• Internal Auditor - Full Time - Days

    Mohawk Valley Health System (Utica, NY)
    … experience Licensure/Certification Requirements REQUIRED: + Certification as an Internal Auditor . PREFERRED: + Registered Nurse Disclaimer Qualified ... + 2 years of experience as an Internal Process Auditor . + Knowledge of ISO 9001 Quality Management System requirements. + Understanding of variation analysis and… more
    Mohawk Valley Health System (09/20/24)
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  • Clinical Nurse Auditor , HEDIS…

    Providence (WA)
    …in:_** + Washington + Oregon **Required qualifications for this position include:** + Degree in Nursing + Oregon Registered Nurse License + 5+ years clinical ... empower them._** **Providence Health Plan is calling a Clinical Nurse Auditor , HEDIS who will:** + Be...qualifications for this position include:** + Bachelor's Degree in Nursing + Dual RN License: Oregon and… more
    Providence (10/30/24)
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  • Revenue Integrity Nurse Auditor

    Childrens Hospital of The King's Daughters (Chesapeake, VA)
    + GENERAL SUMMARY + The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete ... AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered ...REQUIREMENTS + Graduate of a Bachelors of Science in Nursing program required. + Minimum of 3 years of… more
    Childrens Hospital of The King's Daughters (10/26/24)
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  • RN -Clin Documentation Auditor

    Ascension Health (Austin, TX)
    …obtained prior to hire date or job transfer date required. + Registered Nurse credentialed from the Texas Board of Nursing obtained prior to hire date ... required. Education: + Diploma from an accredited school/college of nursing OR Required professional licensure at time of hire....+ Prior clinical documentation program experience + 5 years RN or 3-5 coding quality audit experience… more
    Ascension Health (11/07/24)
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  • RN Clinical Documentation Auditor

    Ascension Health (Wichita, KS)
    …prior to hire date or job transfer date required. + Licensed Registered Nurse credentialed from the Kansas Board of Nursing obtained prior to hire date ... CDI staff, physicians, clinical and ancillary staff to improve the overall quality and completeness of clinical documentation. + Assist Health Information Management… more
    Ascension Health (11/02/24)
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  • Intermediate Clinical Auditor /Analyst, QA…

    UPMC (Pittsburgh, PA)
    …or exceed designated quality and production goals. Maintain employee/insured confidentiality. + Registered Nurse ( RN ). + Bachelor of Science in ... UPMC Health Plan is looking for an Intermediate Clinical Auditor /Analyst to join the Quality Assurance team!...CCA, CCS, CCS-P, CRC) or AHFI designation required. + Registered Nurse ( RN ) + Act… more
    UPMC (11/01/24)
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  • Lead Clinical Documentation Auditor (CCDS…

    Vanderbilt University Medical Center (Nashville, TN)
    …emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work ... with staff. Performs audits of inpatient documentation. Understands and applies quality standards to all aspects of the documentation integrity program. Provides… more
    Vanderbilt University Medical Center (10/02/24)
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  • Nurse Auditor - Medical Bill Review…

    Rising Medical Solutions (Chicago, IL)
    …business was born - and continues to thrive. Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark in the world of medical cost ... team and maximize client savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance,… more
    Rising Medical Solutions (09/07/24)
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  • Concurrent Review Nurse -( Auditor

    InnovaCare (San Juan, PR)
    …and/or Rehabilitation Centers. EDUCATION AND EXPERIENCE * Bachelor's Degree in Science of Nursing . * Current RN permanent license in Puerto Rico and Collegiate. ... MMM Holdings, Inc.Job Description Inpatient Unit POSITION: Concurrent Review Nurse (CRN) POSITION DESCRIPTION Manages the inpatient utilization of healthcare… more
    InnovaCare (10/16/24)
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  • CDM Analyst RI Auditor

    Chesapeake Regional Healthcare (Chesapeake, VA)
    Summary With direction from the Patient Financial Services Director, the Nurse Auditor / Revenue Integrity/ CDM Analyst is responsible for performing audits of ... billing staff of appropriate HCPCS codes and modifiers. The Nurse Auditor / Revenue Integrity/ CDM Analyst works...patient requested audits in a timely manner. Perform random quality audits as schedule permits + Work and review… more
    Chesapeake Regional Healthcare (10/26/24)
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  • Compliance Auditor , Intermediate (Hybrid…

