Experience with utilization management systems or clinical decision-making tools such as: Medical Coverage Guidelines (MCG), CMS guidelines, and/or InterQual.
Initiates and maintains required NCCHC or ACA files. Operational experience in correctional health care and delivery Preferred.
2+ Years of clinical medical or behavioral health experience. This position is eligible for a CVS Health bonus, commission or short-term incentive program in…
High School degree or GED equivalent required. Successful completion of a coding license or certificates; Credentialed Coder Certificate/License (CPC, CRC, CPMA…
Active and unrestricted RN license required; Kentucky or compact license preferred. Experience in prior authorization reviews utilizing InterQual or Milliman…
Black belt or equivalent experience in attention to details. A genuinely cheerful spirit of collaboration in general, but especially when receiving feedback…
Educate patients and caregiver on techniques for in home health care. *. Sufficient vision or other powers of observation, with or without reasonable…
To achieve excellence in nursing care, TriHealth encourages: pursuit of improved knowledge through continuing education classes, formal education leading to…
Associates degree or higher in nursing or healthcare administration. Performs direct and indirect patient care in the home or alternate site setting.
Registered Nurse multistate or Florida single state licensure required. Employees are expected to bring issues of any forms of workplace harassment,…
High school or equivalent (Preferred). * Schedule: Part-time or contract. United States: Reliably commute or planning to relocate before starting work …
Completion of an approved coding or health information technology program with current certification(s), such as RHIA, RHIT, CCS, CCS-P or CPC, CPMA, CRC, with…
