- Houston Methodist (GA)
- At Houston Methodist, the Clinical Documentation Specialist is responsible for improving the overall quality and completeness of clinical ... + Coding and utilization review experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact… more
- Elevance Health (Atlanta, GA)
- …Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation ... Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and… more
- Datavant (Atlanta, GA)
- …to realize our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist , you will play a ... role in elevating the impact of our medical record documentation . You will conduct daily evaluations and engage in...clinical experience in an academic medical center + Registered Nurse license, Bachelor's degree in Nursing… more
- Fresenius Medical Center (Atlanta, GA)
- …Degree; Advanced Degree desirable or an equivalent combination of education and experience . Registered Nurse or Registered Dietitian as per Commission on ... + **Must have RN license, preferably someone with multi-state license or...communication with stakeholders and contributes to deployment tracking and documentation . * Collaborates closely with Nursing and Clinical… more
- Healthfirst (GA)
- …and Responsibilities:** + Responsible for case development and resolution of clinical cases, such as: Pre-existing Conditions, Prior Approval, Medical Necessity, ... and Suspension of services. The end-to-end process requires the Specialist to independently: + Research issues + Quality of...Resolve cases and make critical decisions + Update file documentation such as the file notes and case summary… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …programs + And more **Description** We're seeking an **Quality Management Specilist / RN ** responsible for Chart review and data abstraction in support of quality ... accreditation, registries and other quality metrics. The Quality Management Specialist supports interventions through interdepartmental collaboration and planning, multi-disciplinary… more
- Medtronic (Atlanta, GA)
- …more connected, compassionate world. **A Day in the Life** At Medtronic, the Clinical Specialist , supports the Neuromodulation Pain and Target Drug Delivery ... of normal business hours and at the discretion of Clinical Specialist Manager + Adheres to company...a health care related field + Master's degree + Registered nurse or HCP with experience in… more
- Sedgwick (Atlanta, GA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Medicare Compliance-Proactive Reduction Outreach **PRIMARY PURPOSE** **:** To perform initial ... and ongoing clinical assessment through provider outreach, specialized document review, and...RESPONSIBILITIES** Contacts providers and attorneys to obtain clarification of documentation needed to support the preparation of Medicare Set-Aside… more
- Molina Healthcare (GA)
- **Job Description** **Job Summary** The Sr Specialist , Member & Community Interventions oversees and implements new and existing clinical quality member ... improvement of intervention processes and outcomes. Acts as a lead specialist within the department and/or collaboratively with other departments. This position… more
- STG International (Milledgeville, GA)
- …regulations and guidelines that govern the facility. + Coordinate with the scheduler to ensure a Registered Nurse ( RN ) is on duty at least 8 hours a day/7 ... by authorized government agencies as requested. + Audit nursing documentation in the clinical record for appropriate...Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse … more