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Responsible for reviewing medical records and preparing clinical appeals in response to medical necessity denials and diagnosis-related groups (DRG) reassignments Responsibilities Prepare and submit clinical appeals in…
Responsible for utilization review work for emergency admissions and continued stay reviews Responsibilities Review and evaluate electronic medical records of emergency department admissions and screen for medical…
Job Description Responsibilities Review and evaluate electronic medical records of emergency department admissions and screen for medical necessity using InterQual or MCG criteria Apply evidence-based clinical…
Responsible for being the first line of contact for clients experiencing issues with installation, configuration, operation and management of Netsmart Managed Services. This role will be 12-hour shifts that will go…
Responsible for managing staff on client engagements, developing work plans, reviewing work produced, and presenting reports to clients Responsibilities Oversee and coordinate a team of advisory consultants on client…
As a Managing Solution Consultant you will lead the Post-Acute Solution Consulting team, overseeing a group of Solution Consultants responsible for sales support, product demonstrations, and demo environment…
About Netsmart At Netsmart, improving care delivery isn’t just our aspiration; it’s our passion! For more than 50 years, we’ve been a healthcare software company developing technology and providing services in…
This role serves as a high level clinical quality and training leader within the Coding & OASIS review space. It goes beyond day to day quality checks and focuses on elevating reviewer performance, supporting…
Why You’ll Love This Role You are a strategic, consultative sales executive who understands the complexity of revenue cycle management and knows how to engage senior healthcare leaders in meaningful business…
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