- Humana (Austin, TX)
- …where your clinical expertise and passion for accuracy will make a meaningful impact. As the Nurse Audit Manager , you will spearhead audit and validation ... relevant coding. + Identifies the root cause analysis of audit findings and submits recommendations for appropriate change management....skills to make an impact** **Required Qualifications** + Registered nurse (RN). + 5 or more years of clinical… more
- Immigration and Customs Enforcement (Houston, TX)
- Summary The Clinical Assistant Nurse Manager supervises nursing services at ICE facilities, ensuring compliance with laws, policies, and standards. ... licensure, 5+ years of clinical experience. Reports to the Nurse Manager (NM) and Regional NM, serving...care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery; and developing policy guidance for nursing care… more
- Immigration and Customs Enforcement (Houston, TX)
- Summary The Clinical Nurse Manager oversees nursing services at ICE facilities, ensuring compliance with laws, policies, and standards. Requires RN licensure, 9+ ... the local leadership team and reports to the Regional Nurse Manager . This position is only open...care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery; and developing policy guidance for nursing care… more
- Elevance Health (Grand Prairie, TX)
- **Telephonic Nurse Case Manager Senior** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager Senior** is responsible for care management within… more
- Elevance Health (TX)
- The ** Nurse Case Manager ** **Lead** is responsible for care management within the scope of licensure for members with complex and chronic care needs by ... and functions as preceptor for new care management staff. + Participates in audit activities and assists supervisor with management of day-to-day activities, such as… more
- Elevance Health (Grand Prairie, TX)
- …Monday - Friday, 9am - 5:30pm (4 days) 11:30am - 8pm (1 day) EST** The ** Nurse Case Manager Senior** is responsible for care management within the scope of ... functions as preceptor for new care management staff. Participates in department audit activities. Position Requirements: + Requires BA/BS in a health related field… more
- Fresenius Medical Center (Waco, TX)
- …any other treatment related data into systems. + Ensures regulatory, compliance, and audit activities are accomplished on time. + Orients and supports all new home ... therapies staff and provides ongoing education, ensuring compliance with all risk management initiatives, including in-center staff. + Responsible for hiring, coaching, and counseling employees, including performance reviews, disciplinary action, and… more
- HCA Healthcare (Houston, TX)
- …integrity. We care like family! Jump-start your career as a Clinical Research Nurse today with HCA Houston Healthcare Clear Lake. **Benefits** HCA Houston Healthcare ... location._** Come join our team as a Clinical Research Nurse . We care for our community! Just last year,...Communicates all protocol-related issues to appropriate study colleagues or manager + Attends study specific on site meetings, investigator… more
- Molina Healthcare (San Antonio, TX)
- …**PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional ... to clinical experience + Documents clinical review summaries, bill audit findings and audit details in the database + Provides supporting documentation for… more
- Molina Healthcare (Dallas, TX)
- …following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases… more