• RN Quality Improvement Analyst

    AdventHealth (Burleson, TX)
    …of hospital readmission metrics, especially CMS. . Working knowledge of ICD-10 coding , risk adjustment, and clinical documentation improvement. . Familiarity ... Education* (Certifications and Degrees without out-of-pocket tuition expense) - Nursing Clinical Ladder Program* **Our promise to you:** Joining Texas Health Huguley… more
    AdventHealth (04/30/25)
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  • Supervisor, Clinical Documentation…

    Baylor Scott & White Health (Dallas, TX)
    …in a competent, professional and courteous manner. **KEY SUCCESS FACTORS** Must be a Registered Nurse ( RN ) or Registered Health Information Administrator ... Doc Improv Practitioner (CDIP) or Cert Professional Coder (CPC). Reg Health Info Administrator (RHIA), Registered Nurse ( RN ): Registered Nurse ( RN more
    Baylor Scott & White Health (04/17/25)
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  • Utilization Review RN

    Catholic Health Initiatives (Houston, TX)
    …be required to perform other duties as assigned. **Qualifications** **Required:** -Associate's Degree - Registered Nurse ( RN ) -Two (2) years of experience ... due for services provided 2. Subject matter expert regarding clinical appropriateness and level of care for CIC staff...5. Provides information to CIC staff regarding medical record coding JOB DESCRIPTION Page 2 of 89 JOB DESCRIPTION… more
    Catholic Health Initiatives (05/07/25)
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  • Investigator, SIU RN -Remote

    Molina Healthcare (TX)
    …care experience. **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION** : Active, unrestricted State Registered Nursing ( RN ) license in good standing. **PREFERRED ... performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and… more
    Molina Healthcare (04/12/25)
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  • RN Home Health

    HCA Healthcare (Austin, TX)
    …at Home we support our colleagues in their positions. Join our Team as a(an) RN Home Health and access programs to assist with every stage of your career. ... gain certifications and job skills. Apply today for our RN Home Health opening and continue to learn! **Job...with physician's orders and under the supervision of the Clinical Manager. **What you will do in this role:**… more
    HCA Healthcare (04/03/25)
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  • RN Home Health

    HCA Healthcare (Austin, TX)
    **Description** **Introduction** Do you have the career opportunities as a(an) RN Home Health you want in your current role? We invest in what matters most to nurses ... care. Performs in accordance with physician's orders and under the supervision of the Clinical Manager. **What you will do in this role:** + Assesses home care… more
    HCA Healthcare (04/17/25)
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  • Mgr- Clinical Documentation

    Ascension Health (Austin, TX)
    …Improvement Specialists obtained prior to hire date or job transfer date. + Licensed Registered Nurse credentialed from the Texas Board of Nursing obtained prior ... years of leadership or management experience preferred. **Additional Preferences** + 5 years RN or 3-5 coding quality audit experience strongly preferred + Prior… more
    Ascension Health (03/19/25)
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  • Special Investigation Unit Manager Clinical

    CVS Health (Austin, TX)
    …for business needs. **Preferred Qualifications:** Registered Nurse ( RN ) Previous leadership experience. AAPC Coding Certification - Certified ... Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation, and prevention efforts to safeguard… more
    CVS Health (04/23/25)
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  • Manager, Quality Improvement, Clinical

    CenterWell (Dallas, TX)
    …experience, m **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in Florida + 5+ years ... put health first** **Job Profile Summary** The Manager, Stars Improvement, Clinical responsible for the development, implementation and management oversight of the… more
    CenterWell (04/08/25)
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  • Clinical Appeals Nurse

    HCA Healthcare (San Antonio, TX)
    …and escalate as appropriate. **What qualifications you will need:** + Currently licensed as a Registered Nurse ( RN ) in the state(s) of practice and/or has an ... **Introduction** Do you have the career opportunities as a Clinical Appeals Nurse you want with your...root cause of each denial and apply company specific coding for trending and analysis. + Update the patient… more
    HCA Healthcare (05/02/25)
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