In this role, you will work collaboratively with other disciplines to provide well - coordinated patient care. The selected candidate will assess and coordinate discharge planning needs with patient, family, and members of the healthcare team.
In this role, you will performs initial and on-going bio-psychosocial assessments according to accepted standards of nursing practice. Develops a nursing plan of care consistent with the master treatment plan.
In this role, the selected candidate will coordinate and perform onsite medical record reviews at provider offices to determine appropriate coding and billing practices, compliance with quality metrics, compliance with service delivery and quality standards, and where assigned investigation of quality of care and member complaints relative to quality of care and service.