- Sharp HealthCare (San Diego, CA)
- …National Association for Healthcare Quality; HPCC Certified Hospice and Palliative Nurse (CHPN) - Hospice and Palliative Credentialing Center; HPCC Certified Hospice ... Administrator (CHPCA) - Hospice and Palliative Credentialing Center; California Registered Nurse (RN) - CA Board of Registered Nursing; Bachelor's Degree **Hours**… more
- The Cigna Group (Sacramento, CA)
- …**Job Description Summary** Provides advanced professional input to complex Nurse Case Management assignments/projects. Plans, implements, and evaluates appropriate ... to develop models and procedures, and monitor trends, within Nurse Case Management. RN and current unrestricted nursing license...+ May be required to participate in customer and auditor visits. + Participates in special projects as deemed… more
- AdventHealth (Altamonte Springs, FL)
- …practitioners, nursing, care management and quality abstracters. The Quality Auditor Manager adheres to strict departmental and organizational goals, objectives, ... REGISTRATION REQUIRED:** . Current active State license as a Registered Nurse , Nurse Practitioner, or Physician's Assistant . Unlicensed physician who has… more
- HCA Healthcare (San Antonio, TX)
- …true discrepancy and complete incident reports as required. You will review RX Auditor report and generate investigation reports for nurse managers/directors to ... 54 beds,12 ORs,27 private patient rooms and eight VIP rooms with private nurse stations, Methodist Hospital | Landmark delivers a true concierge experience. With… more
- HCA Healthcare (San Antonio, TX)
- …true discrepancy and complete incident reports as required. You will review RX Auditor report and generate investigation reports for nurse managers/directors to ... review. You will perform accurate audits of narcotic overrides, anesthesia documentation, etc. as assigned. + You will work with Inventory Manager, IV room and utilizes EXP reports to reduce expirations and waste in the ADC and central pharmacy. You will… more
- PeaceHealth (Vancouver, WA)
- …compliance and excellent patient outcomes and reimbursement. Serves as a consultant, auditor and OASIS/HIS expert to Home Health/Hospice staff across the PeaceHealth ... Home Health/Hospice + Required: Experience with EPIC EMR system + Required : Registered Nurse Current licensure in the state of Washington, or + Required : Current… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, Geriatrics, etc.) to ensure continuity and ... are being met, such as NYS DOH, CMS, NCQA, and HEDIS, serving as internal auditor within the group. * Responsible for all aspects of the Case Management department… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, Geriatrics, etc.) to ensure continuity and ... are being met, such as NYS DOH, CMS, NCQA, and HEDIS, serving as internal auditor within the group. + Responsible for all aspects of the Case Management department… more
- Highmark Health (Boston, MA)
- …(any of the following) + Certified Public Accountant (CPA) + Certified Information Systems Auditor (CISA) + Juris Doctor (JD) + PharmD + Registered Nurse (RN) ... **SKILLS** + Demonstrate knowledge of business and technology processes, risk and control frameworks, and assessment methodologies, particularly as applied to healthcare (payer and provider) business processes + Knowledge of relevant regulatory guidelines,… more
- HCA Healthcare (Portsmouth, NH)
- …performs duties as assigned under the direction of a Licensed Nurse . **Specific Elements and Essential Function:** **Health Information Technology/ Meaningful ... all work orders for facilities, Biomed and IS department. + Infection Control Auditor for the Infection Control Department. + Contact for the Environmental Safety… more