Experience with utilization management systems
or clinical decision-making tools such as: Medical Coverage Guidelines (MCG), CMS guidelines, and/or InterQual.
Follows general technical direction from
nurse manager, senior medical and disability case manager and/or CCMU staff to resolve highly complex medical and/or…
Graduate of an accredited school of
nursing. Professional knowledge of clinical
nursing protocols, regulations and institutional standards of care and risk…
High School degree
or GED equivalent required. Successful completion of a coding license
or certificates; Credentialed Coder Certificate/License (CPC, CRC, CPMA…
To achieve excellence in
nursing care, TriHealth encourages: pursuit of improved knowledge through continuing education classes, formal education leading to…
High school
or equivalent (Preferred). * Schedule: Part-time
or contract. United States: Reliably commute
or planning to relocate before starting work …