3 registered nurse jobs found in Bahama, NC

Overview: The Case Manager, Nurse is responsible for providing patient case management services to assigned populations. Utilizes a collaborative interdisciplinary approach to anticipate, integrate, and coordinate the patient's plan of care, discharge plan, and re-entry into the community. The goal of the intervention is to meet the needs of patients in order to optimize clinical and resource outcomes, and to monitor the effectiveness of the plan and its outcomes. In collaboration with the social worker, the nurse case manager identifies at-risk patient populations who require case management services. Provides bio-psychosocial assessments to identify patient needs and to assist in the development of the plan of care. Serves as a patient and family advocate and acts as a communication link between the physician, patient, family, health care team, community resources, and payers to reduce redundancy and fragmentation of care. Anticipates potential delays in the health care process...

Overview: The Case Manager, Nurse is responsible for providing patient case management services to assigned populations. Utilizes a collaborative interdisciplinary approach to Emergency Department follow-up, outpatient and inpatient needs while anticipating, integrating, and coordinating the patient's plan of care, discharge plan, and re-entry into the community. The goal of the intervention is to meet the needs of patients in order to optimize clinical and resource outcomes, and to monitor the effectiveness of the plan and its outcomes. In collaboration with the social worker, the nurse case manager identifies at-risk patient populations who require case management services. Provides bio-psychosocial assessments to identify patient needs and to assist in the development of the plan of care. Serves as a patient and family advocate and acts as a communication link between the physician, patient, family, health care team, community resources, and payers to reduce redundancy and...

Overview: Holds the primary responsibility for managing all aspects of the professional Charge Description Master (CDM). This includes, maintaining revenue integrity of Chargemaster files, fee schedules, and charge capture through annual updates, periodic audits, and ongoing reviews. Serves as a resource in developing and documenting routine custom billing system tests, builds, and enhancements that will improve maintenance and/or prevent billing errors. Reviews Current Procedural Terminology coding and CMS updates and disseminates information to the professional charging team and other appropriate staff. May work with Revenue Cycle, Finance, and clinical departments to analyze charging and billing processes to ensure accurate and optimal revenue capture by developing trending, modeling, and other assessment tools. Works with coding personnel to ensure the codes in the Chargemaster are accurate and current. Works with the professional charging team and/or clinical departments to...