Full employer posting
Primarily responsible for evaluating and ensuring proper documentation for certain/selected injection/infusion types is obtained prior to delivery of services. Duties will include review of medical records for documentation to support medical necessity and appropriateness of healthcare services being proposed. Secondary responsibility will be to collaborate closely with clinic and revenue cycle leaders to ensure successful program performance, optimizing patient access to medications while maintaining financial sustainability.
About CarolinaEast Health System CarolinaEast Health System is committed to providing high quality, compassionate care across the Coastal Carolina region. At the heart of our system is a 350-bed, full-service medical center equipped with a comprehensive range of inpatient and outpatient services, utilizing the latest medical technologies. We employ over 3,200 dedicated team members and operate physician practices across various specialties in four counties.
Our employees foster a culture of excellence that ensures our patients receive the same high level of care found at larger medical centers, all while maintaining a friendly, community-centered atmosphere throughout our facilities. CarolinaEast offers a robust benefits package to all full-time employees, as well as benefits for part-time plus and part-time staff. We are proud to be the first medical center in North Carolina recognized as a Cardiovascular Center of Excellence by the American College of Cardiology and the American Heart Association.
Additionally, we are honored to be named one of America’s Best-In-State Hospitals by Newsweek , among numerous other prestigious accolades. Minimum
Graduate from an accredited School of Nursing. Current RN license with North Carolina State Board of Nursing. As an RN, a minimum of five years’ clinical experience preferred.
Ability to work independently. Good written, oral communication and analytical skills required. Ability to research, interpret, and develop recommendations.
Ability to perform and complete multiple tasks within reasonable time constraints. Possess computer skills including Microsoft Word, Excel, or other word processing software. Deliver outstanding customer service that upholds CarolinaEast's Standards of Excellence.
Full time · Day shift
About the role
Job Summary: Primarily responsible for evaluating and ensuring proper documentation for certain/selected injection/infusion types is obtained prior to delivery of services. Duties will include review of medical records for documentation to support medical necessity and appropriateness of healthcare services being proposed.