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Audit Medical Review Clinician - Casper, WY

Company: Lincare Holdings
Location: Casper
Posted on: March 21, 2020

Job Description:

* Attends work on a regular and predictable basis

* Maintains current knowledge of respiratory home care techniques and relevant respiratory therapy concepts.

* Represents the company through professional personal appearance, patient care activities and content of written reports.

* Interpretation of medical records.

* Application of Medicare medical policy to claim under review.

* Retrieval of claims data using personal computer.

* Recording of clinical case decisions in internal systems.

* Ability to achieve and maintain production, quality and workload goals and standards

* Analyzing and summarizing clinical review results for educational articles

* Works on problems / projects of moderately complex scope.

* Exercises independent judgment within defined practices and procedures to determine appropriate action.

* Acts as an informed team member providing analysis of information and limited project direction input.

* Follows established guidelines and interprets policies.

* Evaluates unique circumstances and makes recommendations.

* Minimum of two years of experience in home healthcare.

* Must have excellent human relations skills to interface with doctors, other referral sources and patients.

* Must be computer literate.

* Must have completed all training/education required to obtain requisite certification, registration and/or license described below.

* Must complete any necessary continuing education/recertification testing required to maintain such certification, registration or license at all times while employed in this position.

* Subject to State requirements and management approval, on an exception basis employees may be hired that do not meet all the above certifications and training, but practice respiratory therapy as authorized by applicable state law.

Certificates, Licenses, Registrations:

* Must remain certified, registered or licensed by the applicable state and/or national board governing his/her clinical practice or as otherwise permitted by law.

* In all states, CRTs, and RRTs are qualified for this position.

* Subject to state law/regulation, RNs, LPNs, LVNs, paramedics, EMTs, and other clinicians May also be qualified for this position.

* If applicable, based on the requirements of your state, in addition to a valid state license, current National Board of Respiratory Care Credentials may also be required for CRTs and RRTs.

* Subject to State requirements and management approval, on an exception basis employees may be hired that do not meet all the above certifications and training, but practice respiratory therapy as authorized by applicable state law.

Lincare is an equal opportunity employer, access and affirmative action employer. All qualified applicants will receive consideration for employment regardless of race, color, religion, creed, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. AA/EOE, M/F/Disabled/Veterans

Keywords: Lincare Holdings, Casper , Audit Medical Review Clinician - Casper, WY, Healthcare , Casper, Wyoming

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