- Molina Healthcare (Spokane, WA)
- The Clinical Services Auditor performs auditing of clinical staff in Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), ... WA RN licensure required **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization… more
- Mount Sinai Health System (New York, NY)
- …at all levels throughout the organization. **License** ? Current NYS licensure ( Registered Nurse ( RN ), Occupational Therapist (OT), Physical Therapist ... **Job Description** ** Clinical Revenue Auditor -CDM Patient Financial Services -Corporate-Full-Time-Days-Option to work remote or hybrid.** The Clinical … more
- UNC Health Care (Chapel Hill, NC)
- …Association) certification - AAPC (American Academy of Professional Coders) certification - RN ( Registered Nurse ) license - LPN (Licensed Practical ... are owned or managed that have opted into shared services . This position reports to the HCS Supervisor Coding...across the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides… more
- AdventHealth (Tampa, FL)
- …be adaptable and flexible as required. Regional Travel up to 20% may be required. Registered Nurse ( RN ) Florida Required This facility is an equal ... cardiovascular medicine, neuroscience and neurology, digestive health, orthopedics, womens services , pediatrics, oncology, endocrinology, bariatrics, wound healing, sleep medicine… more
- Northwell Health (Westbury, NY)
- …five (5) years of job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as ... **Req Number** 128397 Job Description Seeking RN - BSN or MSN candidates with a...- Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Conducts Home Health Resource Group (HHRG) Validation to… more
- Northwell Health (Westbury, NY)
- …combination of education and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized ... the assignment can be substantiated by the documentation in the Medical Record. Seeking RN - BSN or MSN candidates with a HCS-D - Home Care Coding… more
- AdventHealth (Tampa, FL)
- …with physician orders, clinical documentation and reports. The Nurse Auditor will work closely with Financial Services and the Patient Accounting ... to this position by HIM, PFS, Customer Service or case management. The Nurse Auditor will work closely with the FH/Managed Care department anytime there are… more
- US Tech Solutions (Newark, NJ)
- …of related experience, preferably in the healthcare industry. + **Active New Jersey Registered Nurse ( RN ) License required.** **Skills:** + Knowledge of ... months contract with potential extends or Convert** **Job Description:** + The HEDIS Nurse Auditor is responsible for conducting quality audits related to state… more
- Humana (Corpus Christi, TX)
- …as needed. Requires applicable State licensure in field of study: Registered Nurse ( RN ), Licensed Masters Clinical Social Worker (LCSW), Licensed Masters ... 1 supports and implements programs to establish high quality standards in clinical products and services . Support, develop and operationalize methods to… more
- AdventHealth (Orlando, FL)
- …+ RN current valid State of Florida or multi state license as a Registered Nurse **or** + CST, Certified Surgery Technician (CST) from the National Board of ... outpatients each year **The role you'll contribute:** The Surgical and Procedural Services Safety and Regulatory Compliance Auditor evaluates the surgical and… more