- City of New York (New York, NY)
- …develops and oversees the Division's continuum of programming and services. JJPS is seeking an Audit Nurse who will ensure that youth in ACS care and/or custody ... receive the best possible medical care. In doing so, the Audit Nurse will work closely with operations and oversight staff within DYFJ's program areas to conduct… more
- Hackensack Meridian Health (Wall, NJ)
- …do the kind of work that leads to fulfillment and professional growth. 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
- Molina Healthcare (New York, NY)
- …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases ... + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management… 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
- MTA (New York, NY)
- …other clinical staff members as needed for medical review and quality assurance and audit activities Work with clinical nurse as needed to perform diagnostic ... testing such as audiometry, EKGs, vision testing . Perform CDL medical examinations. Assist with case management of injured/sick employees. Qualifications Must have a valid Physician Assistant License. Must have excellent clinical experience and judgment for… 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
- Highmark Health (Trenton, NJ)
- …regular, executive summaries/abstracts to Risk Partners, Business Unit leadership, and/or the Audit Committee of the Board of Directors as required. + Standardize, ... of increasing accountability and/or progressive role, preferably in an Audit or Compliance discipline in a Healthcare or Healthcare...(CISA) + Juris Doctor (JD) + PharmD + Registered Nurse (RN) **SKILLS** + Demonstrate knowledge of business and… more
- RWJBarnabas Health (New Brunswick, NJ)
- …and integration of services that enhance the patient experience + Analyzing audit reports and formulating improvements to departmental workings + Enhance the ... reports include the Director of Administration for Clinic and Ambulatory Operations, Nurse Directors for Infusion center, Program Director BMY/Car-T, and Nurse … more
- Sedgwick (Trenton, NJ)
- …of claims, ensuring appropriate recommendations are made. + Consistently achieves high-quality audit scores. + Acts as a clinical resource to claims examiners, ... university preferred. Current Certified Rehabilitation Counselor (CRC) or Registered Nurse (RN) license required. Current license, registration and/or professional… more
- Allaire Rehab & Nursing (Freehold, NJ)
- …to nursing; + Prepares discharge charts for medical records; + Performs chart audit and report any deficiencies to the Unit Director; + Maintains medical records ... requests for all information on residents or facility to unit director or nurse coordinator; + Greets and assists visitors entering unit; + Answers telephones,… more
- Vitalief (New Brunswick, NJ)
- …New Brunswick, NJ. Job Responsibilities: + Under the direct supervision of the Nurse Manager of Clinical Research Center (CRC), you will be responsible for ... or research labs. + Track data queries and prepare data for an upcoming audit . + Work collaboratively with all team members (ie, physicians, nurses, hospital, and… more
- MTC (Edison, NJ)
- …student progress at work based training sites monthly. 5. Review and audit all assigned areas regularly for contractual compliance and effectiveness of delivery ... a minimum two (2) years of nursing experience, + One (1) year as a licensed nurse providing care and services to chronically ill or elderly patients in an acute care… more
- Always Best Care Senior Services (Marlton, NJ)
- …on adjusted census daily. The Office Manager will work with the Owners & Nurse to ensure that all back office functions related to business operations are performed ... Self-starter. * Work well with others. * Coordinate employee paperwork. * Audit inflow of paperwork for staffing purposes. Primary Responsibilities * Answering… more
- Virtua Health (Marlton, NJ)
- …over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques ... Performance Improvement (QAPI) Plan. Participates in Accreditation and all other audit processes. Ensures compliance with legal, regulatory, and medical policies and… more