Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.
Processes, tracks and appeals clinical denials. Supports and facilitates the design, development and implementation of Utilization Management data collection methodologies and studies in the respective functional areas. Displays and analyzes data to identify trends. Works collaboratively to develop plan of action.
REQUIRED:
Case Management 1. Graduate of an accredited school of nursing, with strong clinical case management experience 2. Three (3) years experience in Utilization Management/Case Management or related field, with specific experience in the following areas: the application of industry prevalent guideline criteria; knowledge of coding, billing, audit and reimbursement payer methodologies and guidelines. Experience in the collection, interpretation, and presentation of data to medical staff members; and, interaction with managed care companies, including appealing denials. General: 1. Excellent written and verbal communication skills. 2. Ability to communicate effectively with business office, physicians, clinical care team and case management team. 3. Ability to type accurately at an approximate rate of 30 words per minute.
PREFERRED:
...Interior Installerin GAC Westfield Interior Installation Technician II Unique Skills: See Job Description for details. Education and Experience Requirements High School Diploma or GED required. 2 years of applicable installation, fabrication or...
...mental health clinicians across the United States in our mission to rewire the mental healthcare system for access and... ...that you can set the hours that work for you. Grow your caseload by... ...via telehealth while working from home. We accept the following licenses...
...Now Hiring PIPEFITTER HELPERS at Comanche Peak Nuclear Power Plant in Glen Rose, TX for Spring Outage. TO APPLY: Submit a resume to ****@*****.*** and reference Pipefitter Helper Comanche Peak in the Subject of email. For more information: (***) ***-****....
...Job Description Job Description Nothing Bundt Cakes Smyrna is looking for part-time Frosters! Evening shift, weekends, and holidays required. We are looking for friendly and super positive employees to bring joy to guests with cake! Previous bakery experience...
...Super Soccer Stars Coaching Manual Coach Role & Responsibilities Deliver dynamic and captivating soccer classes utilizing our top-notch curriculum for children aged 5-11 years old. Instruct and instill essential soccer skills, promote teamwork, encourage...