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Self Regional Healthcare Partners Greenwood, United StatesJob Description · Job DescriptionFunctions under the direction of the Utilization Documentation Manager and Director of Case Management. Demonstrates fiscal · responsibility related to patient needs, resource utilization, payer requirements and organizational goals; also acts as ...
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Self Regional Healthcare Greenwood, United StatesFunctions under the direction of the Utilization Documentation Manager and Director of Case Management. Demonstrates fiscal · responsibility related to patient needs, resource utilization, payer requirements and organizational goals; also acts as a model of · outcomes for quali ...
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Self Regional Healthcare Greenwood, United StatesFunctions under the direction of the Utilization Documentation Manager and Director of Case Management. Demonstrates fiscalresponsibility related to patient needs, resource utilization, payer requirements and organizational goals; also acts as a model ofoutcomes for quality, valu ...
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Pulmonary Critical Care Physician
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Self Regional Healthcare Greenwood, United States Full timeSelf Regional Healthcare is seeking to employee a Pulmonary Critical Care physician. · Advanced Pulmonology Associates provides complete care for adult patients with lung and respiratory disorders, such as pneumonia, asthma, emphysema and other infections. Our highly trained phy ...
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ob/gyn
1 week ago
Self Regional Healthcare - Physician Greenwood, United States Full timeGreenwood Obstetrics and Gynecology is seeking a full scope BE/BC OBGYN to join our practice New grads welcomed · We serve a seven county region with over 300,000 residents. We are a very busy practice of five physicians, soon to be four due to a move of one of our partners close ...
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Medical University of South Carolina Greenwood, United States Full timeJob Description · Opportunity · Our cardiothoracic surgery department working collaboratively with cardiology to provide services to include: Open Heart – CABG; Aortic & Mitral valve replacement, TEVAR and TAVR, Minimally invasive heart surgeries and thoracic procedures. This p ...
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Counselor II
4 days ago
State of South Carolina Greenwood, United StatesSalary: $37, $70,054.00 Annually · Location : Greenwood County, SC · Job Type: Temporary Grant - Part-Time · Job Number: · Agency: Department of Mental Health-MHC Beckman · Opening Date: 05/23/2024 · Closing Date: 6/13/2024 5:00 PM Eastern · Class Code:: GA35 · Position N ...
RN Utilization Documentation Specialist, Edgefield - Greenwood, SC, United States - Self Regional Healthcare
Description
Functions under the direction of the Utilization Documentation Manager and Director of Case Management. Demonstrates fiscalresponsibility related to patient needs, resource utilization, payer requirements and organizational goals; also acts as a model of
outcomes for quality, value and efficiency. Screens medical records for admission and concurrent criteria (medical necessity/level
of care) utilizing InterQual criteria/ 3M endcoder and documenting the review in the Case Management software system and/or
hospital EMR. Secures authorization/certification for services by communicating necessary and requested information with payors.
Communicates information that will impact the discharge plan to the Transitional Care Coordinator to ensure high quality care
coordination. Maintains an awareness of the business of medicine and transitional healthcare changes, including but not limited to
value-based purchasing, bundled payments, accountable care organizations and the readmission reduction program.
Special Qualifications
Required:
Graduate of an accredited school of nursing; Licensed to practice as a Registered Nurse in South Carolina;
Three years of hospital clinical nursing experience in designated practice area. CPR within 1 month of employment.
Preferred:
BSN or Baccalaureate degree in health-related field; Two years experience as Utilization Reviewer/Care
Coordinator or Clinical Documentation Specialist with knowledge of third party reimbursement requirements; Practice
experience in Critical Care, Emergency Care or Surgical Care. National certification.
