- Elevance Health (Houston, TX)
- …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Title:** Diagnosis Related Group Clinical Validation Auditor- RN (CDI, MS-DRG, AP-DRG and APR-DRG) **Virtual:** This role enables associates to work virtually… more
- Houston Methodist (Houston, TX)
- …Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse ( RN ) who comprehensively conducts point of entry and ... failure of the progression of care process. + Conducts chart audits and performs peer-to-peer evaluations for continuous quality...and/or case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Baylor Scott & White Health (Frisco, TX)
- …- MAJOR - Nursing - EXPERIENCE - 3 Years of Experience - CERTIFICATION/LICENSE/REGISTRATION - & Registered Nurse ( RN ) & ACLS (ACLS): ACLS or ACLS within 30 ... complications, deviation in standards of care, mortalities, and hospital-specific audit filters. Identifies patients on the trauma service using...days or ENPC within 180 days of hire. & RN - Advanced Trauma Care (ATCN), Trauma Nurse … more
- Fresenius Medical Center (Irving, TX)
- …PCT II HT are to be performed under the direct supervision of the Home Therapies registered nurse (HT RN ), in compliance with, and as permissible per state ... for patients under the direct supervision of a licensed nurse under organization policies, procedures, and training and in...processes and rapport with patients, care partners, the HT RN , direct and non-direct patient care staff, providers, and… more
- CoreCivic (Eden, TX)
- …for providing the highest quality care in an institutional setting. The Advanced Registered Nurse Practitioner under the supervision of the facility physician, ... with a degree and possess a current licensure and/or certification as an Advanced Registered Nurse Practitioner with training in family practice in the state of… more
- Molina Healthcare (Fort Worth, TX)
- …Adjustment, is responsible for the implementation, monitoring, and oversight of all chart collection for Risk Adjustment, RADV, or Risk Adjustment-like projects, and ... other state specific audit projects and deliverables related to accurate billing and...training, onboarding for CDA team members, vendor management for chart collection vendors, Supplemental data, and chart … more
- Insight Global (Plano, TX)
- …based on the candidates years of experience. Key Responsibilities: Conduct thorough chart reviews to validate that assigned codes accurately reflect the patient's ... and ensure accurate code assignment and sequencing. Maintain high-quality standards in chart reviews to accurately reflect the patient's condition. Stay current with… more