- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …duties as assigned. + LICENSES AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact ... + GENERAL SUMMARY + The Revenue Integrity Nurse Auditor is responsible for the auditing and...departments regarding compliance with billing regulations and trends in denials of services due to medical necessity or appropriateness… more
- CDPHP (Latham, NY)
- …on nationally recognized criteria and CDPHP policies, and procedures. QUALIFICATIONS: + Registered Nurse with a current New York State license required. ... determinations and appropriate exceptions, coordinating with Medical Directors on denials . In addition, the UR nurse is...years of acute care experience is required as a Registered Nurse . + Minimum of two (2)… more
- Saint Francis Health System (Muskogee, OK)
- …Full Time Days **Full-time Rehab Admissions Liason** M-F 7:30 am - 4:00 pm Registered Nurse preferred 3 years Clinical bedside experience required - Inpatient ... Therapy Assistant; or Valid multi-state or State of Oklahoma Registered Nurse license; or State of Oklahoma...of care need. Acts as a resource to case management for patients requiring post-acute services. Processes all referrals… more
- Houston Methodist (The Woodlands, TX)
- …assigned patient population, under the direct supervision of a Physician, APP and/or Registered Nurse . This position oversees appropriate scope of practice, (ie ... patients visiting the clinic under the direct supervision of a Physician, Registered Nurse , or clinic leadership procedures. Complete pre-visit planning workflow… more
- Trinity Health (Livonia, MI)
- …Nursing or the equivalent in experience. Must possess one of the below: + Current Registered Nurse ( RN ) License + Registered Health Information ... (CDI) activities for the Health Ministries (HM) in their defined region and day-to-day management of the CDI programs. Works with Director, CDI to ensure the program… more
- George C. Grape Community Hospital (Hamburg, IA)
- …infection control, and payers to resolve care coordination issues. Qualifications: * Education: Registered Nurse ( RN ) license required; BSN preferred. * ... Quality/Utilization Review Nurse Position Summary: The Quality/Utilization Review Nurse...(EHR). o Prepare reports for leadership on utilization patterns, denials , quality metrics, and infection control outcomes. * Education… more
- Trinity Health (Livonia, MI)
- …or Nursing or equivalent in experience. Must possess one of the below: + Current Registered Nurse ( RN ) License + Registered Health Information ... as it relates to reimbursement and other clinical data quality management for colleague training. Provides quality and productivity monitoring; coordinates and… more
- NHS Management, LLC (Tuscaloosa, AL)
- …in accordance with the assessment and the plan of care. QUALIFICATIONS + Must be a Registered Nurse in good standing in the state(s) in which assigned + Must be ... experience required. RAC certified highly desired! Are you a RN with at least one year of MDS Coordinator...the highest practicable level for each resident. Provides case management services for certain high-risk Medicare Part A residents… more
- Select Medical (West Orange, NJ)
- …14. Performs other duties as requested. **Qualifications** **Minimum Qualifications** + Licensure as a Registered Nurse or LVN/LPN is required + 2 years of of ... Hospital West Orange, NJ **Prior Authorization Specialist/ Payor Relations Specialist ( RN , LPN )** **Full-Time** **Onsite required** **Salary range of $70,000 -… more
- AdventHealth (Tampa, FL)
- …you'll need to succeed:** Associate's of Nursing Required. 1 years Related Experience Required Registered Nurse ( RN ) current FL Required CCDS - Certified ... as needed, to enhance staff development; leads hiring, training and performance management processes for all site-based CDI employees; coaches, mentors and empowers… more