    UPMC (Pittsburgh, PA)
    Registered Health Information Technician (RHIT) + ORLicensed Professional Nurse (LPN) + Registered Nurse ( RN ) + Act 34 **UPMC is an Equal Opportunity ... **UPMC Corporate Finance is hiring a full-time Compliance Auditor , Intermediate. This position will be based out of Forbes Tower in Pittsburgh, PA. This position… more
    UPMC (10/11/24)
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  • Quality Improvement ( RN )…

    Molina Healthcare (Ypsilanti, MI)
    **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must live and have a current active unrestricted RN license in the ... and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Improvement ( Registered Nurse ) contributes to… more
    Molina Healthcare (10/20/24)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Denver, CO)
    …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Diagnosis Related Group Clinical Validation Auditor ** **Location:** This position will work a hybrid...formulate detailed audit findings letters. + Maintains accuracy and quality standards as established by audit management. + Identifies… more
    Elevance Health (11/08/24)
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  • Clinical Research Auditor

    Actalent (Philadelphia, PA)
    …7 years of clinical research experience as a monitor/ auditor , research nurse , research coordinator, regulatory affairs, quality control, and assurance or ... Job Title: Clinical Research Auditor Job Description We are seeking a highly...in a fast-paced environment. Additional Skills & Qualifications + Nursing degree ( RN /BSN) or BSN/MSN. + Strong… more
    Actalent (10/29/24)
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  • Clinical Research Monitoring Specialist Senior…

    University of Pennsylvania (Philadelphia, PA)
    …actions and training related to research compliance, quality control and quality assurance. The monitor/ auditor will follow all DOCM policies and procedures ... research. Must understand regulatory affairs and their applications to Quality Control and Quality Assurance; understand the...of seven years of experience as a clinical research monitor/ auditor , research nurse or research coordinator with… more
    University of Pennsylvania (10/03/24)
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  • Endoscopy Technician II - GI, Endoscopy

    Mayo Clinic (Phoenix, AZ)
    …tasks of direct and indirect patient care under the supervision of a registered nurse and/or physicians in Endoscopy. The technician assists with assessment ... Currently assigned or cross-trained to work in the Phoenix Endoscopy Unit + Quality Assurance Auditor + Ensure staff are practicing at the highest level of scope… more
    Mayo Clinic (11/09/24)
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  • Operations Associate/Monitor Technician

    Baystate Health (Westfield, MA)
    …**10)** Observes cardiac monitors. Identifies and reports irregular rhythms to registered nurse for interpretation and intervention. Records and processes ... Baystate Health, a nationally recognized leader in healthcare quality and safety, and home to **Baystate Noble Hospital** is looking for an Operations… more
    Baystate Health (11/01/24)
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  • Accreditation and ISO Coordinator

    Carle (Urbana, IL)
    …Organization preparation and coordination in a hospital setting. ADDITIONAL REQUIREMENTS + Registered Nurse ( RN ) Illinois Licensed-preferred SKILLS AND ... Accreditation and ISO Coordinator + Department: Quality - CMH + Entity: Peoria Service Area...Group (CPG). Partners with and through leadership, medical staff, nursing staff and the ancillary departments to develop their… more
    Carle (09/18/24)
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  • Clinical Trials Applications Specialist II

    AdventHealth (Orlando, FL)
    …University Research Administrators (NCURA), Research Administrator's Certification Council (RACC) + Registered Nurse _2/28/22_ This facility is an equal ... - Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense) - Nursing Clinical Ladder Program* - Sign-on Bonus* - Relocation Bonus* _-_… more
    AdventHealth (10/16/24)
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  • Operations Associate Cardiac Monitor Tech, Part…

    Baystate Health (Springfield, MA)
    **Baystate Health, a nationally recognized leader in healthcare quality and safety,** **is looking for a Part Time Operations Associate Cardiac Monitor Technician to ... Springfield, MA **THE ADVANTAGES OF WORKING WITH BAYSTATE!** + Excellent Compensation High- quality , low-cost medical, dental and vision insurance + Generous PTO - up… more
    Baystate Health (11/02/24)
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