MedHQ Staffing Solutions is seeking a travel nurse RN Case Management for a travel nursing job in Philadelphia, Pennsylvania.
Job Description & Requirements Local Rate Differential...
Shift: 8a-4:30p…
Acute Hospital\nLong Term Acute Care/Rehab/Skilled Nursing\nCase Management/Utilization Review\n\nAdmission Criteria\nCare coordination\nDischarge Planning\nUtilize InterQual Criteria\nUtilize Milliman Guidelines\nUtilization Review\n\nAdmission Criteria\nAppeals and Denials\nConcurrent Review\nContinued Stay Reviews\nMedical Necessity\nRetrospective Review\nUtilize InterQual Criteria\nUtilize Milliman Guidelines\nRegulatory\n\nCMS: Centers for Medicare and Medicaid Services\nCPT (Current Procedural Terminology) coding and billing\nDepartment of Health\nDRG (Diagnosis Related Groups)\nHEDIS (The Healthcare Effectiveness Data and Information Set) Measures\nHIPAA (The Health Insurance Portability and Accountability Act)\nICD 10 Coding\nNCQA (National Committee for Quality Assurance)\nOSHA: Occupational Safety and Health Administration\nThe Joint Commission/ Core Measure/National Safety Goals\nWorker’s Compensation\nAcute Hospital Experience by Specialty
About MedHQ Staffing SolutionsBecker Health, a division of MedHQ, provides clinical staffing services for facilities that need patient-centric Specialty Nurses.
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