- City of New York (New York, NY)
- …develops and oversees the Division's continuum of programming and services. JJPS is seeking an Audit Nurse who will ensure that youth in ACS care and/or custody ... the best possible medical care. In doing so, the Audit Nurse will work closely with operations...sites, using agency-developed tools and scoring methods to determine compliance with federal, state, and city regulatory mandates and… more
- Baptist Memorial (Memphis, TN)
- Summary Medicare / Medicaid Appeals Registered Nurse reviews and evaluates medical documentation to support billing compliance and external regulatory ... care experience and 3 years in Medicare billing environment. Previous audit experience, knowledge of InterQual and Medicare Billing practices. Minimum: Required… more
- McLaren Health Care (Bay City, MI)
- …6. Provides support in response, tracking and completion of all payer audit /denial/appeal activity to ensure that timelines in the process are met, including ... revenue cycle process (Central Business Services - CBS) to ensure both compliance and the maximization of appropriate reimbursementon denied/appealed cases based on… more
- State of Colorado (Denver, CO)
- NURSE CONSULTANT Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4715738) Apply NURSE CONSULTANT Salary $98,448.00 - $137,844.00 Annually ... critical program or policy direction to ensure facility practice is in compliance with regulatory agency's standards. Implements the HFQA processes (sampling plans,… more
- Molina Healthcare (Los Angeles, CA)
- …within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with NCQA, CMS and State Medicaid requirements including ... contained in the delegation agreement. **KNOWLEDGE/SKILLS/ABILITIES** The Delegation Oversight Nurse is responsible for ensuring that Molina Healthcare's UM… more
- Tenet Healthcare (Detroit, MI)
- …legal and ethical standards, and as directed, implementing external and internal audit recommendations. Monitors activities to ensure compliance with applicable ... Trauma Nurse Practitioner Per Diem Rotate - 2406002282 Description...quality trauma care delivery 5. Demonstrates knowledge of and compliance with trauma policies E. PROFESSIONAL 1. Maintains current… more
- LA Care Health Plan (Los Angeles, CA)
- Facility Site Review Nurse Specialist RN II Job Category: Clinical Department: Facility Site Review Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... that purpose. Job Summary The Facility Site Review (FSR) Nurse Specialist RN II conducts Full Scope Reviews, Site...appropriate site visits to ensure quality FSR and physician compliance with Local, State, and Federal requirements. The FSR… more
- MD Anderson Cancer Center (Houston, TX)
- …needed. . May administer investigational drugs and coordinate with a clinical nurse to verify good documentation practices pre and post-dose monitoring. . Gathers, ... a liaison for principal investigators and study sponsors to ensure protocol compliance (contacts sponsor to resolve study questions or notification of Severe Adverse… more
- Veterans Affairs, Veterans Health Administration (Aurora, CO)
- Summary The Assistant Chief Nurse executes leadership that is characterized by substantial and continuous responsibility and accountability for population groups or ... problem areas in nursing practice. Ability to function as staff/charge nurse as needed. Provide timely semi-annual and annual performance evaluations. Ensure… more
- Immigration and Customs Enforcement (Pearsall, TX)
- …care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery; and developing policy guidance for nursing care reviews conducted by ... and Certifications Required: Nursing License- Must be a Registered Nurse (RN). Maintains current/documented professional licensure. (It is the responsibility… more
- Immigration and Customs Enforcement (Jena, LA)
- …care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery; and developing policy guidance for nursing care reviews conducted by ... and Certifications Required: Nursing License- Must be a Registered Nurse (RN). Maintains current/documented professional licensure. (It is the responsibility… more
- Immigration and Customs Enforcement (Pearsall, TX)
- …care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery; and developing policy guidance for nursing care reviews conducted by ... and Certifications Required: Nursing License- Must be a Registered Nurse (RN). Maintains current/documented professional licensure. (It is the responsibility… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …occur on an as-needed basis until positions are filled. Responsibilities In compliance with VA Policy & union requirements/recommendations for Title 38 clinical ... that become available until the announcement closes. A CRNA (Certified Registered Nurse Anesthetist) administers and provides anesthesia - related care to patients… more
- Hackensack Meridian Health (Brick, NJ)
- …+ Properly comply with appropriate physician orders in a timely manner. Chart, audit and demonstrate compliance on frequency and timely admission of referral. ... as a leader of positive change. Are you a nurse who is looking for a change? Do you...patients and families based on identified health needs. Chart, audit and demonstrate documentation of teaching goals and plans.… more
- Omaha Children's Hospital (Omaha, NE)
- …The Nurse Auditor will work collaboratively within Revenue Cycle, Compliance and Clinical departments to ensure the capturing of appropriate charges. **Essential ... 3 days post discharge to ensure accuracy and in compliance with regulatory requirements, hospital and system policies and...audit . **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure valid… more
- Elderwood (Hamburg, NY)
- Salary $38.00 - $48.50 / hour Overview Elderwood is seeking a Registered Nurse to join our clinical team as a RN MDS Nurse . LPNs, with the right skill set, will ... be considered as well. MDS Nurse - Position Overview: + An MDS ...completion and submission of Minimum Data Set (MDS). + Compliance with Federal and State requirements, and facility policies.… more
- Penn State Health (Camp Hill, PA)
- …in unit and/or hospital-based committees to contribute to organizational initiatives. Report compliance issues and operational needs to Nurse Manager/Assistant ... Graduate of an accredited school of nursing required 2-3 years RN registered nurse experience in acute care setting Previous work experience in a supervisory,… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …health/behavioral health care setting. + Experience collecting and presenting health care audit data. + Experience evaluating compliance with accrediting bodies ... Nurse Consultant (Children and Families) (40 Hour) Office/On-site...Department! In this meaningful role, you will evaluate PRTF compliance with state and federal regulations, lead nursing training… more
- Penn State Health (Camp Hill, PA)
- …unit and/or hospital-based committees to contribute to organizational initiatives. + Report compliance issues and operational needs to Nurse Manager/Assistant ... QUALIFICATION(S):** + Currently licensed to practice as a Registered Nurse by state of employment or holds a multistate...and Performance Improvement Plans (PIPs) as necessary. + Share audit trends and best practices during huddles and shared… more
- WelbeHealth (Fresno, CA)
- …providing comprehensive medical care and community-based services. The WelbeHealth Clinical Nurse Manager is accountable for the delivery of high-quality ambulatory ... the direction of the Clinical Services Director (CSD), the WelbeHealth Clinical Nurse Manager organizes and directs the day-to-day operations within the clinic,… more