Top 23 Clinical documentation specialist Jobs in North Dakota

Utilization Management Specialist (Home-Based) - Prior Authorization
Sanford Health —Bismarck, ND
- $27.50 - $38.50 an hour
- Online Application
- Remote
- Background check
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
1d
CDI Specialist
TRINITY HEALTH —Minot, ND
- $75,816 - $117,520 a year
- Full-time
- Nursing
- RN License
- Computer literacy
7d
Utilization Review Specialist
West River Health Services —Hettinger, ND
- Full-time
- Mid-level
- Computer skills
- LPN
Billing and Coding Specialist
CaringEdge —Grand Forks, ND
- Full-time
- Hybrid work
- Background check
- Pass drug screening
- Mid-level
- Health savings account
- Dental insurance
Quick Apply
Physician Audit-Educator
TRINITY HEALTH —Minot, ND
- Full-time
- Microsoft Outlook
- Mid-level
- Associate's degree
RN - Diabetes Educator - Pediatric Endocrinology Clinic
Sanford Health —Fargo, ND
- $32.00 - $44.50 an hour
- 8 hour shift
- Background check
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
RN Childrens
CHI St Alexius Bismarck —Bismarck, ND
- $35.38 - $50.69 an hour
- Full-time
- Nursing
- Vital signs
- RN License
RN Behavioral Health
CHI St Alexius Bismarck —Bismarck, ND
- $35.38 - $50.70 an hour
- 12 hour shift
- Nursing
- RN License
- Hospital
RN Interventional Radiology
CHI St Alexius Bismarck —Bismarck, ND
- $35.38 - $50.69 an hour
- Full-time
- Nursing
- Medication administration
- RN License
Clinic Nurse
CHI St Alexius Bismarck —Bismarck, ND
- $26.14 - $38.78 an hour
- Full-time
- Surgery
- RN License
- BLS Certification
7d
IV Infusion Nurse
CHI St Alexius Bismarck —Bismarck, ND
- $26.14 - $38.79 an hour
- Full-time
- RN License
- BLS Certification
- Mid-level
7d
RN Home Health - PRN - East Grand Forks
Good Samaritan —Devils Lake, ND
- $34 - $51 an hour
- Online Application
- Background check
- Nursing
- RN License
Quick Apply
RN ED
CHI St Alexius Bismarck —Bismarck, ND
- $35.38 - $50.69 an hour
- 12 hour shift
- Nursing
- RN License
- Mid-level
RN - Home Health - PRN
Sanford Health —Mandan, ND
- $33 - $48 an hour
- 8 hour shift
- Background check
- Nursing
- RN License
- Flexible schedule
Quick Apply
RN - Pediatric Home Health - PRN
Sanford Health —Grand Forks, ND
- $33 - $48 an hour
- Online Application
- Background check
- Nursing
- RN License
Quick Apply
14d
Staff RN - ECMO Spec / FT, nights
Children's Nebraska —United States
- Overtime
- Nursing
- RN License
- BLS Certification
- Flexible schedule
Staff RN - ECMO Spec / FT, D/N
Children's Nebraska —United States
- Overtime
- Nursing
- RN License
- BLS Certification
- Flexible schedule
Travel IMC RN Job in Birmingham, Alabama
GIFTED Healthcare —United States
- $2,122.06 a week
- Overtime
- Nursing
- Medication administration
- RN License
- Health insurance
- Dental insurance
Quick Apply

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clinical documentation specialist jobs near north dakota

Utilization Management Specialist (Home-Based) - Prior Authorization

Sanford Health -
Bismarck, ND

Quick Apply

Job Details

Full-time
$27.50 - $38.50 an hour
1 day ago

Benefits

Health insurance
Dental insurance
401(k)
Vision insurance
Life insurance

Qualifications

RN License

Full Job Description

Careers With Purpose

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.

Facility: Remote ND (Central Time)
Location: Remote, ND
Address:
Shift: Day
Job Schedule: Full time
Weekly Hours: 40.00
Salary Range: $27.50 - $38.50

Department Details

Opportunity to work remote.

Job Summary

Conduct level of care medical necessity reviews within patient’s medical records. Performs utilization management (UM) activities in accordance with UM plan to assure compliance with accreditation/regulatory requirements. Completes/coordinates activities relating to the implementation, ongoing evaluation, and improvements to UM and/or prior authorization processes with applicable. Completes activities relating to determination of medical necessity, authorization, continued stay review including diagnosis and procedural coding for working diagnosis related group (DRG) assignments. Workflows may include patient chart review, and assisting with and managing of insurance coverage and denials, prior authorizations, scheduled procedures, same-day readmission reviews, as well as length of stay. Ensure validation of appropriate level of care for pre-admission surgical reviews prior to admission. Reviews include InterQual clinical decision support criteria to ensure both the appropriateness of medical services and effective cost control. Ability to determine appropriate action for referring cases that do not meet departmental standards and require additional secondary review and/or escalation as needed.

May also be actively involved in collaborating with members of the healthcare team to promote medically necessary resource utilization and achievement of fiscal outcomes when appropriate. Collaborates with physicians and other clinical professionals as needed to assist in documentation improvement practices for effective and appropriate services. Dynamic and tactful interpersonal skills, particularly in relating to physicians and other health care professionals. Educates members of the healthcare team regarding trends, external regulations and internal policies that effect resource utilization and potentially, prior authorization.

Assists the department in monitoring the utilization of resources, risk management and quality of care for patients in accordance with guidelines and criteria. Assist in report preparation, correspondence, and maintenance of appropriate records. Ensure services comply with professional standards, national and local coverage determinations (NCD/LCD), centers for Medicare and Medicaid services (CMS), as well as state and federal regulatory requirements. Maintain working knowledge of payer standards for UM functions for authorization requirements.

May assist with additional special projects related to work, upcoming initiatives, new organizational goals and audits when delegated. Considered a resource to all team members and acts as a point of contact for guidance, training, and assisting with questions. Demonstrate flexibility and adaptability where scheduling may fluctuate due to communication needs within interdepartmental and clinical units are required.

Qualifications

Bachelor's degree in nursing preferred. Graduate from a nationally accredited nursing program required, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA).

Currently holds an unencumbered registered nurse (RN) license with the State Board of Nursing. Obtains and subsequently maintains required department specific competencies and certifications.

Benefits

Sanford offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .

Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to [email protected] .

Sanford has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

Req Number: R-0252699
Job Function: Care Coordination
Featured: No

Quick Apply

Refine Your Search

clinical documentation specialist jobs in north dakota

Utilization Management Specialist (Home-Based) - Prior Authorization

CDI Specialist

Utilization Review Specialist

Billing and Coding Specialist

Physician Audit-Educator

RN - Diabetes Educator - Pediatric Endocrinology Clinic

RN Childrens

RN Behavioral Health

RN Interventional Radiology

Clinic Nurse

IV Infusion Nurse

RN Home Health - PRN - East Grand Forks

RN ED

RN - Home Health - PRN

RN - Pediatric Home Health - PRN

Staff RN - ECMO Spec / FT, nights

Staff RN - ECMO Spec / FT, D/N

Travel IMC RN Job in Birmingham, Alabama

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