Versalus Health

Medical Director, Denials Management

As a Medical Director, Concurrent Review for Versalus Health, you’ll have the unique opportunity to evaluate hospitalizations across the country while utilizing your medical knowledge and gaining experience as an expert advisor to Versalus Health’s client hospitals. You will perform concurrent clinical case reviews and provide recommendations that focus on establishing the appropriate admission status. Versalus Health offers a career path that allows you to continue using your clinical knowledge, drive value to hospitals while providing you with a predictable schedule. This opportunity allows for the work/life balance you desire while expanding your knowledge base in Utilization Review.

Medical Director, Inpatient/Audit | Full Time

As a Medical Director, Concurrent Review for Versalus Health, you’ll have the unique opportunity to evaluate hospitalizations across the country while utilizing your medical knowledge and gaining experience as an expert advisor to Versalus Health’s client hospitals. You will perform concurrent clinical case reviews and provide recommendations that focus on establishing the appropriate admission status. Versalus Health offers a career path that allows you to continue using your clinical knowledge, drive value to hospitals while providing you with a predictable schedule. This opportunity allows for the work/life balance you desire while expanding your knowledge base in Utilization Review.

How to Get Off the Denial and Appeal Merry-Go-Round

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Press Release: Versalus Health Names Jay Ahlmer as President

Jay Ahlmer Named President of Versalus HealthNewtown Square, PA (November 15, 2022)— Versalus Health has named Jay Ahlmer as the organization's new President. Ahlmer will lead the company's vision and strategic objectives by ensuring Versalus Health continues to build...

Medical Director, Inpatient/Audit | Full Time

As a Medical Director, Concurrent Review for Versalus Health, you’ll have the unique opportunity to evaluate hospitalizations across the country while utilizing your medical knowledge and gaining experience as an expert advisor to Versalus Health’s client hospitals. You will perform concurrent clinical case reviews and provide recommendations that focus on establishing the appropriate admission status. Versalus Health offers a career path that allows you to continue using your clinical knowledge, drive value to hospitals while providing you with a predictable schedule. This opportunity allows for the work/life balance you desire while expanding your knowledge base in Utilization Review.

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Medical Director, Concurrent Review | Full-Time

Medical Director, Concurrent Review | Full-Time

As a Medical Director, Concurrent Review for Versalus Health, you’ll have the unique opportunity to evaluate hospitalizations across the country while utilizing your medical knowledge and gaining experience as an expert advisor to Versalus Health’s client hospitals. You will perform concurrent clinical case reviews and provide recommendations that focus on establishing the appropriate admission status. Versalus Health offers a career path that allows you to continue using your clinical knowledge, drive value to hospitals while providing you with a predictable schedule. This opportunity allows for the work/life balance you desire while expanding your knowledge base in Utilization Review.

read more
Medical Director, Concurrent Review | Part-time

Medical Director, Concurrent Review | Part-time

As a Medical Director for Versalus Health, you’ll have the unique opportunity to evaluate practice patterns across the country while utilizing your medical knowledge and gaining experience as an expert advisor to Versalus Health’s client hospitals. You will perform clinical case reviews and provide recommendations that focus on establishing the appropriate admission status. Versalus Health offers a career path that allows you to continue using your clinical knowledge, drive value to hospitals while providing you with a predictable schedule. This opportunity allows for the work/life balance you desire while expanding your knowledge base in Utilization Review.

read more
HCC’s: What’s the 411 for the Inpatient CDS & Coder

HCC’s: What’s the 411 for the Inpatient CDS & Coder

Join us for an overview of CMS HCC risk adjustment fundamentals for the inpatient clinical documentation specialist and coder. We will review the top ten commonly under-reported diagnoses that map to a CMS HCC, review how risk scores are calculated, impact payment, and benefit from improved clinical documentation and comprehensive coding.

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How to Get Off the Denial and Appeal Merry-Go-Round

How to Get Off the Denial and Appeal Merry-Go-Round

It’s a familiar pattern with payers, the provider wins a front-line denial, then a myriad of payer reviews occur and result in more denials. More provider resources are deployed to fight each subsequent denial, only to be unfairly under-reimbursed at the end of the cycle.

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