Job Search Results for Nurse

Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. This person should have an extensive background in either facility-based nursing, clinical documentation,... More and/or inpatient coding and has a high level of understanding of reimbursement guidelines specifically an understanding of the MS-DRG, AP-DRG, and APR-DRG payment systems. This position is responsible for auditing inpatient medical records and generating high-quality recoverable claims for the benefit of our client and their clients. They are responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Below are the key responsibilities for this role:Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. Performs work independently.Utilizes the clients proprietary auditing systems with a high level of proficiency to make audit determinations and generate audit letters.Maintains production goals set by the audit operations management team.Achieves the expected level of accuracy and quality set by the audit for the auditing concept, for valid claim identification and documentation (letter writing).Identifies potential claims outside of the concept where additional recoveries may be available. Suggests and develops high-quality, high-value concepts and or process improvement, tools, etc. The salary is 95K.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Insight Global is looking for a Home Health Clinical Manager for a client based in Owings Mills MD. The clinical manager will be providing support for overall planning, direction, coordination,... More management, and supervision of all nursing and professional services in conjunction with the Director of Clinical Services. Assures quality of care by reviewing and assessing each service. She/he also monitors the outcomes of clinical service activity by evaluating the performance of clinical staff, ensuring compliance with all agency policies and procedures and regulatory standards, coordinating agency committees, and monitoring the effective and efficient use of budgeted resources (personnel, supplies, equipment).Responsibilities:-Keeps Clinical Director informed on all events which occur involving patients and ordered health services.-Responsible for clinical oversight of clinical services-Advises the Clinical Director as to the basis of the need for additional health services to be provided.-Provides the Clinical Director with statistical data involving patients and clinical services areas when requested.-Develops, evaluates, reviews, revises, and implements policies and procedures; goals and objectives; and standards of care relevant to clinical services and personnel functions.-Ensures clinical documentation is accurate, complete, timely, and compliant with all federal, state, and accreditation standards. Ensure clinical documentation is free of errors that would prevent billing.-Ensures excellent levels of patient satisfaction through clinician education, review of patient feedback, and corrective actions.-Addresses and supports cultural practices, if such practices do not harm others or interfere with the planned course of medical therapy.-Coordinates all patients? services by reviewing plans of treatment, assuring case conferences are conducted, reviewing clinical and progress notes, periodic patient evaluations and determining frequency and/or staffing patterns.-Oversees Agency coding function to ensure coding is appropriate, timely, and compliant.-Supports the Clinical Director with any prescribed activities, investigation, documentation, education, or training as requested-Aids in the Agency?s goal of retaining quality personnel by appropriately hiring, orienting, training, evaluating and disciplining personnel within established policy.-Ensures personnel are scheduled to ensure proper coverage within authorized staffing levels.-Ensures orientation and ongoing training programs are developed and provided for therapy personnel.-Ensures personnel receive timely, complete, and documented orientation and training.-Conducts performance evaluations in a timely, measurable, and objective manner. Communicate this information to the Clinical Director.-Maintains a working knowledge of current Medicare, Medicaid and third-party payer requirements for home care reimbursement and have a proficient and in-depth knowledge of current OASIS dataset.-Communicates and coordinates with physician?s offices, payers, patients/families, outpatient services and inpatient coordinator, regarding the care and status of the patient.-Keeps up to date on new methods, products, trends, etc., and communicates this information to personnel.-Participates in the agency?s information management and performance improvement programs.-Supports and complies with the agency?s policies.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

