- Elevance Health (Metairie, LA)
- **Diagnosis Related Group Clinical Validation Auditor -** ** Registered Nurse ** **Location:** This position will work a hybrid model (remote and office). Ideal ... and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a… more
- Molina Healthcare (Reno, NV)
- …to resolve/correct them. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and Associate's or ... NEVADA residents preferred. RN licensure for NEVADA required. Pacific Time Zone...Time Zone hours** **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in… more
- Northwell Health (Westbury, NY)
- …five (5) years of job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as ... **Req Number** 128397 Job Description Seeking RN - BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS… more
- Dignity Health (Phoenix, AZ)
- …of this amazing opportunity! **Qualifications** **Minimum** + Associates Degree. + Completion of RN Program. + (3-5) Three to five years-clinical RN experience. ... Two years Utilization Review Charge Audit Case Management or related experience. + RN + Knowledge of hospital billing and charging processes and understanding of… more
- Mohawk Valley Health System (Utica, NY)
- … experience Licensure/Certification Requirements REQUIRED: + Certification as an Internal Auditor . PREFERRED: + Registered Nurse Disclaimer Qualified ... Internal Auditor - Full Time - Days Department: PERFORMANCE EXCELLENCE OFFICE Job Summary Become an Internal Auditor at MVHS and play a vital role in improving… more
- Houston Methodist (Houston, TX)
- …auditing in a surgical or hospital setting **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact ... At Houston Methodist, the Nurse Auditor position is responsible auditing...State Licensure within 60 days **OR** + RN -Temp - Registered Nurse -… more
- Molina Healthcare (Mesa, AZ)
- …to resolve/correct them.. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or ... Molina workflows. + Required License, Certification, Association + Active, unrestricted State Registered Nurse ( RN ) License in good standing. + Must be able… more
- TEKsystems (Chesapeake, VA)
- As the Nurse Auditor & Hospital Coder If you're...Skills and Strengths: Medical Coding | Nursing Experience | Nurse Auditing | Registered Nurse | ... With direction from the Patient Financial Services Director, the Nurse Auditor / Revenue Integrity/ CDM Analyst is...RN or LPN with Charge entry experience . Nurse auditing experience a huge plus! Pay and Benefits… more
- Omaha Children's Hospital (Omaha, NE)
- …and multiple systems to retrieve data needed for audit. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State ... or discrepancies to accurately support billing and payment. In addition, the Nurse Auditor will complete requests for account audits by third party agencies. The… more
- Baylor Scott & White Health (Temple, TX)
- …in Nursing + Have at least 3 years of relevant work experience + Hold a Registered Nurse license As a health care system committed to improving the health of ... level **JOB SUMMARY** **HYBRID POSITION** The Appeals & Grievances (Medical Auditor ) RN conducts reviews of medical records, and plan documentation to conduct… more
- Vanderbilt University Medical Center (Nashville, TN)
- …Svc(Scheduling) **Job Summary:** Vanderbilt University Medical Center is seeking a full-time Nurse Auditor to perform detailed audits of perioperative services ... instead of emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work Experience:** Relevant… more
- 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 ... as assigned. + LICENSES AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact State… more
- Ascension Health (Austin, TX)
- …Improvement Specialists obtained prior to hire date or job transfer date required. + Registered Nurse credentialed from the Texas Board of Nursing obtained prior ... **Additional Preferences** + Prior clinical documentation program experience + 5 years RN or 3-5 coding quality audit experience strongly preferred + ICU and/or… more
- Ascension Health (Wichita, KS)
- …Specialists obtained prior to hire date or job transfer date required. + Licensed Registered Nurse credentialed from the Kansas Board of Nursing obtained prior ... to hire date or job transfer date required. Education: + Diploma from an accredited school/college of nursing OR Required professional licensure at time of hire. **Additional Preferences** BSN CCDS certified or will be certified upon start date AHIMA… more
- 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
- WelbeHealth (Columbus, OH)
- …and families **Job Requirements:** + Graduate of an Accredited School of Nursing: unencumbered Registered Nurse ( RN ) License or LVN License with which you ... better quality and compassion in a value-based model. The Regulatory Compliance Auditor is accountable for administering internal and external audits to ensure… more
- Molina Healthcare (San Francisco, CA)
- …TIME ZONE business hours.** **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management ... **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program **Required… more
- Centene Corporation (Tallahassee, FL)
- …Worker (LMSW), Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor (LMHC), Registered Nurse ( RN ), or Licensed Psychologist (Ph.D. or ... Psy.D.) This supports our Behavioral Health Team in Florida. Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid… more
- Fresenius Medical Center (Irwindale, CA)
- …related field preferred 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… more
- Louisiana Department of State Civil Service (LA)
- …at ###. Minimum Qualifications MINIMUM QUALIFICATIONS: Possession of a current Louisiana Registered Nurse license or a temporary permit or multi-state license ... RN -Program Coordinator (Tri-Regional Coordinator) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4779284) Apply ...Nursing Licensure Compact (NLC/eNLC) state to practice as a registered nurse plus one of the following:… more