• Utilication Management Nurse Consultant

    US Tech Solutions (May, OK)
    …information into a clear and precise clinical picture while working independently.-Reports audit or clinical findings to appropriate staff or others in order to ... ensure appropriate outcome and/or follow-up for improvement as indicated. **Experience** + 3 years of clinical experience required- Managed Care/Medicare experience preferred **Position Summary** + Provide comprehensive healthcare management services to… more
    US Tech Solutions (07/10/25)
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  • Physician Assistant

    MTA (New York, NY)
    …other clinical staff members as needed for medical review and quality assurance and audit activities. + Work with clinical nurse as needed to perform diagnostic ... testing such as audiometry, EKGs, vision testing. + Perform CDL medical examinations. + Assist with case management of injured/sick employees. + Other duties as assigned. Required Qualifications: + Must have excellent clinical experience and judgment for… more
    MTA (07/11/25)
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  • Infusion RN - Per Diem

    Option Care Health (Washington, DC)
    …+ Actively participates in facility process improvement program and assists Supervisor or Nurse Manager with chart audit functions as applicable. + Performs ... brightest talent in healthcare. **Job Description Summary:** An Infusion Nurse is a licensed clinician who coordinates and provides...the Supervisor in the absence of the Supervisor or Nurse Manager as applicable in accordance with state and… more
    Option Care Health (07/03/25)
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  • Senior Nursing Instructor (Emergency Medical…

    The County of Los Angeles (Los Angeles, CA)
    …developing and implementing the Quality Improvement program for these sections. + Reviews audit and monitoring tools on an on-going basis to ensure applicability and ... revises these tools and/or develops new audit tools. + Performs administrative work related to role.... -AND- A license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
    The County of Los Angeles (06/05/25)
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  • CRNA (Internal to North Texas VA Healthcare…

    Veterans Affairs, Veterans Health Administration (Dallas, TX)
    …until positions are filled. VA offers a comprehensive total rewards package: VA Nurse Total Rewards The practice of anesthesia is a recognized specialty of both ... from an approved school of professional nursing. Graduate of an accredited nurse anesthesia educational program approved by the American Association of Nurse more
    Veterans Affairs, Veterans Health Administration (05/17/25)
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  • Compliance Auditor, Associate

    UPMC (Pittsburgh, PA)
    …efficiency in claims processing, data collection, and quality reporting. + **Post- Audit Training:** Conduct post- audit compliance training sessions for ... physicians and non-physician practitioners based on audit results. These sessions will provide education specific to...+ Registered Health Information Technician (RHIT) + Licensed Professional Nurse (LPN) or + Registered Nurse (RN)… more
    UPMC (07/24/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Denver, CO)
    …coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate … more
    Elevance Health (08/01/25)
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  • Regional Director of Wellness, Quality & Education

    Allegro Management Company Llc (Clayton, MO)
    We're on the hunt for a Super Nurse (aka Regional RN)! Do you love variety, adventure, and helping people across multiple communities? Do you feel just as ... you! We're looking for a passionate and flexible Regional Nurse to bring their clinical expertise (and maybe some...+ Conduct or oversee completion of full internal quality audit in each community at least annually. This should… more
    Allegro Management Company Llc (07/31/25)
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  • LPN - MDS Coordinator

    Elderwood (Liverpool, NY)
    …$29.00 - $37.70 / hourly Overview Elderwood at Liverpool is seeking a Licensed Professional Nurse to join our clinical team as a LPN MDS Nurse Assessor. LPNs, ... right skill set, will be considered as well. MDS Nurse Assessor - Position Overview: + An MDS ...process. + Conducts resident interviews. + Compile, monitor and audit clinical documentation. + Communicate clinical issues to appropriate… more
    Elderwood (07/25/25)
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  • RN Clinical Review Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …and procedure code assignment and MS-DRG/APR-DRG accuracy based on denials or audit findings from government and commercial payers. Meet or exceed established ... representatives in defense of coding appeals, as needed. + Maintain necessary audit /appeal activity documents including Excel spreadsheets, EPIC Payor Audit more
    St. Luke's University Health Network (07/08/25)
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