Florida Acute Care Specialist — Flacs, Fl Work Values

Daily Duties at Florida Acute Care Specialist — Flacs, Fl:

•Audited medical charts for quality assurance and Medicare compliance. •Interacted with different Health Plans such as Humana, BCBS, Vista, to insure compliance to company’s goal to promote and provide cost-effective and efficient care. •Verified members’ eligibility by reviewing medical coding in correspondence to requested authorization of medical procedure. •Managed of out of area patients with Coordination of communication with related parties. •Reviewed medical documentation and issued all precerts requests for elective and non-elective procedures scheduled and non-scheduled admissions with attention to clinical content to assure criteria is meet. •Reduced variation in practice by oncologists and facilitated optimal clinical outcomes. •Coordinated care between multiple providers and settings in the most effective, efficient way. •Facilitated the delivery of appropriate healthcare services within the parameters of all guidelines, Health Plan or employer benefits, and protocols. •Marketing/Provider Relations scheduled, coordinated and lead bimonthly SNF — UR meetings providing inpatient and discharge information/concurrent review to Health Plan Case Managers and Medical Director. •Updated meetings agenda with spreadsheets, rosters, graphics, and document post meeting minutes. •Provided the employee or eligible dependent with reliable information tailored to their specific needs, identify community resources, expedite information gathering, facilitate communication with health care providers, educated on navigational strategies through the medical and payer systems, reduced absenteeism and improve work effectiveness in cancer-challenged employees and their significant other. •Educated and empowered cancer patients and their families. •Increased awareness and utilization of community based resources. •Maximized the use of client’s network of oncology and other resources. •Monitored ongoing medical care.

What they like about Florida Acute Care Specialist — Flacs, Fl:

A hiring company that offers alternative approaches to pay, performance bonuses, and/or equity in the firm is very attractive to you. You're generally less interested in working for an organization offering only traditional, salary-based compensation, one with limited opportunity to acquire equity in the firm, or one that does not actively promote skill development. In addition, you are more likely to choose a company that offers a variety of internal career options, with defined career paths. You view the learning of new skills and development of your expertise as key to your career advancement. These aspects of an organization may become even more important to you as you progress in your field, and are especially critical if you change career or occupation.

Tags

MS Office, electronic charting files, ICD-9, CPT, Integrated Care Management System, Interqual Milliman, HIPPA

Skills

Strong clinical and administrative skills , Current CPR certification, IV Infusion, Certificate, Utilization Review, Pre-certification, Interqual Milliman , ICD/CPT coding

These are some of the questions we asked our climbers about their experiences with Florida Acute Care Specialist — Flacs, Fl: