- Elevance Health (Woodbridge, NJ)
- Nurse Audit Lead - Carelon Payment Integrity **Location:** The ideal candidate will live within 50 miles of one of our pulse point locations and will work on a ... determined to recover, eliminate, and prevent unnecessary medical-expense spending. The ** Nurse Audit Lead** is responsible for leading a team of clinicians… more
- Hackensack Meridian Health (Iselin, NJ)
- …mission to transform healthcare and serve as a leader of positive change. Are you a nurse who is looking for a change? Do you feel overwhelmed and spread too thin in ... + Properly comply with appropriate physician orders in a timely manner. Chart, audit and demonstrate compliance on frequency and timely admission of referral. +… more
- Zelis (Morristown, NJ)
- Position Overview: The Nurse Reviewer is primarily responsible for conducting post-service, pre or post payment in-depth claim reviews based on accepted medical ... and various healthcare programs. + Demonstrates expert understanding of audit techniques, identification of revenue opportunities and financial negotiation with… more
- Naven Health (Manhattan, NY)
- …or your employment will be terminated **Job Description Summary:** The Infusion Nurse is a licensed clinician who coordinates and provides direct infusion care ... compliance with the physician's plan of care. The Infusion Nurse works under the direct supervison of their designated...participate in company PI/QI program and assists with chart audit functions as applicable. + Performs other related duties… more
- JPMorgan Chase (Jersey City, NJ)
- …screening, labs, health coaching and health education. As a Corporate Health Nurse within JPMorgan Chase Health and Wellness Centers, your duties will include ... overall strategies of the US Health Services function.Under the direction of the local Nurse Supervisor and Regional Nurse Manager, the Corporate Health Nurse… more
- BMS Family Health and Wellness Centers (Brooklyn, NY)
- Licensed Practical Nurse Brooklyn, NY (http://maps.google.com/maps?q=592+Rockaway+Ave+Brooklyn+NY+USA+11212-5539) Description TheBrownsville Multi-Service Family ... family in the communities we serve to achieve total health. TheLicensed Practical Nurse (LPN) assists the Registered Nurse in the implementation of the nursing… more
- BMS Family Health and Wellness Centers (Brooklyn, NY)
- Licensed Practical Nurse Brooklyn, NY (http://maps.google.com/maps?q=650+Ashford+Street+Brooklyn+NY+USA+11207) Description We are rated one of the best family health ... family in the communities we serve to achieve total health. The Licensed Practical Nurse (LPN) assists the Registered Nurse in the implementation of the nursing… more
- Research Foundation CUNY (New York, NY)
- Job Title: Registered Nurse PVN ID: HO-2408-006409 Category: Managerial and Professional Location: HOSTOS C. C. Job Description General Description The Part-Time ... Pre-School Registered Nurse at Hostos Children's Center, Inc. supports the delivery...Grants Officers on the campuses, RFCUNY oversees employment, accounting, audit , reporting, purchasing, and special responsibilities that include management… more
- Acacia Network (Brooklyn, NY)
- Behavioral Health (El Regreso) License Practical Nurse Brooklyn, NY : 2/8/2024 Job Description Job ID#: 3787 Job Category: Behavioral Health (El Regreso) Position ... Type: Full Time Details: POSITION OVERVIEW: The Licensed Practical Nurse (LPN) provides assistance to health care team in...accurate and concise medication administration records for review and audit upon request by DEA, OASAS, DOH, SAMHSA, and… more
- NYU Rory Meyers College of Nursing (New York, NY)
- …community in accordance with established standards and medical ethics; review and audit medical, mandatory training and credentialing files and records to ensure ... York State RN license. Required Experience: 3 years' experience as a registered nurse . Preferred Experience: 5 years' experience as a registered nurse .… more
- New York State Civil Service (Queens, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Registered Nurse 1 (NY HELPS) Occupational Category Health Care, Human/Social Services Salary ... license and a current registration as a registered professional nurse in New York State. Duties Description * Monitors...your caseload, completes: review of medical section ISP, medication audit (each home)* Keeps up to date regarding changes… more
- Northwell Health (New York, NY)
- …catheters and patient assessment/questionnaire completion. + Participates in related audit preparation and facilitation, including FDA, IRB and related internal ... job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. *Additional… more
- Elevance Health (Woodbridge, NJ)
- …coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate … more
- Grace Healthcare Services (Edison, NJ)
- …level of dignity and grace. PURPOSE: The Compliance Auditor is an experienced nurse to oversee the primary responsibility of auditing patient clinical records to ... ensure state and federal compliance. Also provides education to our staff on audit results to improve outcomes for our patients. This position supports quality and… more
- VNS Health (Manhattan, NY)
- …with mandated regulatory processes and timeframes. Maintains readiness for DOH or CMS audit at all times. + Ensures regulatory compliance and timely processing for ... with CMS or DOH regulatory requirements. Recommends and assists in development of audit criteria, conducts audits and prepares audit reports and recommends… more
- VNS Health (Manhattan, NY)
- …Provides updates to Risk Adjustment Stakeholders on program clinical coding and audit activities. + Reviews internal control environment to ensure responsiveness and ... materials and plans interactive working sessions with Coding and Audit staff members as needed. + Performs all duties...and current registration to practice as a Registered Professional Nurse in New York State required Education: + Associate's… more
- Zelis (Morristown, NJ)
- …Retrieval I staff. What you will do: + Manages DR I team who assist the nurse auditors in the medical claim audit process by requesting UB/IBs applicable for ... pre-pay and post -pay documents from medical providers nationwide. + Monitor and Audit DR I's on outstanding claims and quality of uploads + Assist with inventory… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …presentation skills Excellent verbal and written skills Excellent training and audit skills Supervisory Responsibility Minimum of three years supervisory experience ... to nursing facilities. Required Education and Experience Masters Level Prepared, Nurse Practitioner, preferably Geriatric Nurse Practitioner Knowledge and… more
- Molina Healthcare (Brooklyn, NY)
- …population, and triage activities. + Ensures completion of staff quality audit reviews. Evaluates services provided and outcomes achieved and recommends ... opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational Nurse … more
- BMS Family Health and Wellness Centers (Brooklyn, NY)
- …Medical Director and serves as collaborating physician for the Family Nurse Practitioner. Provides family medical care services which include: preventive activities ... review of records and auditing as specified by the audit committee and protocols. + Keeps patient and doctor's...confidential + Serves as Collaborating Physician for the Family Nurse Practitioner. + Provides coverage to other medical areas,… more