Observation Clinical Analyst - RN
Observation Clinical Analyst - RN
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Job Description
City/State
Norfolk VAWork Shift
First (Days)Overview:
Sentara Health is hiring an Observation Clinical Analyst Registered Nurse for the Health Information Management Department.
This is a Fulltime REMOTE 40 hours per week 8 hours per day Day shift position.
Review of physician orders for medical necessity appropriateness based on Payor guidelines and applying charges for Observation hours.
Responsible and accountable for the provision and facilitation of comprehensive care coordination services and quality outcomes for patients across the continuum. Promotes effective utilization and monitoring of health services collaborates and communicates with the healthcare team and patient/caregiver to manage care and transitions. Develops and/or implements a comprehensive care plan based on assessment and evaluation of patient/caregiver needs. Functions in one of the following practice settings: Acute Care Service Lines Ambulatory/Communitybased Home Health and Long Term Care.
Education
- Registered Nursing Diploma
Certification/Licensure
- Valid RN license
- For Integrated Care Management departments specialty certification required within one year of eligibility (ACM CCM CCCTM CMAC or CGMTBC). For other service lines certification based on specialty area required within one year of eligibility.
Experience
- Three years Registered Nursing experience required.
- Epic EMR experience preferred.
Keywords: TalrooHealth Plan TalrooNursing Monster LinkedIn billing medical necessity audit observation hours payor guidelines CCM ACM CCCTM CMAC Epic charges chart review revenue cycle patient billing utilization review
Legal Resources Plan
Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30000member workforce. Diversity inclusion and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission to improve health every day this is a tobaccofree environment.
For positions that are available as remote work Sentara Health employs associates in the following states:
Alabama Delaware Florida Georgia Idaho Indiana Kansas Louisiana Maine Maryland Minnesota Nebraska Nevada New Hampshire North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia Washington West Virginia Wisconsin and Wyoming.
Required Experience:
IC
Employment Type
Full-Time
