UNKNOWN

FEED

Validates that all ICD-10-CM/PCS, discharge disposition codes, and Hospital Acquired Condition (HAC), Present on Admission (POA) indicators impacting payment are documented, clinically supported, and assigned following Official Coding Guidelines, compliant query practices and current clinical validation criteria. Possess regulatory ICD-10-CM/PCS coding expertise coupled with subject matter expertise in MS/APR DRG payment methodologies, including Hospital Acquired Conditions (HACs), POA assignment, and Discharge Disposition codes.

CorroHealth

DRG Appeals Nurse (RN) - Indianapolis ONSITE

sourcestack_via_bold

We are looking for valued employees who will be Champions of the Select Medical Way, which includes putting the patient first, helping to improve quality of life for the community in which you live and work, continuing to develop and explore new ideas, providing high-quality care and doing well by doing what is right. Our hospital is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery.

Superior quality and care. Compassion and Respect. Results oriented. Teamwork. Resourcefulness. These are the core values upon which Select Medical was built. Since its founding in 1996, Select Medical has passionately focused on providing superior, patient-centered care that improves quality of life.Co-founded by Rocco Ortenzio and Robert Ortenzio, Select Medical began as a regional provider of outpatient physical rehabilitation. Contract therapy was added to the company's specialized health care offerings in 1997, and was quickly followed by the introduction of long-term acute care in 1998. In 1999, Select Medical made one of its largest acquisitions by purchasing NovaCare Physical Rehabilitation and Occupational Health. In three years, Select Medical had grown from a small start-up into a diversified health care company with a national presence. This progressive yet responsible growth was one attribute that led to the company's recognition as one of the Best Managed Companies in America by Forbes magazine.

Select Medical Corp

Case Manager / PRN ( RN / RT / SW / LPN )

linkup_via_bold

Here's what you will experience working as a Clinical Documentation Improvement (CDI) Specialist: Initiates physician interaction when ambiguous, missing, or conflicting information is in the medical record, through the physician query process and/or participation in rounding with the physicians by requesting additional documentation for correct coding and compliance necessary for accurate reflection of CMI, LOS, and optimal resource utilization. Utilizes Hospital coding code set, policies and procedures, Federal and State coding reimbursement guidelines, and application of the Coding Clinic Guidelines to assign working DRG, reviewing patient records throughout hospitalization that have been identified as focus DRG by regulatory agencies or the facility to ensure the codes are reported at the highest specificity.

YEAR

R1 RCM Inc

RN Nurse Clinical Documentation Improvement Specialist

If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a `sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. This position is part of our Wellpoint Federal division which, per CMS TDL 190275, requires foreign national applicants meet the residency requirement of living in the United States at least three of the past five years.

Elevance Health

Clinical Review Nurse I (US)

Referrals: Acts as primary contact for individual / family / guardian and case manager during referral process, responding to inquiries and referrals within a timely and professional manner; coordinates local events, community participation, and engagement with referral partners (MCOs, state referrals); manages intake referral checklist, working referrals in the pipeline in their area; reviews referrals to validate fit for specific locations and identifies and escalates potential barriers to serving individuals to Regional Director. Leadership and Supervision: Personnel: Provides leadership including direct supervision of Program Directors or other staff; works with regional support team; implements Sevita employee practices; oversees area safety and workers' compensation implementation; approves area involuntary terminations and reviews written warnings.

Sevita

Operations Management _ Area Director

Oversee all regular and part-time staff, including hiring, training, and planning, assigning, and directing work; coaching and motivation the staff; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Chart thoroughly all pertinent data, including but not limited to medical, health condition, physician's orders, complications related to withdrawal and general health, vital signs, medication monitoring, description of course of withdrawal, or other incidents.

The Salvation Army USA

Withdrawal Management Supervisor HLC

Backed by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Due to an increase in hiring scams, please be aware that if you are selected to move forward in our hiring process, a member of our Talent Acquisition team will contact you directly using an official @valeris.com and/or @echo.newtonsoftware.com email address regarding next steps in our interview process.

Valeris

Telehealth Nurse (RN) (In Office Role)

OTHER

The nurse translates registry, care-gap, utilization, and Remote Patient Monitoring (RPM) data into clinically appropriate outreach and intervention; develops and maintaining nursing and RPM workflows, coordinates the clinical work of the Case Manager, Community Health Worker (CHW), providers, pharmacy, informatics, and other staff, and helps ensure that patients with complex chronic conditions receive proactive, evidence-based, coordinated care. "This Rural Health Transformation Program is supported by the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $206,927,896.80 with 100 percent funded by CMS/HHS.

Well Care Community Health, Inc

Population Health Nurse (RN or LPN)

ExactHire

Prepares timely, legible, and complete documentation of all care, interventions, and care coordination as provided by law, regulation, and established policy; returns documentation to office/department according to established policy. Participates in establishing priorities, and implementing and evaluating quality improvement efforts utilizing Quality Assurance & Performance Improvement.

