- Dignity Health (Bakersfield, CA)
- …Minimum of 2 years of relevant clinical experience. - Clear and current CA Registered Nurse ( RN ) license. - Associates of Nursing degree - Supports ... in clinical quality measures, medical record documentation, and risk coding guidelines. - Collects, summarizes and trends provider performance data to identify… more
- Dignity Health (Sacramento, CA)
- **Responsibilities** **Job Summary:** The Registered Nurse ( RN ) is responsible for knowing his/her professional scope of practice as defined by the ... support the the physician / provider's practice under the clinical supervision of the Physician, Nurse Practitioner,...School diploma or equivalent. Satisfactory completion of a formal Registered Nurse program pursuant to the Division… more
- Sutter Health (Modesto, CA)
- …**EDUCATION:** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California Upon Hire **TYPICAL EXPERIENCE:** ... in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely progression and transition of patients to the… more
- Stanford Health Care (Palo Alto, CA)
- …+ CCDS - Cert Clinical Document Spec . + CCDS-O or CDIP . + Nursing\ RN - Registered Nurse - State Licensure And/Or Compact State Licensure preferred . ... with quality teams, related to patient care activities, documentation opportunities, coding opportunities and clinical outcome performance gaps. + Coordinates… more
- UCLA Health (Los Angeles, CA)
- …work effectively with common office software, coding software, and EMR systems, required + Registered Nurse ( RN ) or clinical qualifications a plus + ... Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk...Adjustment, you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders,… more
- Datavant (Sacramento, CA)
- …+ 3+ years of clinical experience in an academic medical center + Registered Nurse license, Bachelor's degree in Nursing + CCDS or CDIP certification ... realize our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist, you will play a pivotal role… more
- UCLA Health (Los Angeles, CA)
- …self-directed individual with: * Bachelor's degree in health-related field, preferred * A Registered Nurse ( RN ) license or MD diploma (or equivalent) ... treatment, decisions, and diagnoses. You will utilize your clinical expertise and coding knowledge to identify...You will utilize your clinical expertise and coding knowledge to identify opportunities and ensure accuracy and… more
- Elevance Health (Walnut Creek, CA)
- ** Nurse Reviewer I** Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... to work weekends if necessary. New Grads are encouraged to apply! The ** Nurse Reviewer I** will be responsible for conducting preauthorization, out of network and… more
- Ventura County (Ventura, CA)
- …NECESSARY SPECIAL REQUIREMENTS: + Must possess and maintain a valid license as a Registered Nurse issued by the State of California Board of Registered ... management across the continuum of care, ensuring adherence to clinical protocols, and serving as a resource for ...and can you maintain a valid license as a Registered Nurse issued by the State of… more
- Elevance Health (CA)
- …on relatively complex case types that do not require the training or skill of a registered nurse . Acts as a resource for more junior clinicians. **How you will ... ensuring appropriate, consistent administration of plan benefits by reviewing clinical information and assessing medical necessity under relevant guidelines and/or… more