- Houston Methodist (WA)
- 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 (Seattle, WA)
- …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 (Olympia, WA)
- …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
- Healthfirst (WA)
- …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
- Virginia Mason Franciscan Health (Tacoma, WA)
- …individual providers and teams to facilitate improvement in individual performance and clinical documentation . Quality Initiatives: Contribute to quality of care ... the requisite job knowledge/abilities. Licensure/Certification: + Current licensure as a Registered Nurse by the Washington State Nursing Commission.… more
- Sea Mar Community Health Centers (Seattle, WA)
- …a mandatory COVID-19 and flu vaccine organization Transition of Care Integration Specialist - Posting #27558 Hourly Rate: $27.32 Position Summary: Sea Mar Community ... for a full time Transition of Care (TOC) Integration Specialist for our Care Management Department in Seattle, Washington....Sea Mar providers to resolve gaps in care, improve clinical outcomes related to the discharge plan, prevent all… more
- Sedgwick (Olympia, WA)
- …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 (Spokane, WA)
- **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
- PeaceHealth (Vancouver, WA)
- **Description** **PeaceHealth is seeking a Referral/Pre-Auth Specialist for a Full Time, 1.00 FTE, Day position. Monday - Friday; 8:30am - 5:00pm.** The salary range ... receiving, processing and documenting referral or prior authorization requests from the clinical areas. Provides customer service and support for the clinical … more
- University of Washington (Seattle, WA)
- …education coordination in collaboration with the clinical education department and/or Clinical Nurse Specialist assigned to specific patient populations ... Nurse Manager is complex care coordination, oversight of clinical nursing care, and mentorship of nursing staff to... staff to complete calls. Provides coverage for the RN patient care assignment to facilitate the nurse… more