We are searching for a Medical assistant for one our our leading Dermatology Clinics in the Atlanta area. The Medical Assistant will assist the provider(s) with patient care. They will create an... More atmosphere that reflects the level of standards and care that patients can expect to receive from this practice. To be successful in this position, the certified medical assistant must be cheerful, friendly, polite, tactful, and professional in appearance and manner always. They will be able to communicate with the provider and patient and be mindful of patient confidentiality. They will be able to evaluate and respond to a patient needs and relay the doctors instructions. The candidate should be a team player and respectful of their co-workers.Responsibilities: ?Responsible for documenting the practice?s medical records and all information conveyed by the patient throughout the examination verbatim. ?Prepares patients for examination and treatment by escorting them from the waiting area to the exam room. Takes patient?s history (HPI), determines chief complaint, verifies their medical and surgical histories, current medications, etc., and takes vital signs if applicable. ?Protects patients? rights by maintaining confidentiality of personal and financial information and follows HIPAA regulations. ?Verifies patients? insurance and accurately enters the patient?s information into the NexTech database. ?Reports to Practice Administrator for administrative duties and to the Nurse Supervisor for clinical duties. ?Maintains operations by following policies and procedures and reports changes as needed. ?Communicates with patients, internal as well as external customers, in a courteous, professional, cooperative & mature manner. ?Prior to surgery, reviews and completes required surgical documents prior to appointment with recent test results and correspondence and determines needed services per practice protocol. ?Prior to patient visit, confers with Medical Provider regarding any incomplete patient tests/consults or other incomplete orders. ?Responds to patient communications. Contacts patients regarding test results and schedules further surgical treatment(s). ?Prior to treatment, ensures that all proper consents have been reviewed, initialed, signed and dated by the patient. ?Gives injections, assists with examinations and office procedures as needed; and provides other patient care services as directed by the Medical Providers. ?Performs suture removals as directed by the Medical Providers. ?Upon Medical Providers orders, ensures that the delivery/transmittal of prescriptions is being completed and responds to medication requests per practice protocol. ?Verifies all patient/specimen information corresponds with tissue specimen(s). Records tissue specimen(s) and enters them into log. ?Triages and responds to patient communications per practice policy. ?Assists with scheduling tests and treatments, and processing referrals to other providers. ?Responsible for abiding by the Standards of Conduct and meets all compliance training requirements. ?Effectively uses EMR system to document patient records using proper English grammar, spelling, and syntax.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Resources will provide real-time support to physicians and advanced practice providers during go-live. Responsibilities include assisting with Epic navigation, documentation workflows, order entry,... More troubleshooting user issues, reinforcing training, and escalating issues to the command center as needed.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Insight Global is looking for an experienced Medical Sales Consultant to join a Fortune 500 pharmaceutical companing selling oncology products and pharmaceuticals across a field territory in Orange... More County, CA. The Oncology Sales Consultant targets, will sell and promote oncology products to oncologists and other specialized oncology medical or healthcare providers. The Oncology Sales Consultant will also manage their territory to maintain existing accounts, develop acquisition plans for new accounts and to achieve district and corporate objectives. As a member of the oncology squad, the sales consultant will work closely with their Area General Manager and other squad team members to achieve overall objectives. This person will provide quality consultative information, coordinate and integrate outside alliances/internal personnel to fit customer needs.Day-to-day responsibilities are as follows:- Demonstrate a mastery of products clinical efficacy- Articulate a strong value proposition for the customer and provide patient and reimbursement support- Meet/exceed sales targets- Target, develop, assess, and maintain key customers- Use strategic thought process in developing and maintaining an active customer database- Utilize mastery of clinical and technical knowledge related to products promoted and disease state management- Key account management, best practices, and sales development- Develops business plans with resource allocations that link to strong business results- Demonstrate a mastery of knowledge and analysis of business, products, technical issues, and the marketplace- Adhere to company compliance guidelines, policy, and proceduresWe are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form. The EEOC "Know Your Rights" Poster is available here. To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .Less

Partner with clinical staff (ED and Behavioral Health) to gather and define system requirementsSupport and optimize clinical workflows through effective use of technologyMaintain and enhance EMR... More systems, applications, and clinical databasesProvide end-user support and training to clinical teamsTroubleshoot system issues and ensure proper functionality of clinical applicationsCollaborate on system integrations and interface management across platformsDevelop reports and support data-driven improvements in clinical processesServe as a liaison between clinical teams and IT to drive system enhancementsEnsure successful adoption of new technologies and system updates across departments The RN - Clinical Informatics directly supports clinical staff in determining system requirements, adapting clinical workflows to adopt technology, and understanding system functionality required to support and improve clinical process.The employee develops and helps maintain the electronic medical system, software applications, and databases of UofL Health across the care continuum. This employee maintains thorough understanding of all application functionality, reporting capabilities, interfacing and integration of each clinical application assigned.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less