- UNC Health Care (Hendersonville, NC)
- …improve 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,...Required * Must be licensed to practice as a Registered Nurse in the state of North… more
- 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 ... **Job Essentials** + Manages the government and commercial payer audit and recovery programs, solicits feedback, and...reports, and other statistical data. **Minimum Requirements** + Active RN License is required in state of practice. +… more
- St. Luke's University Health Network (Bethlehem, PA)
- …Minimum of 5 years of full-time clinical care nursing experience as a Registered Nurse , in an acute care hospital setting. Experience preparing comprehensive ... upgrades and applications. + Achieve 80% or greater validation audit scores for CMS and Joint Commission core measures....to general, near, far, color and peripheral vision. EDUCATION: Registered Professional Nurse with current license to… more
- Trinity Health (Des Moines, IA)
- …with Medical Records Department and Admitting Department. + Collaborates with the Recovery Audit Contractor (RAC) Coordinator and Conifer for Medicare/Medicaid ... Family! We are looking to hire a Utilization Review RN ! Responsible for the review of inpatient and outpatient...SKILLS AND ABILITIES REQUIRED:** + Current licensure as a registered nurse in the State of Iowa.… 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 ... care + Therapeutic groups and family treatment based on recovery curriculum, led by the staff from nursing, care...as needed + Shift and Weekend Differential Eligibility The Registered Nurse is responsible and accountable for… more
- LifePoint Health (Richlands, VA)
- …of Disclosures. * Reports breaches on the Corporate Portal * Acts as facility Recovery Audit Coordinator. Ensures completion within the regulated time frame by ... Coordinates Quality Wellness Preventative Health * Works closely with Clinical Nurse Manager with staffing, scheduling, and disciplinary actions for clinical staff.… more
- Granville Medical Center (Oxford, NC)
- …of CDI. Required: Graduation from a Board-approved nursing program with current licensure as a Registered Nurse ( RN ) or Licensed Practical Nurse (LPN) in ... * Obtains documentation relevant to denials avoidance related to the Recovery Audit program, the Comprehensive Error Rate Testing (CERT) program, and other… more
- Granville Health System (Oxford, NC)
- …of CDI. Required:# Graduation from a Board-approved nursing program with current licensure as a Registered Nurse ( RN ) or Licensed Practical Nurse (LPN) ... indicators. #Obtains documentation relevant to denials avoidance related to the Recovery Audit program, the Comprehensive Error Rate Testing (CERT) program, and… 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 ... CARE Model of Service: courtesy, acknowledgement, response and empathy. Qualifications: + Registered Nurse with a baccalaureate degree in nursing, preferably a… more
- Ochsner Health (Lafayette, LA)
- …team setting. Preferred - Experience in Appeal/Denial Management **Certifications** Required - Current Registered Nurse ( RN ) License in the state of practice ... of prior hospitalized patients that are being reviewed via the regulatory audit process. Identifies issues and problems such as inappropriate admissions and… more
- Immigration and Customs Enforcement (Los Fresnos, TX)
- …preferred. Qualifications-Licenses and Certifications Required: Nursing License- Must be a Registered Nurse ( RN ). Maintains current/documented professional ... adequacy of care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery ; and developing policy guidance for nursing care reviews… more
- Immigration and Customs Enforcement (Tacoma, WA)
- …preferred. Qualifications-Licenses and Certifications Required: Nursing License- Must be a Registered Nurse ( RN ). Maintains current/documented professional ... adequacy of care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery ; and developing policy guidance for nursing care reviews… more
- Immigration and Customs Enforcement (Pearsall, TX)
- …preferred. Qualifications-Licenses and Certifications Required: Nursing License- Must be a Registered Nurse ( RN ). Maintains current/documented professional ... adequacy of care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery ; and developing policy guidance for nursing care reviews… more
- Tenet Healthcare (Detroit, MI)
- …more responsible nursing experience. Management experience, preferred. 3. Licensed to practice as a Registered Nurse ( RN ) in the state of Michigan. Skills ... RN Supervisor of Patient Services Full Time Rotating...The Institute houses the Center for Spinal Cord Injury Recovery and the Southeastern Michigan Traumatic Brain Injury System… more
- Molina Healthcare (Columbus, OH)
- …care experience. **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION** : Active, unrestricted State Registered Nursing ( RN ) license in good standing. **PREFERRED ... for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse.… more
- The County of Los Angeles (Los Angeles, CA)
- …as a nursing instructor* or an equivalent . -AND- A license to practice as a Registered Nurse issued by the California Board of Registered Nursing. LICENSE ... the Quality Improvement program for these sections. + Reviews audit and monitoring tools on an on-going basis to...applicants must have a license to practice as a Registered Nurse issued by the California Board… more
- The County of Los Angeles (Los Angeles, CA)
- …practice as a clinical social worker, marriage and family therapist, psychologist, or registered nurse issued by the appropriate State of California licensing ... practice as a clinical social worker, marriage and family therapist, psychologist, or registered nurse issued by the appropriate State of California licensing… more
- State of Indiana (Indianapolis, IN)
- …submissions completed as part of licensure discipline or the biannual Advanced Practice Registered Nurse (APRN) mandatory audit . + Work collaboratively and ... minimally have either + a Master's Degree with a Registered Nurse ( RN ) license plus...Leave and up to eight weeks of paid Childbirth Recovery Leave for eligible mothers + Up to 15… more
- The County of Los Angeles (Los Angeles, CA)
- …mental health team. Option III : A valid, current license to practice as a registered nurse issued by the appropriate State of California licensing agency -AND- ... Medicare and Medicaid regulations for reimbursement claiming and maximum recovery costs for directly billable services. + Develops and...have a valid, current license to practice as a registered nurse issued by the appropriate State… more
- State of Indiana (Plymouth, IN)
- …of where they live, learn, work, or play. Role Overview: The Long Term Care nurse surveyor is a Registered Nurse responsible for conducting on-site surveys ... patient care involved in the role. This position requires registered nurse licensure in good standing from...this position require travel on most workdays to inspect, audit , examine, survey, or investigate clients, customers, or other… more