Browse Career Research in Healthcare & Medical
Healthcare & Medical Career Research
Physicians Care of Californiea
Administered multiple self funded health plans utilizing the IPA model following Inter Qual care guidelines for inpatient hospital stays utilizing evidence based criteria to determine medical necessity of prescribed treatments, surgeries, outpatient procedures/services, inpatient admissions, DME and rehab requests in the most cost effective manner.Reviewed all inpatient admissions and hospital lengths of stay on a prior, co...
Avg. Salary: $0 · Company Rank: 4.0 out of 5
Sea Cliff Healthcare
Worked closely with IPA nurse practitioners and case managers to prevent overt utilization of benefits as well as to ensure the patients were receiving all medically necessary care. Obtained all authorizations for the HMO population for admission, specific treatments, diagnostic studies, outpatient procedures/appointments, DME, rehab, and discharge planning, including follow up after discharge to ensure the patient receive...
Avg. Salary: $0 · Company Rank: 4.0 out of 5
Victoria Healthcare Center
Assessed, measured, and documented all wounds in the facility developing treatment plans to heal wounds and prevent any further breakdown including preventing skin breakdown all together. Performed weekly wound report to track effectiveness of ongoing treatment and determined the need for specialty mattresses, bed overlays, medication, and wound-vacs. In-serviced all nursing staff of proper handling techniques of wounds, d...
Avg. Salary: $0 · Company Rank: Not Available
Anaheim Healthcare Cemter
Assessment of all residents at beginning of shift and as necessary during the shift, administration of medications, documentation of residents as necessary, communication with doctors and families as necessary, and managed CNA's to ensure appropriate care is being rendered to the residents. Managed the appropriateness of specialized equipment to promote wound healing
Avg. Salary: $0 · Company Rank: Not Available
AGH-Buena Park Sub Acute
aObtained MediCal, Cal Optima, and Medicare authorizations for admission and specialty equipment. Assessed residents for appropriateness of admission to Sub Acute facility. assisted with MediCal, Cal Optima, and Medicare applications and completed all TARS while assisting the business office with the collection of debts from payer sources. Bridged the gap for patients to community resources for discharge planing
Avg. Salary: $0 · Company Rank: Not Available
Leisure Court Nursing Center
Assessed and documented on all resident' psycho-social issues or conditions. Organized QA meetings with IDT members and medical director. Bridged the gap to community resources for residents and family members. Discharge planning upon admission to facility
Avg. Salary: $0 · Company Rank: Not Available
United States Marine Corps
Trained and lead a squad of up to 30 Marines in an infantry environment. Maintained over a million dollars worth of warfare equipment
Avg. Salary: $0 · Company Rank: Not Available
Pineville Rehabilitation & Living Center
Conduct an average of 30 new admissions a month. Review an average of 420 referrals a month. Negotiate an average of 5 new insurance contracts a month. Communicate effiecently with staff medical details about all new admissions. Also responsible for external sales and marketing. Conduct on average 40 sales calls a month to targeted hospital case managers, physician groups, Assisted Living Communities and other communit...
Avg. Salary: $56,000 · Company Rank: Not Available
PROSPORTS ORTHOPEDICS
SURGICAL CODER AND BILLER • Analyzes and interprets complex operative reports in their entirety to ensure accurate, complex and consistent selection of procedures and diagnosis to assure maximum reimbursement. • Applies and adheres to correct coding principles, current NCCI rules and current accepted compliance standards. • Assists with report preparation for providers and management. • Knowledge of medical record conte...
Avg. Salary: $60,000 · Company Rank: Not Available
PROSPORTS ORTHOPEDICS
• Analyzes and interprets complex operative reports in their entirety to ensure accurate, complex and consistent selection of procedures and diagnosis to assure maximum reimbursement. • Applies and adheres to correct coding principles, current NCCI rules and current accepted compliance standards. • Assists with report preparation for providers and management. • Knowledge of medical record content to adequately assign eva...
Avg. Salary: $60,000 · Company Rank: Not Available
