Responsible for review of the clinical information received from physicians, department queues and other clinical providers, ensuring clinical data is substantial enough to authorize services for both 1 time visit account types and recurring accounts. Analyzes clinical information to ensure the services requested are authorized according to clinical and payer protocols. R

The Registered Nursing (RN) is responsible to perform a competent level of nursing care as demonstrated by the critical thinking model known as the nursing process. The standards of practice (assessment, diagnosis, outcomes identification, planning, implementation, coordination of care teaching and health promotion and evaluation) along with the standards of professional

The Registered Nursing (RN) is responsible to perform a competent level of nursing care as demonstrated by the critical thinking model known as the nursing process. The standards of practice (assessment, diagnosis, outcomes identification, planning, implementation, coordination of care teaching and health promotion and evaluation) along with the standards of professional

Perform patient care and administrative/clerical related tasks and procedures based on training, education, and competency evaluations, and as delegated by and under the direction/supervision of the Physician, Nurse Practitioner/Physician Assistant (NP/PA), Registered Nurse (RN), or Licensed Practical Nurse (LPN) Minimum of one year experience in a healthcare setting or o

The Manager, Business and Systems Integration manages all activities involving system benefit development and implementation, contract administration, coding compliance, fee schedule implementation, provider network database management and quality assurance, internal and external auditing of the key processes, system compliance and acceptance testing, and process improvem

Assumes responsibility and accountability for laboratory operations within a Sentara facility. Responsible for the delivery of high quality services that meets or exceeds customer expectations. Analyzes patient data and suggests physician protocol for confirming patient diagnosis; acts as a consultant to pathologists, physicians and other team members; identifies needs an

Under the supervision of a Credentialing Supervisor/Manager, the Credentialing Specialist II is responsible for specific aspects of Credentialing and Re credentialing processing for a managed care organization, adhering to the National Committee for Quality Assurance, State and Federal regulations. They review, investigate, and process primary source verifications for fac

The Registered Nursing (RN) is responsible to perform a competent level of nursing care as demonstrated by the critical thinking model known as the nursing process. The standards of practice (assessment, diagnosis, outcomes identification, planning, implementation, coordination of care teaching and health promotion and evaluation) along with the standards of professional

Comprehensive understanding of the entire billing cycle, medical terminology, coding, charge entry, insurance adjudication, contractual agreements, payment posting, statements and collections. 3 years of multi specialty coding experience with Current Procedural Terminology (CPT), International Classification of Diseases version 10 (ICD 10), Heath Care Common Procedure Cod

Administer anesthesia, monitor patient's vital signs, and oversees patient recovery from anesthesia. Participates in the delivery of all types of anesthetics under the supervision of an Anesthesiologist For employees working in the state of Virginia, a Nurse Practitioner License is required with a specialization in Certified Registered Nurse Anesthetist. Employees working

Account and prepare all documents for precision scanning into the electronic medical record with strict attention to maintain patient confidentiality guidelines for safeguarding patient medical information. Required to work within many different computer environments to track, scan, identify, validate and access medical records. Responsible to maintain data and statistics

The Registered Nurse develops, implements and evaluates plans of care for specific patient populations. Coordinates and collaborates with multidisciplinary team members to facilitate integrated and comprehensive care. Possesses clinical knowledge and skills to meet standards as required by specific clinical areas. Requires authorization from the State Board of Nursing of

Responsible for the identification and assessment of home care and hospice needs of patient population and coordination of these services to ensure a smooth transition to the next site of care. 1 year of home care, discharge planning or case management experience required. Licensed RN, LPN, RT or BSW required. Proof of education as LPN, RN, RT or BSW required. Qualificati

The Licensed Practical Nurse (LPN) functions under the supervision of an RN or Licensed Independent Practitioner (LIP) in the clinical setting, within the scope of practice dictated by the State Boards of Nursing. The LPN demonstrates professional and clinical knowledge relative to designated clinical practice setting in the delivery of direct patient care, adhering to th

Nursing Care Partners are unlicensed staff members who are accountable to, and work under the direct supervision of a professional nurse to implement delegated aspects of nursing care. Provide patient care, support the admissions and discharge process, and comply with patient safety practices under the direction of the professional nurse. Observe patients' physical, menta