inpatient services rn

**About Scene Health** Scene’s 360° model of care enhances the gold standard of medication adherence, Directly Observed Therapy. Combining personalized video coaching, education, and motivational content, we bring healthcare professionals, patients, and their families together to solve the $500B medication non-adherence problem. Our mobile app allows...

Regular Exempt **GENERAL DESCRIPTION:** Provides education to internal and external clients on operational topics that promote efficiency in the process executed by our providers and business partners, such as the Risk Adjustment payment model “CMS-HCC”, ensuring best practices in coding standards and clinical documentation within the medical...

## Responsibilities **REGISTERED NURSE ESSENTIAL FUNCTIONS** - Provide and coordinate care by assessing patients’ physical and behavioral health needs. - Develop and implement nursing care plans. - Maintain medical records and educate patients and their families about various physical and behavioral health conditions. - Provide nursing care and services...

**Registered Nurse Essential Functions** - Provide and coordinate care by assessing patients’ physical and behavioral health needs. - Develop and implement nursing care plans. - Maintain medical records and educate patients and their families about various physical and behavioral health conditions. - Provide nursing care and services within the standards...

Regular Exempt **GENERAL DESCRIPTION:** Conducts prospective reviews (preauthorization’s) of items or services provided to beneficiaries using the Clinical Guidelines criteria for assessing medical necessity. Determines the appropriate level of care according to the severity of the subscriber’s condition. Ensures the appropriate use of...

At Triple-S, we are committed to providing meaningful job experiences for Valuable People (Gente Valiosa). We strive for excellence in everything we do, from the way we work together to the way we serve our customers. When you join Triple-S, you will be key to our efforts on delivering high-quality and affordable healthcare as well as contribute to our...

Regular Exempt **GENERAL DESCRIPTION:** Responsible for the operation of the units that manage the Comprehensive Health Risk Assessment (CHRA), retrospective projects, and clinical coding processes. Guarantees compliance with established procedures following operational guidelines and rules established by the different accrediting agencies, such...

**About Scene Health** Scene’s 360° model of care enhances the gold standard of medication adherence, Directly Observed Therapy. Combining personalized video coaching, education, and motivational content, we bring healthcare professionals, patients, and their families together to solve the $500B medication non-adherence problem. Our mobile app allows...

At Triple-S, we are committed to providing meaningful job experiences for Valuable People (Gente Valiosa). We strive for excellence in everything we do, from the way we work together to the way we serve our customers. When you join Triple-S, you will be key to our efforts on delivering high-quality and affordable healthcare as well as contribute to our...

**Purpose Statement** Proactively monitor utilization of services for patients to optimize reimbursement for the facility. **Essential Functions** - Act as liaison between managed care organizations and the facility professional clinical staff. - Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care...

**Description** Position at Healthmap Solutions Puerto Rico **Company Background** Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise in kidney health populations. Healthmap Solutions uses clinical big data resources and high-powered analytics to power complex specialty...

BCforward is currently seeking a highly motivated Registered Nurse Specialty for an opportunity in HUMACAO PR 00791! Job Title: Registered Nurse Specialty Location: HUMACAO PR 00791 Duration: 12 Months (Possibility of Extension) Anticipated Start Date: ASAP (Please note this is the target date and is subject to change. BCforward will send the official...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and...

SummaryThe position is located in VA Caribbean Healthcare System. The incumbent demonstrates the knowledge and ability to successfully perform the following duties within the scope of Respiratory Care. Essential functions may charge from time to time to reflect the current trends within the field of respiratory therapy - and to meet the cardio-pulmonary...