…coding and DRG assignment for inpatient encounters for other payers (not Medicare/ Managed Medicare). This requires critical thinking and a skill set above what

…sees patients from around the world. The volume has become more than what can be managed by one cardiologist, and has a ready made book of business for the incoming

…Minnesota. * Mahnomen Health Center and Nursing Home is a community hospital currently managed by Sanford Health Fargo and is an active NHSC site. * The hospital

…management. Utilizes clinical experiences and expertise in conjunction with the managed care environment in collaborating on clinical interventions and

…/ community outcomes through the application of educational concepts / skills and preventive care in a managed care environment. + Assesses internal and

…evening rotations as needed. * Obtain pre-authorizations for home visits for managed care patients when necessary. Documentation * Complete initial assessments,

…staff to optimize patient throughput and assure that the organization and the patient's care are managed in the most efficient manner possible and a

…with physicians and peers. 5. May provide clinical updates to representatives of managed care to assure coordination and reimbursement of treatments services.

…outlook required. 8 years of experience in multi- hospital system and / or managed care required. 10 years of experience in Federal, state and accreditation

…Anti-Kickback Statute, the False Claims Act, Certificates of Need/Facility Licensure, Managed Care and Value-Based Arrangements, Hospital Authorities, Provider