruiter
Ref ID:
30138.1900550
Description Affiliated Computer Services, Inc. (ACS) is expertise in action™. We are a FORTUNE 500 company with 74,000 employees worldwide supporting client operations reaching more than 100 countries. We provide business process outsourcing and information technology solutions to world-class commercial and government clients. Our employees operate with integrity, and are flexible, reliable and responsive.
If you meet the requirements of this position and want to work for a world-class company with a great marketplace reputation, apply today.
POSITION
Provide expertise as a Registered Nurse (RN) and functional consultantto healthcare clients of ACS Healthcare Solutions. Implement case management systems,determine best practice roll-out, and conduct analysis or process redesign. Experience with Midas+ case management isdesired but Midas+ training is available for the ideal candidate. Travel up to 100% is required but not relocation.
  • Extensive knowledge of Case Management/Utilization Review/Discharge Planning
  • Case Management system implementation experience

  • Knowledgeable of Interqual/Robertson initial and concurrent review
  • Knowledgeable of Federal Regulations i.e. Medicare Primary and Secondary

  • Knowledgeable of Clinical Documentation used to support INP VS Observation

  • Provide education, medical staff, case managers, Utilization review. Patient financial services. Ancillary departments, nursing

  • Identify issues with documentation, medical necessity, coding, level of care

  • Development of policies and procedures related to findings related to RAC

  • Recommendation on tools that can assist in tracking of RAC, billing, denials and compliance tools

  • Knowledgeable of HIM processes and role as relates to coding

  • Knowledgeable of Financial Services Process as related to billing and denial

  • Experienced in performing denials and tracking

  • Experience working with CFO, CIO, Medical Directors, Compliance offices, clinical and non clinical staff
    All other duties as assigned.
    ACS is an Equal Opportunity Employer and does not Discriminate against any applicant on the basis of race, color, religion/creed, national origin, gender, or sex, marital status, age, disability, use of a guide dog or service animal, sexual orientation, military/veteran status, or any other status protected by Federal or State law or local ordinance. People with disabilities who need a reasonable accommodation to apply or compete for employment with ACS may request such accommodations by calling or by sending an e-mail to accommodations@acs-.
    • Requirements Extensive knowledge of Case Management/Utilization Review/Discharge Planning
  • Case Management system implementation experience

  • Knowledgeable of Interqual/Robertson initial and concurrent review
  • Knowledgeable of Federal Regulations i.e. Medicare Primary and Secondary

  • Knowledgeable of Clinical Documentation used to support INP VS Observation

  • Provide education, medical staff, case managers, Utilization review. Patient financial services. Ancillary departments, nursing

  • Identify issues with documentation, medical necessity, coding, level of care

  • Development of policies and procedures related to findings related to RAC

  • Recommendation on tools that can assist in tracking of RAC, billing, denials and compliance tools

  • Knowledgeable of HIM processes and role as relates to coding

  • Knowledgeable of Financial Services Process as related to billing and denial

  • Experienced in performing denials and tracking

  • Experience working with CFO, CIO, Medical Directors, Compliance offices, clinical and non clinical staff
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