- Hospice of Michigan (Kalamazoo, MI)
- …in support of the mission of NorthStar Care Community. The Clinical Quality Nurse Specialist is responsible, through monitoring and supporting clinical ... staff, for ensuring quality and compliance with practice standards and regulatory requirements,...clinician following a clinical visit. Communicating results of the audit . Identifying both positive practices as well as areas… more
- Tenet Healthcare (Detroit, MI)
- …patient, families, community, nursing personnel and other health care providers. The Trauma Nurse Practitioner promotes system changes to enhance quality of care ... Trauma Nurse Practitioner Per Diem Rotate - 2406002282 Description...and organizational effectiveness/efficiency and actively participates on the Trauma Quality Improvement Process (TQIP), State of Michigan Trauma … more
- Sunrise Senior Living (Bloomfield Hills, MI)
- …Sunrise of Bloomfield Hills **Job ID** 2025-231366 **JOB OVERVIEW** The Wellness Nurse is responsible for monitoring the health and well-being of our residents ... communication with resident support services and families, and maintaining clinical quality assurance while leading and demonstrating the Mission for Sunrise Senior… more
- Grace Health (Battle Creek, MI)
- … Nurse to join our education team! In this dynamic role, you'll help audit and support clinical staff, lead quality improvement initiatives, and shape the ... Clinical Support Nurse Coordinator | $1,000 Sign-On Bonus | No...(mock codes, CPR/BLS, TB testing, skills validation) + Support quality improvement through audits, scorecards, and compliance reviews +… more
- Molina Healthcare (Sterling Heights, MI)
- **JOB DESCRIPTION** For this position we are seeking a (RN) Registered Nurse who must be licensed for the state they reside This position will support Medical Review ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases… more
- Molina Healthcare (Warren, MI)
- …necessity and appropriate/accurate billing and claims processing. + Identifies and reports quality of care issues. + Assists with Complex Claim review including DRG ... decision making pertinent to clinical experience + Documents clinical review summaries, bill audit findings and audit details in the database + Provides… more
- Elevance Health (Dearborn, MI)
- …and reference information to generate audit determinations and formulate detailed audit findings letters. + Maintains accuracy and quality standards as ... coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of… more
- Corewell Health (Grand Rapids, MI)
- …ensuring the appropriate metrics are established to ensure productivity and quality outcomes while conducting internal audits for both vendors and providers. ... to meet program goals including but not limited to provider incentive programs, audit and compliance processes and well as EMR optimization and other technology… more
- Trinity Health (Livonia, MI)
- …accuracy of health record documentation. Develops CDS education based on results of quality reviews of queries, audit results, and regulatory changes. Provides a ... this position is responsible for implementation and ongoing activities of the CDI quality and compliance plan for the Health Ministries (HMs) within their region.… more
- Tenet Healthcare (Detroit, MI)
- …hospital and DMC objectives. Models customer service excellence. 1. Assures quality and appropriateness of care. Facilitates and supports the establishment of ... unit based quality improvement programs and supports continuous improvement processes.* Uses...and DMC policies. As directed, implements external and internal audit recommendations. Ensures hospital departments achieve objectives for diversity… more