- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:12 Hr Morning - EveningNortheast Georgia Health System is rooted in a foundation of improving the ... and accompanying services between time of admission and transition to primary nurse as necessary.Serves as staff liaison with physicians, hospital/institutional… more
- ERP International (Tinker AFB, OK)
- **Overview** ERP International, LLC is seeking a ** Registered Nurse - Utilization Managment** for a full-time position supporting **Medical Managment** in ... plan. If unsure, coordinates with TRICARE Regional Office Clinical Liaison Nurse or reviews TRICARE Operations Manual....or pending adverse actions) to practice nursing as a registered nurse in any US state/jurisdiction. Security**… more
- EM Key Solutions, Inc. (Eglin AFB, FL)
- Eglin AFB, FL, USA | Full Time Registered Nurse - Utilization Manager Onsite Position EM Key Solutions is seeking Registered Nurse (RN) for a full-time ... to appropriate health plan. If unsure, coordinates with TRICARE Regional Office Clinical Liaison Nurse or reviews TRICARE Operations Manual. + Receives and makes… more
- EM Key Solutions, Inc. (Eglin AFB, FL)
- Eglin AFB, FL, USA | Hourly | Full Time Registered Nurse - Utilization Manager Location: Eglin Hospital at Eglin AFB, Fort Walton Beach, FL. Position Type- ... Onsite EM Key Solutions is seeking a Registered Nurse (RN) for a full-time Utilization...plan. If unsure, coordinates with TRICARE Regional Office Clinical Liaison Nurse or reviews TRICARE Operations Manual.… more
- Bon Secours Mercy Health (Midlothian, VA)
- …stewardship to create an environment where associates want to work and help communities thrive. ** Registered Nurse - RN - St Francis Med Center - Richmond, VA** ... Function/General Purpose of Position** Serve as RN Research (Exempt)Clinical Research Nurse Coordinator for Bon Secours Liver Institute of Richmond with occasional… more
- Geisinger (Danville, PA)
- …Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE ... in which to clarify existing documentation. Acts as a liaison between the clinical and coding functions. Provides education to the medical staff and other… more
- UNC Health Care (Hendersonville, NC)
- …to obtain Case Management certification. Required * Must be licensed to practice as a Registered Nurse in the state of North Carolina or one of compact states. ... with other hospital departments in matters of review decisions, coding , discharge planning, and UR issues. Serves as a..., discharge planning, and UR issues. Serves as a liaison with insurance companies and government agencies to coordinate… more
- Northwell Health (Plainview, NY)
- …Bachelor's Degree in Nursing (BSN) required. Current License to practice as a Registered Professional Nurse in New York State required, plus specialized ... aspects of the clinical program as needed. + Serves as a clinical liaison to hospital administration for the program and coordinates and collaborates with doctor's… more
- Fresenius Medical Center (Seminole, FL)
- …in collaboration with the Director. + Plans, coordinates and acts as the liaison for patient care as per the disease management agreement, including initial and ... + Accountable for completion of the Annual Standing Order Review and ICD coding . + Checks correspondence whether electronic, paper or voice mail, and responds as… more
- Martin's Point Health Care (Portland, ME)
- …management programming and offerings. Education/Experience: + Unrestricted state license as a Registered Nurse required; BSN preferred. + 3+ (total) years ... License(s) and/or Certification(s): + Unrestricted state license as a Registered Nurse Skills/Knowledge/Competencies (Behaviors): + Demonstrates an understanding… more
- Sharp HealthCare (San Diego, CA)
- …Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California Registered Nurse (RN) - CA Board of Registered Nursing **Hours** ... who in addition to CDIS activities, acts as a liaison to the HIM and Quality Departments as well...Experience in a Clinical Documentation Improvement role + California Registered Nurse (RN) - CA Board of… more
- Trinity Health (Farmington Hills, MI)
- …**MINIMUM QUALIFICATIONS** Must possess a demonstrated knowledge of denial management functions. Registered Nurse and a graduate of an accredited school of ... in order to secure appropriate reimbursement; + Supports Supervisor Clinical/ Coding Payment Resolution as the liaison to...Supports Supervisor Clinical/ Coding Payment Resolution as the liaison to members of the medical staff and other… more
- HCA Healthcare (Richmond, VA)
- …CPT/HCPCS codes or experience in charging or performing charge reviews + Active Registered Nurse License or other advanced nursing license required. Compact ... Today! **Job Summary and Qualifications** The Revenue Integrity Analyst Register Nurse (RN) is responsible for determining the appropriateness of patient charges,… more
- Actalent (Tigard, OR)
- …(LSW) Certified Social Worker (C-SW) Clinical Social Work Associate (CSWA) Licensed Registered Nurse (RN) Experience with member outreach. Basic understanding of ... to improve HEDIS measures and provides education for HEDIS measures and coding . Supports the implementation of quality improvement interventions and audits in… more
- Actalent (Chicago, IL)
- …Work LMSW Certified Social Worker C-SW Licensed Social Worker LSW Licensed Registered Nurse RN preferred. Education/Experience: Required A Bachelor's Degree in ... to improve HEDIS measures and provides education for HEDIS measures and coding . Supports the implementation of quality improvement interventions and audits in… more
- AdventHealth (Altamonte Springs, FL)
- …as an educator - 2 years . Current active State license as a Registered Nurse , Nurse Practitioner, Physician's Assistant, Medical Doctor, Doctor of ... for CDI staff including webinars and continuing education. . Acts as a liaison between CDI leadership and other interdisciplinary team at all applicable levels of… more
- HCA Healthcare (Portsmouth, NH)
- …of Science in Nursing + Three years clinical experience in trauma/emergency care + Registered professional nurse in the state of New Hampshire or with another ... operational, personnel, and financial aspects of the trauma program. Serve as a liaison to administration, and represent the trauma program on various hospital and… more
- Dignity Health (Redding, CA)
- …setting. - Degree from college or university nursing program. - Clear and current CA Registered Nurse (RN) license. **Pay Range** $42.69 - $61.91 /hour We are an ... North State and Stockton, CA regions.** **Position Summary:** The Quality Management Nurse provides service area support to the Clinically Integrated Networks (CINs)… more
- University of Colorado (Aurora, CO)
- …or a related field. + At least three (3) years of nursing experience. + Registered Nurse (RN), State of Colorado. _Applicants must meet minimum qualifications at ... for outside services for patients/families. + Acts as a clinical liaison , per their specialty, with outside agencies and facilities, outside providers,… more
- Actalent (Chicago, IL)
- …is preferred. + Illinois Licensed Practical Nurse LPN + Illinois Licensed Registered Nurse RN + Education/Experience: + Required A Bachelor's Degree in ... Resident of IL): Job Description: + Acts as a liaison and member advocate between the member/family physician and...practices in appropriate HEDIS measures and HEDIS ICD-10 /CPT coding in accordance with NCQA requirements. + Assesses provider… more
