• Medical Assistant

    Trinity Health (Pontiac, MI)
    …program (see approved provider list below); or LPN (Licensed Practical Nurse ) or RN ( Registered Nurse ) through the State of Michigan; or is eligible ... others to assure compliance. May be requested to assist with the medical record audit process. Documents patient phone calls and advice/treatment given in the… more
    Trinity Health (05/30/25)
    - Related Jobs

  • Clinical Documentation Specialist…

    Northwell Health (Lake Success, NY)
    …within 5 years of employment date. *Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications ... mortality, and complexity of care provided. Responsible for concurrent inpatient medical record reviews for Medicare, Medicaid and all commercial payers. Generates… more
    Northwell Health (05/16/25)
    - Related Jobs

  • Clinical Appeals Nurse ( RN )

    Molina Healthcare (Tacoma, WA)
    …appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/ medical reviews of ... of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional… more
    Molina Healthcare (05/16/25)
    - Related Jobs

  • RN - Prior Authorization-Concurrent

    Actalent (Sunrise, FL)
    …required + Perform other quality initiatives as necessary Skills: Quality improvement, data, audit , data abstraction, chart review, medical , quality audit , ... Actalent is Hiring Multiple Remote HEDIS RN Abstractor Description: Position Purpose: Lead data collection...and/or custom or other measure set standards + Review medical records and abstract data for HEDIS and other… more
    Actalent (05/24/25)
    - Related Jobs

  • RN , Utilization Review Case Manager

    Trinity Health (Columbus, OH)
    …accredited school of nursing. + Licensure / Certification: Current license to practice as a Registered Nurse ( RN ) in the State of Ohio. + Experience: Three ... review for Inpatient and Outpatient cases. + Analyze, summarize, and concisely report medical utilization and medical chart audit results. + Compare… more
    Trinity Health (05/28/25)
    - Related Jobs

  • Health Services Administrator RN

    YesCare Corp (Bartow, FL)
    …if applicable. + Bachelor's degree in healthcare administration/related field required. Licensed or Registered Nurse required in lieu of degree. + Minimum of ... compliance with allYesCareand applicable client systems and applications. + Coordinates the Medical Audit Committee and facilitates the monthly meetings. +… more
    YesCare Corp (05/06/25)
    - Related Jobs

  • Recovery Audit Contractor (RAC) Coordinator…

    UNC Health Care (Hendersonville, NC)
    …changes, etc. Other information: Qualifications Required * Must be licensed to practice as a Registered Nurse in the state of North Carolina or one of compact ... health and well-being of the unique communities we serve. Summary: The Recovery Audit Contractor (RAC) Coordinator ( RN ) is responsible and accountable for all… more
    UNC Health Care (03/04/25)
    - Related Jobs

  • Nurse Supervisor ( RN )

    Wesley Enhanced Living (Philadelphia, PA)
    …with physicians; transcribe, clarify, and implement physicians' orders as needed + Audit medical records, including assessments, changes in condition, incidents, ... a Best Workplace in our industry! Possition Summary: The Nurse Supervisor is responsible for supervising the deliver y...recommendations for the plan of action + Complete and audit resident admission including the development of care plan;… more
    Wesley Enhanced Living (04/26/25)
    - Related Jobs

  • Clinical Operations Nurse Coordinator II,…

    Cedars-Sinai (Beverly Hills, CA)
    …Master of Science in healthcare or related field preferred **Licenses:** + California Registered Nurse License required + Basic Life Support (BLS) certification ... you be doing in this role?** The Clinical Operations Nurse Coordinator RN II reports to the...assuring abstractors perform quality abstractions of patient information; ie audit abstracted medical records to maintain quality… more
    Cedars-Sinai (05/11/25)
    - Related Jobs

  • Clinic Quality/Education Nurse

    Trinity Health (Clinton, IA)
    …**Schedule:** + Monday - Friday days **General Requirements:** + Active registration for Registered Nurse - Board of Nursing, State of Iowa. Illinois license ... MercyOne, you will serve as a clinical educator to Medical Assistants, Registered Nurses and Licensed Practical...Oversees the clinical quality of care review process, the medical record audit process for the delegation… more
    Trinity Health (03/13/25)
    - Related Jobs