- Intermountain Health (Columbus, OH)
- **Job Description:** The Manager, RN Revenue Integrity Audit , Recovery and Appeals organizes and manages the daily operations of the Audit and Recovery ... Revenue Integrity **Job Essentials** + Manages the government and commercial payer audit and recovery programs, solicits feedback, and implements solutions. +… more
- UNC Health Care (Hendersonville, NC)
- …the health and well-being of the unique communities we serve. Summary: The Recovery Audit Contractor (RAC) Coordinator (RN) is responsible and accountable for ... all Care Management Denial and Recovery Audit Contractor (RAC) requests and follow-ups,...* Must be licensed to practice as a Registered Nurse in the state of North Carolina or one… more
- Ochsner Health (Lafayette, LA)
- …of prior hospitalized patients that are being reviewed via the regulatory audit process. Identifies issues and problems such as inappropriate admissions and ... - Experience in Appeal/Denial Management **Certifications** Required - Current Registered Nurse (RN) License in the state of practice Preferred - Certification… more
- Veterans Affairs, Veterans Health Administration (Kansas City, MO)
- Summary This is a full time Nurse Anesthetist position at the Kansas City VA Medical Center. There are currently two positions available and the position reports ... VA. A Full Performance Level Staff CRNA is a nurse anesthetist who reports to the Chief CRNA and...post-anesthetic management of patients in order to optimize the recovery from anesthesia and minimize pain. Provides patient care… more
- Tenet Healthcare (Detroit, MI)
- Clinical Nurse Specialist Nursing Admin Full Time Days - 2506000687 Description : DMC Rehabilitation Institute of Michigan is one of the nation’s largest hospitals ... The Institute houses the Center for Spinal Cord Injury Recovery and the Southeastern Michigan Traumatic Brain Injury System...in sports medicine and orthopedics. Job Summary The Clinical Nurse Specialist (CNS) is an advanced practice nurse… more
- Immigration and Customs Enforcement (Los Fresnos, TX)
- …adequacy of care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery ; and developing policy guidance for nursing care reviews ... are not eligible for this position. Responsibilities The assistant nurse manager (Associate Chief, Complex Unit) is stationed at...removal flights with global public health impact. The Assistant Nurse Manager (ANM) works with the facility nurse… more
- Immigration and Customs Enforcement (Tacoma, WA)
- …adequacy of care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery ; and developing policy guidance for nursing care reviews ... and Certifications Required: Nursing License- Must be a Registered Nurse (RN). Maintains current/documented professional licensure. (It is the responsibility… more
- Immigration and Customs Enforcement (Pearsall, TX)
- …adequacy of care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery ; and developing policy guidance for nursing care reviews ... and Certifications Required: Nursing License- Must be a Registered Nurse (RN). Maintains current/documented professional licensure. (It is the responsibility… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- Job Summary With direction from the Director, the Nurse Auditor/Revenue Integrity Specialist is responsible for auditing itemized charges versus the patient medical ... the billing staff of appropriate HCPCS codes and modifiers. The Nurse Auditor/ Revenue Integrity Specialist works directly with revenue producing departments… more
- WellSpan Health (Chambersburg, PA)
- PRN Registered Nurse - Behavioral Health Inpt - Day/Evening/Night Location: Chambersburg Hospital, Chambersburg, PA Schedule: PRN/Per Diem RN - Behavioral Health ... team approach to care + Therapeutic groups and family treatment based on recovery curriculum, led by the staff from nursing, care coordinator and occupational… more
- St. Luke's University Health Network (Bethlehem, PA)
- …of computer software upgrades and applications. + Achieve 80% or greater validation audit scores for CMS and Joint Commission core measures. + Acts as technical ... involved in the care of stroke patients to promote recovery and optional patient outcomes. + Participates in community...near, far, color and peripheral vision. EDUCATION: Registered Professional Nurse with current license to practice in the State… more
- Sutter Health (San Francisco, CA)
- …patients and physicians, listening to concerns and issues, conducting service recovery , and ensuring appropriate patient care. *Reviews patient complaints and ... concepts. *Ensures appropriate records are maintained for documentation and audit purposes. *Promotes efficient and effective communications between departments… more
- Hospice of Michigan (Ann Arbor, MI)
- …responses to Additional Development Requests (ADRs), Comprehensive Error Rate Testing (CERT), Recovery Audit Contractor (RAC) etc., requests and participates in ... of Service: courtesy, acknowledgement, response and empathy. Qualifications: + Registered Nurse with a baccalaureate degree in nursing, preferably a Master's Degree… more
- Clark County, NV (Las Vegas, NV)
- …technology security administration for the enterprise. Maintains Clark County's business recovery plan and conducts disaster recovery testing at enterprise ... examination. EXAMPLES OF DUTIES + Establishes and maintains security and business recovery policies and procedures. + Provides security and control measures across… more
- The County of Los Angeles (Los Angeles, CA)
- …developing and implementing the Quality Improvement program for these sections. + Reviews audit and monitoring tools on an on-going basis to ensure applicability and ... revises these tools and/or develops new audit tools. + Performs administrative work related to role...related to role as Emerging Infectious Disease and Healthcare Recovery and Business Continuity Program Manager. + Participates in… more
- The County of Los Angeles (Los Angeles, CA)
- …State Medicare and Medicaid regulations for reimbursement claiming and maximum recovery costs for directly billable services. + Develops and monitors ... review methods as necessary. + Oversees audits and the implementation of audit recommendations for programs managed. + Represents managed programs in meetings with… more
- Bassett Healthcare (Stamford, NY)
- …up emergent situations or expressed patient problems directly to Supervisor or Supervising Nurse for assistance as observed by Supervisor and Supervising Nurse ... to meet patient satisfactions. Takes a lead in service recovery and acts as a service liaison in the...scanned into the system accurately as monitored by system audit Accurate confirmation of attending PCP and Billing PCP,… more
- Tenet Healthcare (Detroit, MI)
- …injury care. The Institute houses the Center for Spinal Cord Injury Recovery and the Southeastern Michigan Traumatic Brain Injury System (SEMTBIS), one of ... requirements and DMC policies. As directed, implements external and internal audit recommendations. Ensures hospital departments achieve objectives for diversity of… more
- Granville Medical Center (Oxford, NC)
- …indicators. * Obtains documentation relevant to denials avoidance related to the Recovery Audit program, the Comprehensive Error Rate Testing (CERT) program, ... and other audit programs, recognizing and disseminating to physicians the importance...Board-approved nursing program with current licensure as a Registered Nurse (RN) or Licensed Practical Nurse (LPN)… more
- Granville Health System (Oxford, NC)
- …Admission indicators. #Obtains documentation relevant to denials avoidance related to the Recovery Audit program, the Comprehensive Error Rate Testing (CERT) ... program, and other audit programs, recognizing and disseminating to physicians the importance...Board-approved nursing program with current licensure as a Registered Nurse (RN) or Licensed Practical Nurse (LPN)… more