- Universal Health Services (Richmond, VA)
- …(uhs.com) (https://jobs.uhs.com/atlantic-region-cbo) The Atlantic Region CBO is seeking a dynamic and talented Nurse Auditor Team Lead. The Nurse Auditor ... with the Appeals Manager to coordinate the operational activities of the nurse auditor 's workflow in the Appeals department. Key Responsibilities include:… more
- InnovaCare (San Juan, PR)
- …MMM Holdings, Inc.Job Description Inpatient Unit POSITION: Concurrent Review Nurse (CRN) POSITION DESCRIPTION Manages the inpatient utilization of healthcare ... resources and develops, coordinates and implements the discharge plan, to ensure that the coordination and continuity of care results in optimal patient outcomes. Will adhere to the department policies related to the care of the Plans' SNP members. Staff will… more
- Northwell Health (Garden City, NY)
- …job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. *Additional ... Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When… more
- PruittHealth (Norcross, GA)
- **JOB PURPOSE:** The Compliance Auditor (CA) reports directly to the Vice President of Compliance (VPC) to conduct compliance audits for Health Care Centers (HCC), ... with other partners. **LICENSURE, CERTIFICATION AND EDUCATION REQUIREMENTS:** + Must be a Registered Nurse in good standing in at least one of the states in which… more
- State of Georgia (Fulton County, GA)
- …part of a multi-disciplinary team, which typically includes a prosecutor, investigators, an auditor , a nurse investigator, and an intelligence analyst. Duties & ... Investigative Auditor - Medicaid Fraud Georgia - Fulton -...Attorney General Department of Law Medicaid Fraud - Investigative Auditor *To move forward in the recruiting process ALL… more
- Grace Healthcare Services (Edison, NJ)
- …and families with the highest level of dignity and grace. Purpose: The Compliance Auditor is an experienced nurse to oversees the primary responsibility of ... Come Join Our Team! Now Hiring Compliance Auditor Company Overview It is our belief that the delivery of hospice care can be taken to a new level of excellence by… more
- Covenant Health Inc. (Knoxville, TN)
- …Covenant Health standards of Telephone Excellence policy. + Refers patient accounts to nurse auditor upon request by patient or insurance company, and monitors ... account until completion of audit and follow up is done. + Performs other duties as assigned to the satisfaction of the department manager. Serving the Customer + Communicates effectively with patients/public, co-workers, physicians and or their offices, and… 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 Time ... net required to achieve that purpose. Job Summary The Delegation Oversight Clinical Auditor RN II is responsible for ensuring that delegates contracted to perform… more
- GEHA (Lee's Summit, MO)
- …experience, sustained by a nimble and efficient organization. The Senior Internal Auditor assists in leading and executing the planning and professional performance ... include (but are not limited to) Certified Public Accountant, Certified Internal Auditor , Certified Fraud Examiner, Certified Information Systems Auditor , or… more
- University of Pennsylvania (Philadelphia, PA)
- …field preferred. Minimum of seven years of experience as a clinical research monitor/ auditor , research nurse or research coordinator with at least three years' ... of Operations, Compliance and Monitoring (DOCM) is seeking a clinical research monitor/ auditor to support our clinical research mission. The monitor/ auditor is… more
- UNC Health Care (Chapel Hill, NC)
- …the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and education as well as ... (American Academy of Professional Coders) certification - RN (Registered Nurse ) license - LPN (Licensed Practical Nurse )...(Registered Nurse ) license - LPN (Licensed Practical Nurse ) license - Advance Practice Provider (NP or PA)… more
- Texas Roadhouse (Louisville, KY)
- …delivery service, chair massages just to name a few! We also have a Registered Nurse in the building to help with our wellness initiatives and keep us healthy. ... Minimum 4 years of experience working with technology programs/systems or as an IT auditor for a public accounting firm or within industry + SOX experience required… more
- Molina Healthcare (Dallas, TX)
- **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), ... them. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN) Program and Associate's or bachelor's degree in Nursing OR… more
- Fresenius Medical Center (Irwindale, CA)
- …or an equivalent combination of education and experience + Registered Nurse required + Certification in Nephrology Nursing or quality preferred. **EXPERIENCE ... AND SKILLS:** + 3+ years dialysis experience required + 3+ years management experience in a clinical leadership role + Strong organizational, critical thinking and customer service skills + Demonstrated leadership competencies and adaptability to changes in… more
- Texas Roadhouse (Louisville, KY)
- …delivery service, chair massages just to name a few! We also have a Registered Nurse in the building to help with our wellness initiatives and keep us healthy. ... Willie's Joynt is our full-service cafe that serves breakfast and lunch and prepares delicious TO GO meals. We love taking care of our Roadie family and making our company a LEGENDARY place to work! As our founder, Kent Taylor once said, "We are a people… more
- Health Advocates Network (Albany, NY)
- Health Advocates Network is currently seeking a **Registered Nurse ** to work at a facility in **Albany, NY.** These are _registry_ positions with our company. **Pay ... Rate:** $25.50 / hour **Shift details:** + Mon - Friday / 8am - 4:30 pm **Position Description:** This is a full-time position with the NYS Medicaid Program's Bureau of Provider Enrollment (BPE). BPE staff are responsible for enrolling and revalidating… more
- Northwell Health (Lake Success, NY)
- …related experience. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. Current ... license by their home state. + Must have a current coding credential: AHIMA CCS or AAPC CPC-I + Must have 1-3 years of IP DRG Validation experience in a production environment *Additional Salary Detail The salary range and/or hourly rate listed is a good faith… 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 ... to provide exceptional care close to home. A Magnet-recognized health system ranked by US News and World Report, we've received multiple awards for quality, safety, and outstanding work environment.In addition to five hospitals, seven emergency departments,… more
- R1 RCM (Boise, ID)
- …AI, intelligent automation, and workflow orchestration. As our **Clinical Coding Appeals Nurse ** , you will help review and interpret medical records to draft ... you will experience working as a Clinical Coding Appeals Nurse :** + Review and interpret medical records to appeal...a Clinical Validation Review by an insurer or third-party auditor . + Draft appeal letters that are well-written, logically… more
- ICON Clinical Research (Winston Salem, NC)
- …sector, and you'll be helping shape an industry. **Title:** Clinical Research Coordinator Nurse (CRC Nurse ) **Location** : On-Site Winston Salem NC **Summary:** ... The CRC Nurse is responsible for completing trial assignments in an...of a sponsor or FDA audit and assisting the auditor for the duration of the audit. * Ordering… more