MedHQ Staffing Solutions is seeking a travel nurse RN Case Management for a travel nursing job in Philadelphia, Pennsylvania.
Local Rate Differential...
Shift: 8a-4:30p…
Acute Hospital Long Term Acute Care/Rehab/Skilled Nursing Case Management/Utilization Review Admission Criteria Care coordination Discharge Planning Utilize InterQual Criteria Utilize Milliman Guidelines Utilization Review Admission Criteria Appeals and Denials Concurrent Review Continued Stay Reviews Medical Necessity Retrospective Review Utilize InterQual Criteria Utilize Milliman Guidelines Regulatory CMS: Centers for Medicare and Medicaid Services CPT (Current Procedural Terminology) coding and billing Department of Health DRG (Diagnosis Related Groups) HEDIS (The Healthcare Effectiveness Data and Information Set) Measures HIPAA (The Health Insurance Portability and Accountability Act) ICD 10 Coding NCQA (National Committee for Quality Assurance) OSHA: Occupational Safety and Health Administration The Joint Commission/ Core Measure/National Safety Goals Worker’s Compensation Acute Hospital Experience by Specialty
Becker Health, a division of MedHQ, provides clinical staffing services for facilities that need patient-centric Specialty Nurses.
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