• Director Payor Audit - Revenue Cycle

    Henry Ford Health System (Detroit, MI)
    …and contract improvement. Operational Management + Oversee the intake and processing of medical record audit requests, ensuring timely and accurate responses to ... As the Director of Payer Audit - Revenue Cycle, you'll lead a high-performing,...Management, Business, or related field required; Master's Preferred. + RN , RHIA, RHIT, or CCS credential preferred. + Minimum… more
    Henry Ford Health System (09/15/25)
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  • Medical Claim Review Nurse

    Molina Healthcare (Warren, MI)
    …experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified ... for a RN with experience with appeals, claims review, and medical coding. **Job Summary** Utilizing clinical knowledge and experience, responsible for review of… more
    Molina Healthcare (09/06/25)
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  • QI Nurse - Document Audit Specialist…

    Children's Mercy Kansas City (Kansas City, MO)
    …5-7 years experience + Pediatrics experience preferred + One of the following: Licensed RN - Kansas, Registered Nurse Multistate License Kansas required upon ... Manager, provides analytical implementation of a process for thorough medical record review and professional audit services...hire + One of the following: Licensed RN - MO, Registered Nurse more
    Children's Mercy Kansas City (09/19/25)
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  • New Admissions Nurse Reviewer

    City of New York (New York, NY)
    …Child Welfare Programs, Youth and Family Justice, and Early Care and Education. The Medical Audit Unit within OCFH reviews foster care medical records ... directed 4. Assisting with the implementation of an electronic medical audit data collection and scoring a...- 50910 Qualifications 1. A valid New York State Registered Nurse License. Additional Information The City… more
    City of New York (09/19/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Mason, OH)
    … chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, ... and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a… more
    Elevance Health (09/23/25)
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  • Registered Nurse ( RN )- Day…

    Bellefaire JCB (Shaker Heights, OH)
    Registered Nurse (MBA & PRTF)-Seeing day...to all clients' health care needs as required. Perform medical treatments, such as wound care, on clients when ... PT & PRN (3 days/week) Alternating weekends and Holidays SUMMARY: The Registered Nurse is responsible for administering and supervising medication administration… more
    Bellefaire JCB (08/08/25)
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  • Per Diem Clinical Assessment Registered

    Commonwealth Care Alliance (Springfield, MA)
    …all assessments and ensuring timely submission to MassHealth. The department includes registered nurse assessors and reviewers. The assessors are organized into ... designed to improve outcomes for CCA members. The Assessment nurse reports to the Regional RN Supervisor....Education (must have):** + Associate degree in Nursing + RN with an active registered nursing license… more
    Commonwealth Care Alliance (09/04/25)
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  • Registered Nurse ( RN )

    Pediatrics On Demand Inc (Oak Lawn, IL)
    Overview: We are seeking a dedicated and experienced Registered Nurse ( RN ) to join our pediatric healthcare team. The RN will play a key leadership role ... by supervising, supporting, and training our team of Medical Assistants. This position ensures the highest standard of patient care by promoting clinical excellence,… more
    Pediatrics On Demand Inc (08/13/25)
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  • Registered Nurse , RN

    Genesis Healthcare (Camp Hill, PA)
    …ADON or ADON - Unit, or Director of Nursing ( Nurse Leader), the Registered Nurse ( RN ) delivers efficient and effective nursing care while achieving ... within the scope of practice defined by the State Nurse Practice Act and delegates aspects of patient care...and CNAs consistent with their scope of practice. The RN manages patient care by performing nursing assessments and… more
    Genesis Healthcare (08/31/25)
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  • Registered Nurse ( RN )

    Health Advocates Network (Santa Clarita, CA)
    …Active ICE clearance on hand is REQUIRED to qualify for this rate. The Registered Nurse ( RN ) plans and provides comprehensive nursing care including, ... Licensed Independent Provider for treatment orders. *Assist in coordinating professional medical services provided by contract personnel and seeing that their needs… more
    Health Advocates Network (08/30/25)
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