N#1

Clinical Documentation Specialist. Improves medical record physician documentation by performing concurrent medical record reviews and addressing incomplete documentation with direct interaction with physicians. Indirectly assures case mix index, Diagnostic Review Group (DRG) assignment and severity/mortality profiles are accurate by reviewing up to date reports. Develops concurrent educational programs for physicians and other clinical staff to improve adherence to proper documentation. Salary to $95,000.

N#2

CLINICAL NURSE & PRACTICE MANAGER. Provides administrative and clinical oversight and support to the Ambulatory Pediatrics Department. Supervise all administrative, clinical support, and nursing staff associated with the departments. Monitor finances of the departments and ensure cost-effective management. Collaborate with Medical and Administrative Directors, physicians and departmental staff to establish and maintain high-quality, patient-focused services. A Master's Degree in Nursing or a related field. Bachelor's Degree with significant relevant experience considered. Salary to $115,000.

N#3

Senior Appeals Review Nurse. Seeking an outgoing RN to fill a Sr. Appeals Review Nurse position in TX office. This role offers plenty of autonomy, a regular business schedule, and a nice change from direct care. Additionally, the chosen candidate may be able to work from home after six months.

 Key responsibilities of the Sr. Appeals Review Nurse include:

• Reviewing appeals and grievances
• Applying set criteria such as Certificates of Coverage,
• Conducting Internet research
• Approving or denying received appeals/grievances
• Identifying trends and providing related feedback to management
• Performing risk management activities

Salary is open.