- UNC Health Care (Hendersonville, NC)
- …improve the health and well-being of the unique communities we serve. Summary: The Recovery Audit Contractor (RAC) Coordinator ( RN ) is responsible and ... accountable for all Care Management Denial and Recovery Audit Contractor (RAC) requests and follow-ups,...**Required** + Must be licensed to practice as a Registered Nurse in the state of North… more
- Hospice of Michigan (Ann Arbor, MI)
- …responses to Additional Development Requests (ADRs), Comprehensive Error Rate Testing (CERT), Recovery Audit Contractor (RAC) etc., requests and participates in ... CARE Model of Service: courtesy, acknowledgement, response and empathy. Qualifications: + Registered Nurse with a baccalaureate degree in nursing, preferably a… more
- Immigration and Customs Enforcement (Washington, DC)
- …Qualifications-Licenses and Certifications Required: a. Nursing License- Must be a Registered Nurse ( RN ).i. Maintains current/documented professional ... ensuring needed interpretation and/or translations services are available. d. The correctional registered nurse practices ethically per the Code of Ethics for… more
- Immigration and Customs Enforcement (Houston, TX)
- …preferred. Qualifications-Licenses and Certifications Required: Nursing License- Must be a Registered Nurse ( RN ). Maintains current/documented professional ... Summary The Clinical Nurse Manager oversees nursing services at ICE facilities,...care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery ; and developing policy guidance for… more
- Immigration and Customs Enforcement (Pearsall, TX)
- …preferred. Qualifications-Licenses and Certifications Required: Nursing License- Must be a Registered Nurse ( RN ). Maintains current/documented professional ... Summary The Clinical Assistant Nurse Manager supervises nursing services at ICE facilities,...care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery ; and developing policy guidance for… more
- Elevance Health (Atlanta, GA)
- …is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Nurse Audit Senior** will be responsible for identifying, monitoring, ... ** Nurse Auditor Senior - Payment Integrity Complex and Clinical Audit ** **Location:** This role enables associates to work virtually full-time, with the… more
- Tenet Healthcare (Detroit, MI)
- …equivalent combination of education and/or experience preferred. 2. Licensed to practice as a Registered Nurse in the State of Michigan. 3. Three to five years ... RN Director Quality Assurance - 2506003874 Description :...coordination and follow-up. As directed, implements external and internal audit recommendations. Ensures hospital departments achieve objectives for diversity… more
- The County of Los Angeles (Los Angeles, CA)
- …as a nursing instructor* or an equivalent . -AND- A license to practice as a Registered Nurse issued by the California Board of Registered Nursing. LICENSE ... the Quality Improvement program for these sections. + Reviews audit and monitoring tools on an on-going basis to...applicants must have a license to practice as a Registered Nurse issued by the California Board… more
- The County of Los Angeles (Los Angeles, CA)
- …mental health team. Option III : A valid, current license to practice as a registered nurse issued by the appropriate State of California licensing agency -AND- ... Medicare and Medicaid regulations for reimbursement claiming and maximum recovery costs for directly billable services. + Develops and...have a valid, current license to practice as a registered nurse issued by the appropriate State… more
- Tenet Healthcare (Detroit, MI)
- …more responsible nursing experience. Management experience, preferred. 3. Licensed to practice as a Registered Nurse ( RN ) in the state of Michigan. Skills ... injury care. The Institute houses the Center for Spinal Cord Injury Recovery and the Southeastern Michigan Traumatic Brain Injury System (SEMTBIS), one of… more
- Stanford Health Care (Palo Alto, CA)
- …billing practices. + Proficient EXCEL, WORD, PowerPoint skills **Licenses and Certifications** + RN - Registered Nurse - State Licensure And/Or Compact ... Conducts defensive charge audits, self-pay/patient requests, or other special audit projects, as requested, comparing itemized bills to corresponding...and + CPC required . or + RHIT - Registered Health Information Technician required . or + RHIA… more
- Tenet Healthcare (Detroit, MI)
- …prepared, either bachelors or masters must be in Nursing. 2. Licensed to practice as a Registered Nurse ( RN ) in the state of Michigan. 3. Three years of ... injury care. The Institute houses the Center for Spinal Cord Injury Recovery and the Southeastern Michigan Traumatic Brain Injury System (SEMTBIS), one of… more
- Penn Medicine (Philadelphia, PA)
- …to deliver proper and safe patient care under the direct supervision of a Registered Nurse , CRNA, and/or Physician. Assists with transferring patients to and ... described in their job description. + Trains and supports registered nurses to perform OR cleaning, set-up, instrument processing,...+ Works directly with the Infection Control Officer to audit OR cleaning logs for accuracy and feedback +… more
- Morehouse School Of Medicine (Atlanta, GA)
- …from a regionally accredited college or university. Qualifications * Clinical license ( RN , NP, PA, or PharmD) preferred/active. * Proven expertise in trial start-up, ... site execution, MCA , research billing workflows, and audit readiness from an operations standpoint. * Facility with CTMS /eReg/REDCap; strong cross-functional… more
- CareFirst (Baltimore, MD)
- …medium levels fraud, waste, and abuse schemes, resulting in the savings and recovery of funds. **ESSENTIAL FUNCTIONS:** + Independently conduct low to medium level ... documentation to substantiate findings including formal reports, spreadsheets, graphs, audit logs, use of anti-fraud software and appropriately sourced reference… more
- BJC HealthCare (St. Louis, MO)
- …functions of the department as related to: reporting, payroll, service recovery , staff communication, staff data collection and reporting, staff competencies and ... Ensure proper documentation, communication, followup accordingly. + Perform service recovery related to physician and bed management issues; support investigation… more
- State of Indiana (Indianapolis, IN)
- …functions of this position require travel on most workdays to inspect, audit , examine, survey, or investigate clients, customers, or other regulated entities and ... graduate or professional degree in a health-related field (eg, RN , MD/DO, DDS/DMD, DVM, PhD, RS) with specific epidemiology...Leave and up to eight weeks of paid Childbirth Recovery Leave for eligible mothers + Up to 15… more