- Wellpath (Santa Rosa, CA)
- …medical personnel, and maintain confidentiality and security of health records and medical information. * Monitor and audit referrals, pharmacy use, inpatient ... * Growth and training **Perks and Benefits** In addition to comprehensive benefits including medical , dental, vision, paid time off, and 401k, we foster a work, life… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Location:** Atlanta, GA **Description** + Reporting to the Director, Compliance Audit and Analysis, oversees audits, monitoring, and education for hospital and ... and provides billing providers with relevant and timely information regarding audit results and risk areas. + Evaluates hospital and professional billing… more
- Kelly Services (Lake Mary, FL)
- … Aide Evaluator programs across the United States. **Important Requirements:** Must possess a Registered Nurse ( RN ) license in good standing, with a compact ... or multi-state license OR must possess a Registered Nurse ( RN ) license in...all testing and evaluation processes. Assist in managing the audit process and the selection of Quality Assurance auditors… more
- Rush University Medical Center (Chicago, IL)
- …of each case. **Summary:** The Clinical Research Nurse Manager is a professional registered nurse who is responsible for the oversight of all clinical and ... procedures. **Other information:** **Required Job Qualifications:** * Current State of Illinois Registered Nurse licensure. * Bachelor of Science in Nursing… more
- Ochsner Health (New Orleans, LA)
- …as it relates to all medical necessity audits. **Education** Required - Registered Nurse Diploma Preferred - Associate's or Bachelor's degree in Nursing ... Appeal/Denial Management **Certifications** Required - Current State of Louisiana Registered Nurse ( RN ) License Preferred...Validates a specific level of care and evaluates against registered level of care to determine which medical… more
- Elevance Health (Seven Fields, PA)
- …and Experiences:** + Current, unrestricted behavioral health license (LCSW, LSW, LPC or RN ) in Pennsylvania. + Experience with medical record reviews. + ... **JR152864 Behavioral Health Clinical Quality Audit Analyst Sr** This role is primarily focused...Analyst Sr** This role is primarily focused on conducting medical record reviews of facilities and clinics in our… more
- University of Washington (Seattle, WA)
- …Specialist. + Minimum of 6 years of recent acute inpatient hospital experience as a registered nurse . + Active license to practice as a registered ... ) **UW MEDICAL CENTER** has an outstanding opportunity for an ** RN Clinical Documentation Specialist.** **WORK SCHEDULE** Full-time day shift. The work is… more
- CommuniCare Health Services Corporate (Cincinnati, OH)
- …OH CommuniCare Health Services is currently recruiting an experienced and dynamic Registered Nurse , BSN preferred, for the position of RN Clinical Nurse ... RN - Clinical Nurse Specialist -...procedure, and care. + Visit facilities weekly for intervention, audit and training. + Train new nursing management. +… more
- HCA Healthcare (Richmond, VA)
- …reviews, and patient audits as needed. **Qualifications that you will need:** + Registered Nurse Degree required. + Minimum 1 year directly related Healthcare ... opportunities as a Revenue Integrity Clinical Charge Review Analyst RN you want with your current employer? We have...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- Guthrie (Sayre, PA)
- Position Summary: The Quality Improvement Specialist- Registered Nurse (QIS- RN ) supports the administration of The Guthrie Clinic's Nursing Quality Programs, ... supporting its quality-of-care improvements and patient safety activities, the QIS- RN serves as a facilitator, advisor and advocate to patients, providers, and the… more