Remote - Clinical Review Manager
Lancesoft INCFort Worth, TX, USjob_description.job_card.1_day_ago
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job_description.job_card.job_descriptionResponsible for managing the daily file flow coming into Clinical Review while maintaining awareness of potential file flow from other departments to track expedited or special files, test files, pilot studies for prospective clients. Write performance evaluations for direct report staff on annual basis in accordance with company best practices. Keep department error ratio to less than 2% minimum on all approved files checked per month. Responsible for human resources matters directly related to department staff under direct supervision including documentation of events or occurrences and verbal counseling direct report staff when attendance or performance deficiencies are discovered. Train, assist and direct supervisors as needed. Requires regular and consistent attendance and the tracking of attendance of staff under direct supervision, in addition to ensuring adequate staffing levels during holiday seasons and peak times. Responsible for implementing new procedures / protocols as necessary. Responsible for maintaining and updating department protocol library. Assist EBR Manager with their duties, when requested, with a positive attitude. Participate in provider calls and meetings for designated clientele. May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses. May be required to travel overnight and attend meetings or training of various nurses in EBR Medical Review. Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP). Additional duties as assigned
Job Description
Job Description
We are seeking a Clinical Review Manager to join our team! You will be responsible for the assessment, diagnosis, and treatment of assigned patients.
Job Description :
The Clinical Review Manager is responsible for the overall aspects of the Clinical Review Department including personnel hiring, quality assurance of product, workflow, maintaining the tracking and accountability of staff regarding production standards and turn-around expectations.
Qualifications :
- Minimum of 3-5 years of inpatient / DRG coding experience in a group health payment integrity setting or 3 party audit company
- A minimum of 2 years of supervisory experience dealing with clinical auditors is required
- Must be an R.N. / L.V.N. licensed in the State of Texas
- CPC or CPMA preferred with DRG coding experience in ICD-10, ICD-10 PCS, CPT and HCPC.
Responsibilities :
Company Description
LanceSoft is rated as one of the largest staffing firms in the US by SIA. Our mission is to establish global cross-culture human connections that further the careers of our employees and strengthen the businesses of our clients. We are driven to use the power of our global network to connect businesses with the right people, and people with the right businesses without bias. We provide Global Workforce Solutions with a human touch.
Company Description
LanceSoft is rated as one of the largest staffing firms in the US by SIA. Our mission is to establish global cross-culture human connections that further the careers of our employees and strengthen the businesses of our clients. We are driven to use the power of our global network to connect businesses with the right people, and people with the right businesses without bias. We provide Global Workforce Solutions with a human touch.
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Clinical Clinical Review • Fort Worth, TX, US
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