- Athena Health Care Systems (Middletown, CT)
- …BSN preferred. + Must possess a current, unencumbered license to practice as a Registered Nurse in Connecticut. + CPR certified. + Certification in Gerontology ... one (1) year of nursing administration. Nursing administration is defined as: Registered Nurses employed as Director of Nurses; Assistant Director of Nurses;… more
- Tenet Healthcare (Detroit, MI)
- …Bachelor's degree in Nursing (BSN). MSN or NP preferred. 2. License to practice as a Registered Nurse in the State of Michigan. 3. Three to five years of ... Job Summary In partnership and close collaboration with the trauma/burn medical directors and surgical administration oversees the development, implementation and… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …pivotal leadership role is directly accountable for contributing to audit functions, business continuity, claims management, insurance, physical security, integrated ... on risk-related issues * Ensuring independence and oversight for Internal audit activities and high-level investigations, where appropriate * Creating and developing… more
- Guthrie (Sayre, PA)
- …with The Guthrie Clinic's policies and procedures and accepted guidelines for medical coding. Works closely with the Compliance Officer and Compliance coding ... Audit Coordinator to perform audits outlined in the work...guidelines and TGC policies Experience: + Working knowledge of medical terminology, anatomy and physiology, and coding guidelines including… more
- Fresenius Medical Center (Swarthmore, PA)
- …assist with root cause analysis, if indicated. Monitors, trends and analyzes audit results, ensures thorough root cause analyses and recommends process changes as ... progress of improvement projects. + Prepares and disseminates reports on audit findings and corrective and preventive action recommendations to Regulatory Affairs,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …case planning and research, conducting onsite or desk audits, clinical reviews of medical records to ensure correct billing of services and appropriateness of care, ... Essential Accountabilities: Level I + Functions as a clinical reviewer of medical records, researching and investigating complex medical cases. Interprets a… more
- Gentiva (Grand Rapids, MI)
- …Keywords: hospice RN jobs, patient care manager hospice, clinical manager hospice, RN leadership, hospice program oversight, IDG facilitator nurse , nurse ... based on clinical priorities + Triage phone inquiries and medical concerns within scope of practice + Facilitate Interdisciplinary...**About You** **Qualifications - What You'll Bring:** + Current RN license in state of residence and employment +… more
- Carle Health (Peoria, IL)
- …$1,500 Sign on Bonus Available (external candidates only) Under the direction of the RN , assists in the provision of high-quality nursing care to the patients of the ... 30 days - American Heart Association (AHA); Licensed Practical Nurse (LPN) - Illinois Department of Financial and Professional...+ Follows plan of care as established by the RN and under the supervision of the RN… more
- Community Health Systems (Franklin, TN)
- …to payers with a strong attention to detail. Additionally, the auditor provides audit feedback to relevant parties, including coders and coding managers, to improve ... appropriate coding references for CHS hospitals via scanned, electronic and hybrid medical records. Based on review findings, writes appeal letters to include… more
- Molina Healthcare (NE)
- …conducts oversight and audits of the data collected and abstracted from medical records for HEDIS projects, HEDIS like projects and supplemental data collection. ... and 2nd overread standards to ensure accuracy of their audit skills. Sr. Overread team members will mentor new...**Job Duties** + Performs the role of the HEDIS medical record review overreader/auditor which includes ongoing review of… more