Inpatient DRG Reviewer

Position Overview : The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare...

Position Summary: The Utilization Reviewer (UR) is a strong advocate for clients to access medically necessary care by pursuing insurance authorizations for recommended treatment. The UR is responsible for obtaining prior authorizations and concurrent review authorizations for intensive outpatient, partial hospitalization, residential, and inpatient eating...

Position: Hospital Based Inpatient Coder - RemoteSummary:Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software...

Summary:Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM)...

The Utilization Review Coordinator utilizes the nursing process with individual patients and groups of patients to assist them in meeting their physiological, psychological, safety, and general health needs. * Review all patients admissions on a daily basis to determine necessity and appropriateness of placement services as outlined in Plans and Procedures....

SummaryResponsible for the oversight of Apheresis Program to include clinical and scheduling staff. Provides leadership and support to a small group of supervisory staff. Formulates strategic, operational, and budgetary plans for a complex patient care service. Integrates Apheresis services with other appropriate services such as medicine, pediatrics,...

Job Description Hello Dr, Hope you are doing well! Medical Facilities is looking for Orthopaedic Surgery - Orthopaedic Trauma in St. Louis, MO Please review below details and let me know the best level of interest: JOB DESCRIPTION: Job Type: Part-time Medical specialties: Orthopaedic Surgery- Orthopaedic Trauma Coverage Type: Scheduled Clinic Hours + Call...

Actively seeking a Full-Time Psychiatric Nurse Practitioner to treat the Adult Population This organization is a full-service psychiatric treatment provider offering end to end solutions to the needs of a variety of organizations. They provide individualized treatment to a full spectrum of psych disorders. Their team is comprised of Board Certified...

Actively seeking a Full-Time Psychiatric Nurse Practitioner to treat the Children and Adolescent population This organization is a full-service psychiatric treatment provider offering end to end solutions to the needs of a variety of organizations. They provide individualized treatment to a full spectrum of psych disorders. Their team is comprised of Board...

Actively seeking a Part-Time Psychiatric Nurse Practitioner to treat the Children and Adolescent population This organization is a full-service psychiatric treatment provider offering end to end solutions to the needs of a variety of organizations. They provide individualized treatment to a full spectrum of psych disorders. Their team is comprised of Board...

Job DescriptionAdditional Information About the Role Join our OR and see all kinds of surgery cases - great opportunity to expand your experience! 6:00AM - 7:00AM Start Time 10 Hour Shifts $12,500 Sign-On Bonus Surgical Technologist Experience or Clinicals Required - New Grads Welcome! Overview Barnes-Jewish St. Peters Hospital proudly serves the health care...

Additional Information About the RoleJoin our OR and see all kinds of surgery cases - great opportunity to expand your experience!6:00AM - 7:00AM Start Time10 Hour Shifts$12,500 Sign-On BonusSurgical Technologist Experience or Clinicals Required - New Grads Welcome! OverviewBarnes-Jewish St. Peters Hospital proudly serves the health care needs of families in...

Saint Louis University Department of Internal Medicine - Division of CardiologySLUCare Physician Group is the academic medical practice of SSM Health, St. Louis with more than 600 health care providers in hospitals and medical offices throughout the St. Louis region.Our physicians are among the most highly trained in their fields: more than 50 specialties in...

Overview The Pharmacist is responsible for providing medication management, clinical support and consultative services in a complex inpatient pharmacy operation. This position partners with key stakeholders to drive patient and family education, medication safety, quality assurance, customer service, process improvement and regulatory compliance. This...

Additional Information About the RoleNurse Midwife Split time between Rockhill & Sunset Hills locations Full Time Benefits Eligible Blend of outpatient and inpatient Inpatient care at Missouri Baptist Medical Center OverviewBJC Medical Group is the multi-specialty physician-led organization of BJC HealthCare and includes over 600 doctors and advanced...

The Division of Child Protection in the Department of Pediatrics at Saint Louis University School of Medicine is recruiting a full time Child Abuse Pediatrician.The physician will join an established child abuse team of one full-time child abuse pediatrician, a nurse practitioner, three social workers, and five nurses. Our team is based in Cardinal Glennon...

Title: Utilization Management Representative III Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations. The Utilization Management Representative III will be responsible for coordinating cases for precertification and prior authorization review. How you will make...

SUMMARY OF DUTIES AND RESPONSIBILITIES:Responsible for providing activities and interactions that enable an individual at clear risk of hospitalization or who has been discharged from impatient treatment to maintain an adjustment to living in the community.PRIMARY RESPONSIBILITIES AND DUTIES:Responsible for assessing the client's status including strengths,...

Additional Information About the RoleJoin our OR and see all kinds of surgery cases - great opportunity to expand your experience!6:00AM - 7:00AM Start Time10 Hour Shifts$12,500 Sign-On BonusSurgical Technologist Experience or Clinicals Required - New Grads Welcome! OverviewBarnes-Jewish St. Peters Hospital proudly serves the health care needs of families in...

CVT PA Locum Tenen needed in St. Louis, Missouri!This Jobot Consulting Job is hosted by: Megan GordonAre you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume.Salary: $120 - $140 per hourA bit about us:We are a not-for-profit health system serving the comprehensive health needs of communities across the MidwestWhy join us?...