• RN Clinical Review Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …or coding determination made by the government or commercial payors, or their auditor representative. + Facilitate clinical chart reviews to assist with ... regardless of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and… more
    St. Luke's University Health Network (07/08/25)
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  • Clinical Trials Application Specialist II

    AdventHealth (Orlando, FL)
    …of experience in clinical research in a related role, such as a clinical research coordinator, monitor, auditor , clinical data analyst, or research ... ** Clinical Trials Applications Specialist II AdventHealth Orlando** **All...Administrators (NCURA), Research Administrator's Certification Council (RACC) + Registered Nurse _2/28/22_ This facility is an equal opportunity employer… more
    AdventHealth (08/07/25)
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  • Operations Associate Cardiac Monitor Tech, Part…

    Baystate Health (Springfield, MA)
    …MD schedules for clinical team inquiry. In coordination with the charge nurse , prepare staffing assignments for the next shift. Place calls to replace unplanned ... be applicable to this role.** **Summary:** **Reports to the Nurse Manager but daily activities are coordinated by the...also as a business partner to the department and clinical staff. Orients patients and families to the unit,… more
    Baystate Health (07/30/25)
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  • Operations Associate Cardiac Monitor Tech, Full…

    Baystate Health (Springfield, MA)
    …records, Kronos variance forms, etc. **8)** Unit Resource: Post/file MD schedules for clinical team inquiry. In coordination with charge nurse , prepare staffing ... be applicable to this role.** **Summary:** Reports to the Nurse Manager but daily activities are coordinated by the...also as a business partner to the department and clinical staff. Orients patients and families to the unit,… more
    Baystate Health (08/09/25)
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  • OA/MT Per Diem

    Baystate Health (Westfield, MA)
    …Operations Associate/Monitor Tech will function in a supportive role to a registered nurse and work collaboratively with the health care team in the management of ... the adult hospital based on staffing needs. Flex Team OA/MTs report to the Clinical Manager but daily activities are coordinated by the clinical supervisor.… more
    Baystate Health (08/08/25)
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  • System CDI Quality Team Leader Educator

    AdventHealth (Altamonte Springs, FL)
    …FL **The role you will contribute:** Under general supervision of the Clinical Documentation Integrity (CDI) Manager, and in some situations the supervision of ... the Director of Clinical Documentation Integrity, and in collaboration with physicians, nursing...practitioners, nursing, care management and quality abstracters. The Quality Auditor Manager adheres to strict departmental and organizational goals,… more
    AdventHealth (08/07/25)
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  • Pre-Service Rep - Financial Clearance Call Center…

    Ochsner Health (New Orleans, LA)
    … providers , on- site case management team, as well as LPN/RN or Nurse Auditor in the Pre-Service department. + Performs Pre-Service collection estimation ... functions and communicates patient liability. + Provides point -of - service information and logistics to ensure an exceptional patient experience.Other related duties as required.The above statements describe the general nature and level of work only. They… more
    Ochsner Health (08/08/25)
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  • Pre-Service Rep - OLG Neurology Clinic - Full Time

    Ochsner Health (Lafayette, LA)
    … providers , on- site case management team, as well as LPN/RN or Nurse Auditor in the Pre-Service department. + Performs Pre-Service collection estimation ... functions and communicates patient liability. + Provides point -of - service information and logistics to ensure an exceptional patient experience. + Other related duties as required. The above statements describe the general nature and level of work only.… more
    Ochsner Health (08/08/25)
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  • System Accreditation Specialist

    Houston Methodist (Houston, TX)
    …or other healthcare related field; may consider HM employee with Registered Nurse license and four additional years of directly related experience (in addition ... health care certifications **OR** + CQA - Certified Quality Auditor (ASQ) -- Related quality, accreditation or health care...that operate at the system level to help enable clinical departments to provide high quality patient care. Houston… more
    Houston Methodist (07/25/25)
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