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Involves the review and evaluation of healthcare regulatory compliance controls and programs. Develops regulatory policies and systems from a strategic perspective; keeps abreast of regulatory issues, plans for changes and / or integration as new healthcare affiliations are assumed. Provides education and consultation to hospital and medical staff regarding the integration of compliance regulatory standards with programs and operations. Acts as a channel of communication to direct compliance issues to appropriate resources for investigation and resolution. Ensures issues and concerns are being appropriately evaluated, investigated and resolved. Develops and maintains policies and procedures for the general operation of the compliance program and its related activities. (For primary focus in privacy, see "Privacy" job standards.)
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Involves the review and evaluation of healthcare regulatory compliance controls and programs. Develops regulatory policies and systems from a strategic perspective; keeps abreast of regulatory issues, plans for changes and / or integration as new healthcare affiliations are assumed. Provides education and consultation to hospital and medical staff regarding the integration of compliance regulatory standards with programs and operations. Acts as a channel of communication to direct compliance issues to appropriate resources for investigation and resolution. Ensures issues and concerns are being appropriately evaluated, investigated and resolved. Develops and maintains policies and procedures for the general operation of the compliance program and its related activities. (For primary focus in privacy, see "Privacy" job standards.)
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Involves crisis intervention, psychosocial patient assessments and interventions, mandated reporting, information and referral, non medical discharge planning, and coordination of health and mental health services with community providers. Works in concert with physicians, nurses, utilization management, discharge planners, and other allied health professionals; may be member of a structured case management team. Assists patients and their families with addressing and resolving the social, financial, and psychological problems related to their health condition and facilitates the patient movement through health continuum.
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Involves crisis intervention, psychosocial patient assessments and interventions, mandated reporting, information and referral, non medical discharge planning, and coordination of health and mental health services with community providers. Works in concert with physicians, nurses, utilization management, discharge planners, and other allied health professionals; may be member of a structured case management team. Assists patients and their families with addressing and resolving the social, financial, and psychological problems related to their health condition and facilitates the patient movement through health continuum.
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Involves the development and implementation of policies, procedures, standards and protocols for quality organ or islet cell transplant patient and donor care. Includes the establishment of mechanisms to monitor the quality of transplant care in conjunction with the hospital wide plan and ensures compliance with applicable accrediting agencies and regulatory standards. Involves interdisciplinary patient care from a team of experts who represent medical disciplines as well as support services.
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Involves the review of medical records, admissions, continued stay and outpatient services for appropriateness, medical necessity, and quality. Often works as case management team member, in concert with physicians, nurses, social work, discharge planners, and other allied health professionals. Reviews care and treatment received. Communicates with third party payers in order to obtain authorization for care and facilitates clinical denial and appeal process as necessary. Acts as a resource to related parties by providing training and educational sessions.
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Involves the review of medical records, admissions, continued stay and outpatient services for appropriateness, medical necessity, and quality. Often works as case management team member, in concert with physicians, nurses, social work, discharge planners, and other allied health professionals. Reviews care and treatment received. Communicates with third party payers in order to obtain authorization for care and facilitates clinical denial and appeal process as necessary. Acts as a resource to related parties by providing training and educational sessions.
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Nurse practitioners utilize advanced practice nursing skills and knowledge for all aspects of patient care. Nurse practitioners may practice in both inpatient and outpatient settings. Nurse practitioners may be solo providers or partners within a treatment team. Nurse practitioners perform physical exams, order diagnostic tests, prescribe treatments, educate patients, and may serve as a patient's primary healthcare provider.
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Involves the management and administration of patient pre-registration and registration, pre-admissions and admissions, transfers, insurance eligibility and authorization, financial counseling and patient flow / bed management. Services are provided in a variety of environments, such as the emergency department, hospital admissions, birth center, ambulatory care clinics, surgery centers, laboratory and radiology services. Functions are provided in concert with clinical and business departments across the organization, to ensure efficient patient flow and to maximize revenue collection. Works closely with patient financial services and case management department to maintain payer requirements and analyze denials.
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Involves the cleaning and housekeeping of buildings and exterior areas, including classrooms, auditoriums, gymnasiums, museums, private rooms in residence halls and apartments, patient rooms, nursing units, surgical areas, administrative offices, research and clinical laboratory areas, waiting areas and restrooms using various cleaning chemicals and disinfectants. Follows established infection-control practices to ensure a clean and safe environment. May oversee biohazardous waste disposal process according to established procedures and quality standards. Follows established procedures for dealing with potential hazards. Monitors inventory and inspects equipment for repair and / or replacement. May manage Linen Services operations and staff lab coat ordering. Work may include trash and recycling material removal, meeting room set-up and hotel-like room servicing.
