Top 16 Clinical documentation & utilization review nurses Jobs in Fresno, Ca

Prospective Payment System (PPS) Coordinator (RN, PT, OT, SLP)
Signet Health Corporation —Fresno, CA
- Full-time
- RN License
- Hospital
- Inpatient
Utilization Review Nurse (RN)
Madera Community Hospital —Madera, CA
- $46 - $60 an hour
- Full-time
- Acute care
- Nursing
- RN License
Quick Apply
Peer Review Nurse
Madera Community Hospital —Madera, CA
- $46.00 - $61.91 an hour
- Part-time
- Acute care
- Nursing
- RN License
Quick Apply
UM COORDINATOR IOP
River Vista Behavioral Health —Madera, CA
- $37 - $55 an hour
- Full-time
- Nursing
- RN License
- Mid-level
Peer Review Coordinator RN
Saint Agnes Medical Center —Fresno, CA
- $45.50 - $68.27 an hour
- Full-time
- Nursing
- RN License
- Hospital
MDS Nurse
Fresno PostAcute Care —Fresno, CA
- Full-time
- CPR Certification
- Nursing
- Skilled nursing facility
Quick Apply
RN MDS Supervisor, Skilled Nursing
Community Health System —Fresno, CA
- $57.98 - $73.78 an hour
- 8 hour shift
- Nursing
- Skilled nursing facility
- RN License
- Free parking
- 403(b) matching
RN MDS Coordinator, Skilled Nursing
Community Health System —Fresno, CA
- $50.80 - $64.64 an hour
- 8 hour shift
- Nursing
- Skilled nursing facility
- RN License
- Free parking
- 403(b) matching
MDS LVN
Healthcare Center of Fresno —Fresno, CA
- $35 - $40 an hour
- Part-time
- CPR Certification
- LVN
- BLS Certification
Quick Apply
12d
Appeals Professional III (Licensed Clinician)
Tanaq Support Services LLC —United States
- Full-time
- Remote
- Nursing
- RN License
- Writing skills

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MDS / Care Coordination Manager
Life Enriching Communities - Wesley Ridge —Reynoldsburg, OH
Valid state driver’s license. Valid Ohio RN or LPN license. LPN or RN license (Required). Demonstrated technical skills related to healthcare technology and…
$73,590.40 - $110,385.60 a year
Quick Apply
4d
Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Documents all case reviews and maintains accurate records of all clinical activities…

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clinical documentation & utilization review nurses jobs near fresno, ca

Prospective Payment System (PPS) Coordinator (RN, PT, OT, SLP)

Signet Health Corporation -
Fresno, CA

Apply Now

Job Details

Full-time

Qualifications

CMS
CMS regulatory compliance
Centers for Medicare & Medicaid Services (CMS) billing regulations

Full Job Description

Overview:

Prospective Payment System (PPS) Coordinator

Acute Inpatient Rehabilitation

Community Regional Medical Center

Fresno, CA

Signet Health, a national acute rehabilitation and behavioral health company is seeking a Prospective Payment System (PPS) Coordinator for the rehabilitation program at Community Regional Medical Center in Fresno, CA.

The PPS Coordinator plays a vital role in the management and optimization of reimbursement for inpatient rehabilitation services.

**Signet Health offers a highly competitive salary and comprehensive benefits package.**

Responsibilities include, but are not limited to:

Coordinates the data collection on the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) for completion and timely submission to CMS.
Ensures evidence of supporting documentation.
Provides clinical staff education to ensure compliance with CMS guidelines.
Coordinates all efforts for immediate issue resolution concerning GG scoring and rating.
Conducts ongoing review of IRF-PAI related data and assists the Director to address action.
Provides guidance to rehab physicians and clinical team on capturing tier codes for appropriate reimbursement.
Provides feedback to the team through audits on scoring, rating, and quality measures.
Implements a schedule for every patient for timely completion of the IRF-PAI.
Reports key metrics to the leadership team at daily team meetings.
Collaborates closely with HIM coding department to identify and document all applicable codes concurrently.

Requirements/Qualifications:

Qualifications:

Current California state licensure in nursing (RN) or allied health profession (PT, OT, SLP) required.
Minimum of two years experience in rehabilitation or a closely related field required.
Experience with ICD 10 coding preferred.
Previous experience with CMS data collection, MDS, IRF-PAI, OASIS.

Hospital/Program Description:

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Refine Your Search

clinical documentation & utilization review nurses jobs in fresno, ca

Prospective Payment System (PPS) Coordinator (RN, PT, OT, SLP)

Utilization Review Nurse (RN)

Peer Review Nurse

UM COORDINATOR IOP

Peer Review Coordinator RN

MDS Nurse

RN MDS Supervisor, Skilled Nursing

RN MDS Coordinator, Skilled Nursing

MDS LVN

Appeals Professional III (Licensed Clinician)

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