Case Manager LVN Utilization PRN McAllen

Universal Hospital Services Inc.; McAllen (TX); On-site; USD 42,000 - 64,000; Full time

Job summary

Universal Hospital Services Inc. in Texas seeks a Clinical Associate to perform retrospective payor reviews under the supervision of the Director, applying current documentation to code with ICD/CPT/DRG when indicated.

The role may require extended hours including weekends and on-call shifts; the candidate should demonstrate Service Excellence and uphold compliance with all policies.

Qualifications

• LVN license issued by the State of Texas.
• 5 years of varied clinical experience.
• Coding experience (inpatient or outpatient) preferred.

Responsibilities

• Perform retrospective reviews for payors using the current documentation system.
• Enter the appropriate ICD/CPT and DRG when indicated.
• May be required to work weekends, holidays, evenings, nights, and/or on-call/call-back status.
• Demonstrates Service Excellence standards at all times.

Skills

Clinical experience

Basic computer skills

Compliance adherence

Education

LVN TX license

Coding experience (inpatient/outpatient)

Job description

Responsibilities

POSITION SUMMARY:

Under the guidance and supervision of the Director, the clinical associate will perform retrospective reviews for payors, utilizing the current documentation system and enter the appropriate ICD/CPT and DRG when indicated. May be occasions when it will be necessary to work weekends, holidays, evenings, nights, and/or on-call/call-back status. Demonstrates Service Excellence standards at all times.

Qualifications

QUALIFICATIONS:

• 1. 5 years of varied clinical experience.
• 2. Basic Computer skills are required, additional college hours preferred
• 3. Must demonstrate commitment and adherence to STHS's Compliance Program and Code of Conduct through compliance with all policies and procedures, the Code of Conduct, attendance at required training and immediately reporting suspected compliance issue(s) to the Compliance Officer.

EDUCATION / LICENSURE:

• 1. LVN licensed in the State of TX
• 2. Coding experience preferred, Inpatient or outpatient

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

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Authorized by

Corporate Human Resources