Assist the provider/ team with various care coordination activities in the nursing home Assist the provider/ team with benefit determination associated with Medicare part A, part B, and part D benefits Collaborating with the primary Advanced Practice Clinician, (APC) and nursing facility to identify and respond to patient Change in Condition May assist the provider by com

Conduct in home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam Perform evidence based practice screenings including point of care testing (as appropriate) Identify diagnoses to be used in care management and active medical management in the furtherance of treatment For

Provide clinical argument, using available Medical Records, to justify and dispute payer denials, all levels of appeals included Develop monthly case studies, identifying payer and hospital operational opportunities Compile reports as requesting by the ROS client and operations, specific to payers, operations and clinical reviews Participate in performance meetings as req

Complete provider orders per state and provider regulations Perform accurate X rays as ordered by the provider while practicing radiation safety precautions to include ALARA Prepare and transmit images to the radiologist for over read, and report over read results to providers Retrieve and archive radiographic reports Create/Burn CD’s in compliance with HIPAA regula