• Director, Risk Adjustment Prospective Operations…

    Corewell Health (Grand Rapids, MI)
    …risk adjustment initiatives through the Prospective team members via provider education, chart audit , etc. + Internal stakeholder management: ensures open ... goals including but not limited to provider incentive programs, audit and compliance processes and well as EMR optimization...RA leaders to assist other teams as necessary with chart retrieval and coding efforts. Assists other RA leaders… more
    Corewell Health (07/21/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Denver, CO)
    …make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical ... audit activities. + Draws on advanced ICD-10 coding expertise,...recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a minimum… more
    Elevance Health (08/01/25)
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  • Operations Associate, Full Time Days, No Weekends

    Baystate Health (Springfield, MA)
    …incentive payments that may be applicable to this role.** **Summary:** Reports to the Nurse Manager but daily activities are coordinated by the charge nurse . ... ADTs. Checks BMD enters new data and advises Charge Nurse of changes. Checks CIS for discharge orders, follows...as requested. **7)** Hospital Records and logs: Maintains patient chart in proper sequence and labels pages with patient's… more
    Baystate Health (08/02/25)
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  • RN Clinical Review Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …and procedure code assignment and MS-DRG/APR-DRG accuracy based on denials or audit findings from government and commercial payers. Meet or exceed established ... or commercial payors, or their auditor representative. + Facilitate clinical chart reviews to assist with supporting assigned diagnosis and/or procedures codes… more
    St. Luke's University Health Network (07/08/25)
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  • Supv- Clinical Staff/RN

    Northern Light Health (Bangor, ME)
    …+ Adverse reactions are referred to provider ASAP - do ADR. + Initiates chart audit for use in evaluations, looking at appropriate patient documentation of ... documented per practice guidelines. + Functions as an Office Nurse in unexpected vacancies, eg, telephone triage, prescription refills,...+ DX and ED records are present in the chart when patient is examined. Patient's status in the… more
    Northern Light Health (08/02/25)
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  • Research Coordinator - Heart Vascular Research…

    WellSpan Health (York, PA)
    …and actively participates in assessing patients for toxicity and response using chart review and physical assessment skills and communication with physicians and ... participates in assessing patients for toxicity and response using chart review and physical assessment skills and communication with...records with all site visit teams and responds to audit reports in a timely manner. + Develops and… more
    WellSpan Health (07/22/25)
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  • OB Safety Officer, OB Support Center

    RWJBarnabas Health (Livingston, NJ)
    …is achieved. The OB Safety Officer collaborates with the Director of Nursing, Nurse Manager, Nursing Education, and Research Department. They develop unit goals and ... + Excellent communication and interpersonal skills + Organizational ability + Nurse management and leadership skills + Demonstrated clinical expertise in area… more
    RWJBarnabas Health (07/02/25)
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  • Site Medical Director

    YesCare Corp (Waxahachie, TX)
    …care and chart reviews as requested. Sponsors physician assistants or nurse practitioners as required. + Notifies Regional Medical Director and Site Health ... 8 hours a week and PRN. **Administrative** + Serve as Chairman of the Medical Audit Committee. + Consult with medical providers in the community to resolve issues in… more
    YesCare Corp (07/31/25)
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  • Rehab Intake Specialist - Full-Time, Days

    Texas Health Resources (Dallas, TX)
    …quarterly reports to the Rehab Steering Committee. + Responsible for the concurrent chart audit process used for demonstrating medical necessity of the rehab ... discipline and/or case management Required + RN - Registered Nurse Upon Hire Required Or + PT - Physical...for hospital and externally as needed. + Reviews patient chart and talks to patient, family, and/or health care… more
    Texas Health Resources (07/16/25)
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  • Clinical Case Manager

    LifePoint Health (Rutherfordton, NC)
    …plans.5. Follows up with any denials through the appeals process; including RAC chart audit reviews. Emergency Department (ED) Case Management1. Serves as a ... feedback to the health care team verbally of via chart entries related to the patient's progress toward reaching...may extend length of stay.4. Communicates positively with physicians, nurse leaders and ED staff.5. Actively observes the way… more
    LifePoint Health (06/09/25)
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