Pediatric Plus Home Healthcare Services

Registered Nurse (RN)

Other: Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making.

Fresenius Medical Care AG & Co KGaA

Dialysis Clinical Manager Registered Nurse - RN

This position is responsible for assessing patient needs, developing and implementing care plans, coordinating services, and evaluating outcomes to ensure holistic and high-quality healthcare delivery. Monitor and manage both acute and chronic patient conditions in various settings, promoting continuity of care and supporting transitions between home, assisted living, nursing, or hospital care as needed.

TEEMA Group

RN Home Health

WorkWolf

RN Care Manager

The Nurse Case Manager I is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

Nurse Case Manager I

ea_via_bold

Elevance Health Inc

OTHER FUNCTIONS: Prescriptive authority will include controlled substance prescriptions for medications as is compliant within the practicing state's codes/regulations - including Indiana Code IC 25-23-1-19, Kentucky Revised Statutes KRS 218A.060-130, under the conditions set forth in KRS 314.042, and Illinois Nurse Practice Act (225 ILCS 65/65-43) and Illinois Controlled Substances Act, as administered through the Illinois Department of Financial and Professional Regulation (IDFPR). Advanced Practice Providers (APPs) include Advanced Practice Nurses (APNs) as defined by the Indiana Code 25-23-1-1, Kentucky Revised Statutes 314.011, and Illinois Nurse Practice Act (225 ILCS 65/65-43); and Physician Assistants (PAs) as defined by the Indiana Code 25-27.5,

Deaconess Clinic Downtown

Family Nurse Practitioner - Deaconess Clinic Family Medicine MOB 1 F-T; 72 hrs./pay

Family Nurse Practitioner - Deaconess Clinic Lynch F-T 80hrs./pay

The Disease Management Coordinator provides system-level clinical and operational expertise, leads multidisciplinary pathway initiatives, evaluates program performance, identifies opportunities to reduce unwarranted care variation and recommends actions to improve clinical outcomes, utilization, readmissions, patient transitions and process reliability. This key role builds and sustains the structures that enable frontline teams, providers and clinicians to deliver reliable best-practice care, including communication channels, councils and committees, staff education, pathway updates, certification processes, workflows, escalation routes and cross-setting handoffs.

Beacon Health System

Disease Management Coordinator

Under the supervision of the CDI Leadership, CDI Specialists will conduct review of medical records to identify missing, vague and or incomplete diagnosis; communicate the need for additional documentation to the appropriate medial and clinical staff; ensure the additional documentation is completed in a timely manner; work collaboratively with other departments including Coding, Quality, Compliance, Medical Staff, Utilization Review/Case Management, Medical Records and any other applicable departments to improve the quality of physician documentation. Job Overview: Day-to-day our Clinical Documentation Improvement Specialists are primarily responsible for evaluating concurrent documentation so that the medical record appropriately reflects the severity and risk of the patient's conditions.

Clinical Documentation Improvement Specialist - RN

IU Health, in partnership with the Indiana University School of Medicine, bring together highly skilled physicians, researchers, and educators into close collaboration to provide world-class care for children and adults and improve the health of patients and communities across Indiana. Requires an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license, or requires a Licensed Social Worker, LCSW preferred.

Utilization Management Nurse Jobs in Indiana

DRG Appeals Nurse (RN) - Indianapolis ONSITE CorroHealth

Case Manager / PRN ( RN / RT / SW / LPN ) Select Medical Corp

RN Nurse Clinical Documentation Improvement Specialist R1 RCM Inc

Clinical Review Nurse I (US) Elevance Health

Operations Management _ Area Director Sevita

Withdrawal Management Supervisor HLC The Salvation Army USA

Telehealth Nurse (RN) (In Office Role) Valeris

Population Health Nurse (RN or LPN) Well Care Community Health, Inc

Registered Nurse (RN) Pediatric Plus Home Healthcare Services

Dialysis Clinical Manager Registered Nurse - RN Fresenius Medical Care AG & Co KGaA

RN Home Health TEEMA Group

RN Care Manager TEEMA Group

Nurse Case Manager I Elevance Health

Clinical Review Nurse I (US) Elevance Health Inc

Family Nurse Practitioner - Deaconess Clinic Family Medicine MOB 1 F-T; 72 hrs./pay Deaconess Clinic Downtown

Family Nurse Practitioner - Deaconess Clinic Lynch F-T 80hrs./pay Deaconess Clinic Downtown

Disease Management Coordinator Beacon Health System

Clinical Documentation Improvement Specialist - RN Deaconess Clinic Downtown

Nurse Case Manager I Elevance Health Inc

Integrated Care Management Manager NEW Indiana University Health Inc

Similar Job Searches

Stand out to leading employers.