- Tenet Healthcare (Detroit, MI)
- Senior Nurse Clinical Auditor Days FT - 2305002165 Description : $10,000 Signing Bonus with relevant experience Children’s Hospital of Michigan is an ... management. Qualifications : 1.Bachelors Degree in Nursing. 2. Licensed Registered Nurse in the State of Michigan....or similar experience preferred. 5.One year experience as a Clinical Auditor . Job : Non- Clinical /Administrative… more
- Northwell Health (Garden City, 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 ... a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Conducts Home Health Resource Group (HHRG) Validation to ensure the… more
- LA Care Health Plan (Los Angeles, CA)
- Delegation Oversight Clinical Auditor RN II Job Category: Clinical Department: Executive Services Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Delegation Oversight Clinical Auditor RN II is responsible for...& literacy with Word, Excel, PowerPoint Skills. Licenses/Certifications Required Registered Nurse (RN) - Active, current and… more
- UNC Health Care (Chapel Hill, NC)
- …Association) certification - AAPC (American Academy of Professional Coders) certification - RN ( Registered Nurse ) license - LPN (Licensed Practical Nurse ) ... across the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and education… more
- Molina Healthcare (Dallas, TX)
- **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management ... resolve/correct them. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN) Program and Associate's or bachelor's… more
- Fresenius Medical Center (Irwindale, CA)
- …related field preferred or an equivalent combination of education and experience + Registered Nurse required + Certification in Nephrology Nursing or quality ... and performance improvement activities which positively influence the assigned dialysis clinics clinical quality outcomes. The scope of the clinical quality… more
- Northwell Health (Lake Success, NY)
- …of education and related experience. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications ... by the documentation in the Medical Record. Job Responsibility + Leverages clinical expertise to identify and validate DRG code assignment + Full review… more
- R1 RCM (Boise, ID)
- …ensure internal and external compliance deadlines are met. **Required Skills:** + Active Registered Nurse license + Active AHIMA or AAPC Coding Certification ... encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Coding Appeals Nurse ** , you will help review and… more
- Baystate Health (Springfield, MA)
- …**11)** Observes cardiac monitors. Identifies and reports irregular rhythms to registered nurse for interpretation and intervention. Records and processes ... C Word, OA Gold, SMS, CIS, Premise, BMD, PCM Auditor , People Soft and Staples and Kronos access if...forms, etc. **8)** Unit Resource: Post/file MD schedules for clinical team inquiry. In coordination with charge nurse… more
- Intrepid USA (Murray, KY)
- …Capable of making challenging decisions and willing to take responsibility for them. + Current Registered Nurse license in the state of practice + One (1) year ... servant based leadership with an inverted organization chart. Our clinical teams are at the top and our CEO...the Administrator should the Administrator be unavailable for the surveyor/ auditor . + Manages the patient care team to assure… more
- Covenant Health (Hobbs, NM)
- …for this position include:** + Bachelor's Degree - Nursing + New Mexico Registered Nurse License + Care Manager RN Auditor , Care Manager Clinical Audit ... Work with physician, Social Worker and interdisciplinary team to facilitate clinical pathways and achievement of desired treatment outcomes + Promote… more
- CGI Technologies and Solutions, Inc. (Dallas, TX)
- …to be successful in this role:** The Payment Integrity Edits Manager is a Registered Nurse (RN) with active, unrestricted licensure through the Board or Agency ... a well-defined process which requires the Edits Manager to incorporate clinical experience, knowledge, and critical thinking skills to assess available information… more