- Bellefaire JCB (Shaker Heights, OH)
- Registered Nurse (MBA & PRTF)-Seeing day shift, second and third shift FT, PT & PRN (3 days/week) Alternating weekends and Holidays SUMMARY: The Registered Nurse ... Residential Treatment Facility (PRTF) & MBA program. The Registered Nurse responds to the clients' health needs as needed,...when indicated. + Count narcotics daily and sign the audit sheets for controlled substances. + Order, receive and… more
- Molina Healthcare (Cleveland, OH)
- **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 (Columbus, OH)
- …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
- Fresenius Medical Center (Hinckley, OH)
- …objectives ensuring alignment with those of the region, division, and company. Implements quality goals and action plans to achieve quality standards. + ... with operations leaders, market development, in-center leadership and patient education and quality teams to promote home therapies growth in assigned programs. +… more
- Elevance Health (Mason, OH)
- …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
- Sunrise Senior Living (Dublin, OH)
- …LPN Medication Care Manager is responsible for providing the highest degree of quality care and services by administering medication and treatments in a safe ... the Mission for Sunrise Senior Living, "to champion the quality of life for all seniors" in accordance with...medication updates from Resident Care Director (RCD) or Wellness Nurse . + Administer, assist with, and observe medications and… more
- Allied Mineral Products (Columbus, OH)
- …spills or related events that may occur. + Work closely with onsite Occupational Nurse and EHS Coordinator on daily EHS items. + Follow all Federal, State, Local, ... and regulations. + Assist EHS Coordinator with conducting air quality , silica dust and noise monitoring tests from inception...and conduct with safety, health, and environmental training. + Audit the Safety and Health programs. Audit … more
- Humana (Columbus, OH)
- …ensure that employees have met all company training requirements for company, quality , and regulatory compliance. + Analyzes course evaluations to judge the ... documented procedures/regulations/professional standards with some interpretation + Supports the Audit and Process Improvement teams by providing feedback to Care… more
- Fresenius Medical Center (Portsmouth, OH)
- …and training for patients under the direct supervision of a licensed nurse under organization policies, procedures, and training and in compliance with regulations ... within the home therapy program. Supports the organization's commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to… more
- Sedgwick (Columbus, OH)
- …providers to discuss employee's clinical status, progress and work status. + Achieves appropriate quality audit scores on a consistent basis. + Acts as clinical ... Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education &...change the duties of the position at any time. \# nurse Sedgwick is an Equal Opportunity Employer and a… more