Travel Nurse RN - Case Manager - $1,889 per week in New York City, NY - TravelNurseSource : Job Details

TravelNurseSource is working with Infojini Healthcare to find a qualified Case Manager RN in New York City, New York, 10004! Pay Information $1,889 per week About The Position ID: 55531747 Shift: Hybrid 9-5BA in Nursing Required•AAPC Coding certification - Certified Professional Coder (CPC), Description: Use clinical knowledge to review medical charts for accuracy and sequencing of diagnosis to those assigned from Consultation reports, History and Physical reports, Operative reports, Progress reports, Discharge reports including complex cases. This is the pay range that RightSourcing (a part of Magnit) reasonably expects to pay someone for this position, however, as a supplier your expected pay range may vary and/or include certain benefits like: Medical, Dental, Vision, 401K [include any compulsory benefits such as commissions, incentive bonuses, etc. if applicable]. Pay range: $36.57 hrly -$49.70 hrly Schedule 9-5BA in Nursing Required AAPC Coding certification - Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA) or Certified Coding Specialist (CCS) - PreferredWe need a clinician to review medical records to validate clinical and coding assessmentsMedical coding Review medical records and healthcare claims to determine the accuracy and compliance of billed codes with appropriate regulations, standards, policies, and procedures. Conduct audits of high-risk claims and billing patterns to ensure adherence to healthcare regulation and MetroPlusHealth policy and detect potential FWA. Collaborate with other SIU team members to evaluate suspected cases of fraudulent activities, such as over-utilization of services, upcoding, and billing for non-medically necessary services. Create detailed reports with medical review findings that include research, rationale, sources and corrective action recommendations to the SIU Department. The reports will also validate whether audited claims should be denied, recouped and if other mitigation strategies are required. Participate as needed on provider calls to discuss findings and rationale of medical review. Present findings to leadership and other stakeholders to facilitate all FWA proceedings. Assist in preparing documentation for audits, recoupments, compliance/legal reviews and regulatory inquiries. Maintain thorough documentation of investigations, including clinical findings, coding discrepancies and all communication with healthcare providers and investigators. Stay updated to changes to coding guidelines, healthcare regulations, and fraud detection methods to ensure compliance and effective investigations. Completes special projects and audits as required.Skills: Two years experienceEducation: Required: New York State RN License, Primary Source Verification,Job Category: MetroPlus Non-Clinical Guaranteed Hours: 35.00 Contract Weeks:61 27974317EXPTEMP Job Requirements Required for Onboarding Competency Exam Core Mandatory Exam Self Assessment (Skills Checklist) 5 Benefits of Travel Nursing Advocating for patients becomes more nuanced when dealing with diverse populations. Travel nursing exposes you to different patient advocacy scenarios, refining your advocacy skills. Different facilities may use various healthcare technologies and electronic health record systems. Exposure to these technologies enhances your proficiency in adapting to different digital healthcare platforms. Some travel nursing agencies provide opportunities for continuing education, allowing you to expand your knowledge base and stay updated on the latest advancements in healthcare. Travel nurses may benefit from tax advantages such as housing stipends and per diems, helping them maximize their income and financial stability. Travel nursing is a fulfilling adventure. The combination of professional growth, personal enrichment, and the excitement of exploring new places makes it a unique and rewarding career choice.