- Stanford Health Care (Palo Alto, CA)
- …180 Days or + CCDS - Cert Clinical Document Spec required within 180 Days + RN - Registered Nurse - State Licensure And/Or Compact State Licensure preferred ... on the need for a position at the higher level ; second , on the nature, scope and...Proficiency in healthcare claims analysis, including the ability to review , interpret, and evaluate claims data to identify trends,… more
- University of Washington (Seattle, WA)
- …has an outstanding opportunity for a ** Registered Nurse -** ** Second Level Review / Review Coordinator Clinical Documentation Integrity ... Based on findings, department goals and initiatives and industry expectation, the SLR/ Review Coordinator CDIS will participate in the education of the CDI team… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …actions to UR Committees, as appropriate * Partners with Physician Advisor to engage in second level review and working with attending physicians to document ... in confidentiality, integrity, creativity, and initiative */License/Certifications:/* * Current Registered Nurse licensure upon hire * National certification… more
- AdventHealth (Orlando, FL)
- …experience Required 4 of recent Clinical Documentation Specialist experience Required 1 of Second Level Review CDIS experience Preferred 5 CDI experience ... a Registered Nurse and/or a Registered Health Information Administrator with a high level...audits for quality including, but not limited to deceased second level reviews, focused disease process reviews… more
- LA Care Health Plan (Los Angeles, CA)
- …type. Identifies requests needing medical director review or input and presents for second level review (20%) Performs other duties as assigned. (10%) ... Management practices including, but not limited to, placement (with level of care) criteria (MCG, InterQual), concurrent review...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Nuvance Health (Danbury, CT)
- …If the case still does not meet, send to the Physician Advisor (PA) for a second level review . * Forward cases that require secondary physician review ... Nights available* *Summary:* The purpose of the Denial Prevention Nurse is to ensure that all patient admissions are...medical necessity review criteria during the first level review , discuss with the attending MD… more
- Carle Health (Champaign, IL)
- …principal and secondary diagnoses, principal procedures, and assign the working DRG. Performs second level review of specific DRGs as assigned. Presents ... (RHIA) - American Health Information Management Association (AHIMA); Licensed Registered Professional Nurse ( RN ) -...to peers and providers as needed or requested. Performs second level review on selected… more
- Peak Vista (Colorado Springs, CO)
- …and responsibilities of an RN quality assurance and provide team education and second level review . Knowledge of insurances such as Medicare, Medicaid, ... changes that improve care quality, safety, and efficiency. + Assist Quality Assurance RN with quality metric review and ongoing projects. + Promote a… more
- HCA Healthcare (Brooksville, FL)
- …personal growth, we encourage you to apply for our RN Registered Nurse Float Pool PRN opening. We review all applications. Qualified candidates will be ... Do you have the PRN career opportunities as a(an) RN Registered Nurse Float Pool...and evaluate the care of Med/Surg, Telemetry, Progressive Care level patients. + You will instruct patients and families… more
- State of Colorado (Denver, CO)
- …(HP III RN ) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5155064) Apply Registered Nurse Health Compliance Inspector Home Care - ... a measurable difference in the health, safety, and well-being of Colorado communities. As a Registered Nurse ( RN ) Health Professional III , you will use your… more
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