- Trinity Health (Springfield, MA)
- …action plans, and quality improvement activities + Function as the Surgical Clinical Reviewer (the "SCR") for MBSAQIP + Manage the accreditation process and ... with the members of the Department of Surgery to identify opportunities for clinical quality improvement **Minimum Qualifications** + Current MA Registered Nurse… more
- Nuvance Health (Rhinebeck, NY)
- …and clinical standards. The VPMA plays a pivotal role in driving the hospital 's clinical quality agenda by establishing performance metrics, setting and ... as a key leader responsible for ensuring the continuous enhancement of safety, quality , and the efficient delivery of hospital -based medical services at Northern… more
- University of Miami (Miami, FL)
- …Director, Clinical Optimization & Process Improvement utilizes solid knowledge of hospital quality measures and clinical experience to build, develop, ... by clinical and operational needs and aligns with compliant and safe clinical practices and quality requirements. + Supervises the performance management of… more
- Rush University Medical Center (Chicago, IL)
- …The Surgical Clinical Reviewer also works to identify opportunities for clinical quality improvement and assists with other special projects as may be ... Hr (9:00:00 AM - 5:00:00 PM) **Summary:** The Surgical Clinical Reviewer 's chief responsibility is to oversee...creation of patient-tracking Excel documents. * Conducts a regular review with the Clinical Quality … more
- University of Miami (Hialeah, FL)
- …review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Concurrent Quality Reviewer of our hospital ... CDIs, Coders, Quality , and other relevant multidisciplinary teams. The concurrent inpatient quality reviewer will assign a working DRG, as well as capture… more
- HCA Healthcare (Brownsville, TX)
- …do. We want you to apply! **Job Summary and Qualifications** We are seeking a RN Clinical Reviewer in Quality Management for our facility to ensure that we ... in their positions. Join our Team as a(an) RN Clinical Reviewer and access programs to assist...compliance with regulatory standards. + Facilitates the growth of hospital knowledge regarding quality and high reliability,… more
- HCA Healthcare (Houston, TX)
- …set us apart from any other healthcare provider. We are seeking a(an) RN Clinical Reviewer to join our healthcare family. **Benefits** Texas Orthopedic ... for life - and empowers their passion for patient care. Apply today for our Clinical Reviewer opportunity! **Job Summary and Qualifications** We are seeking a RN… more
- HCA Healthcare (Corpus Christi, TX)
- …step in your career path, we encourage you to apply for our Registered Nurse Clinical Reviewer opening. We review all applications. Qualified candidates will ... **Description** **Introduction** Do you have the career opportunities as a(an) Registered Nurse Clinical Reviewer you want in your current role? We invest in… more
- Kepro (CA)
- …a vital partner for health solutions in the public sector. Acentra seeks a Utilization Clinical Reviewer to join our growing team in California. Job Summary As a ... Utilization Clinical Reviewer , you'll harness your expertise to...a focus on meeting production targets and maintaining top-tier quality assurance standards, this role serves as the linchpin… more
- Trinity Health (Livonia, MI)
- …physician champion and appropriate hospital leadership to identify opportunities for clinical quality improvement and other special projects as may be ... Quality Initiative (CQI). This is accomplished through high- quality clinical screening, data compilation, documentation, and...the ASPIRE database of all eligible cases for the hospital . The Clinical Nurse Reviewer … more
- Crouse Hospital (Syracuse, NY)
- …members of the metabolic and bariatric surgery departments to identify opportunities for clinical quality improvement and other special projects that may be ... hospital surgery department or surgery clinic or with clinical research or medical records. Clinical chart...or with clinical research or medical records. Clinical chart review and abstraction experience required.… more
- HCA Healthcare (Corpus Christi, TX)
- …step in your career path, we encourage you to apply for our Registered Nurse Clinical Reviewer PRN opening. We review all applications. Qualified candidates ... you have the career opportunities as a(an) Registered Nurse Clinical Reviewer PRN you want in your...Medical Center Bay Area!** **Job Summary and Qualifications** **The Quality Review Nurse position encompasses multiple responsibilities… more
- HCA Healthcare (Kingwood, TX)
- **Description** **Introduction** Do you have the career opportunities as a(an) RN Clinical Reviewer you want in your current role? We invest in what matters most ... **Job Summary and Qualifications** We are seeking a RN Clinical Reviewer for our facility to ensure...compliance with regulatory standards. + Facilitate the growth of hospital knowledge regarding quality and high reliability,… more
- St. Joseph's Health (Paterson, NJ)
- Bariatric RN Clinical Reviewer - Per diem Job ID2024-25808 LocationPaterson, New Jersey ShiftPer Diem - Nursing Apply Now ... Care". Job Overview: The role of the Bariatric Surgery Clinical Reviewer , RN is to collect and...bariatric and general surgery departments to identify opportunities for clinical quality improvement and other special projects… more
- Hartford HealthCare (Shelton, CT)
- …years medical/surgical hospital or office nursing experience or experience in clinical research/medical records or clinical quality improvement. . ... 30 different specialties. *_ Job Description_* The Metabolic and Bariatric Surgical Clinical Reviewer 's (MBSCR) chief responsibility is to collect and submit… more
- Zelis (Morristown, NJ)
- Position Overview: At Zelis, the Itemized Bill Review Facility Reviewer is responsible for analyzing facility inpatient and outpatient claims for Health Plans ... production metrics goals. . Key responsibilities: + Conduct detailed review of hospital itemized bills for identification...overall claims progression + Complete claims processing after the Clinical Bill Review and Audit analysis is… more
- AdventHealth (Bolingbrook, IL)
- …. Registered Nurse of Illinois, BSN Preferred. . 1 year of experience in a hospital surgery department/clinic or with clinical research or medical records. . ... 1-8hr shift per week, Wednesdays 8am-430pm onsite at Bolingbrook Hospital . **Location: 500 Remington Blvd** **The community you'll be...Clinical chart review and abstraction experience. **_LICENSURE, CERTIFICATION OR REGISTRATION Required:_**… more
- Zelis (TX)
- …found and justifying the revised choices of new codes and DRG, based on the clinical evidence obtained during the review + Document all aspect of audits ... Position Overview: The Inpatient DRG Reviewer will be primarily responsible for conducting post-service,...Medicare guidelines and various healthcare programs + Understanding of hospital coding and billing rules + Clinical … more
- City of New York (New York, NY)
- …the supervision of the Director of the Evaluation Standards Unit, the Evaluation Reviewer will: Provide quality assurance for the Early Intervention Program by ... fail to comply with regulatory standards and/or to establish eligibility. Provide clinical expertise and guidance to the Bureau of Early Intervention as it… more
- Trinity Health (Fresno, CA)
- … Quality Resource, this position offers vital support for improvement of quality and clinical performance. This position collaborates with clinical ... implement strategies focused on identifying, prioritizing, measuring, and refining key clinical processes and outcomes. Areas of responsibility include, but are not… more