- Elevance Health (Dearborn, MI)
- **RN Hospital Bill Audit /Appeal Lead ** **Supports the Carelon Payment Integrity line of business** _Location: This position will work a hybrid model (remote and ... eliminate and prevent unnecessary medical-expense spending. The **RN Hospital Audit /Appeal Lead ** is responsible for leading a...line policy edits. + Trains and provides guidance to nurse auditors and manages workflow and priorities for the… more
- HCA Healthcare (Richmond, VA)
- …at Chippenham Hospital have the opportunity to make a real impact. As a(an) Trauma Lead Registered Nurse RN you can be a part of change. **Benefits** Chippenham ... positive outcomes for your patients as a (an) Trauma Lead Registered Nurse RN. We want your...Attends daily multidisciplinary rounds + Identify and report trauma audit filters + Participate in scholarly activities + Functions… more
- Trinity Health (Columbus, OH)
- …to call your own in Columbus. Learn more at www.experiencecolumbus.com The Registered Nurse Clinical Lead will supervise all clinical staff and assist physicians ... person's physical, emotional, social and spiritual needs within the scope of the Ohio Nurse Practice Act. The Registered Nurse functioning in the spirit of… more
- Finger Lakes Community Health (Port Byron, NY)
- …between Ovid Community Health (primary location) and Geneva Community Health. The Registered Nurse (RN) is responsible for the overall management of nursing care for ... communication within the electronic health record system . The Lead RN will directly oversee nursing staff at the...lab orders/results, patient care goals, patient history, vitals + Audit progress notes to ensure all patient history and… more
- Elevance Health (Kansas City, KS)
- The Nurse Case Manager Lead is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, ... preceptor for new care management staff. + Participates in audit activities and assists supervisor with management of day-to-day...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- CommonSpirit Health Mountain Region (Durango, CO)
- …serving some of the most diverse communities across the nation, letting humankindness lead the way. Overview: You have a purpose, unique talents and now is ... Assist with training and coordinating clinical review and quality assurance. Lead and review the appropriateness of clinical care and documentation practices… more
- STG International (Milledgeville, GA)
- STGi is seeking a Licensed Practical Nurse /Licensed Vocational Nurse to provide services to our Georgia Ware Veterans Home. JOB SUMMARY: The primary purpose of ... the lead LPN/LVN is to provide direct nursing care to...facility meets the minimum staffing levels for nurses and nurse aides; complete required posting of nursing staff data… more
- LA Care Health Plan (Los Angeles, CA)
- …lead successful performance improvement projects. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California License ... Utilization Management Clinical Quality Nurse Reviewer RN II Job Category: Clinical Department:...during external audits as well as leads pre- and post- audit preparation/follow-up. This position actively participates in development and… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 240830-5613FP-001 Location Middletown, CT Date Opened 9/5/2024 12:00:00 AM Salary $86,261 ... is accepting applications for one (1) full-time Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=&R3=) position, in Middletown, CT. We welcome… more
- Veterans Affairs, Veterans Health Administration (Salt Lake City, UT)
- …compliance with applicable performance measures and Joint Commission Standards Act as a lead nurse within the unit Responsible for charge nursing training and ... Summary The Assistant Nurse Manager position is an exempt entry-level management...hospital policies and procedures to staff, physicians, and others Audit charts for complete documentation as required for specific… more
- WelbeHealth (Carson, CA)
- …IDT disciplines + In collaboration with CSD and Quality Improvement Director, serve as the audit lead for clinical and nursing elements during CMS/DHCS audit ... providing comprehensive medical care and community-based services. The WelbeHealth Clinical Nurse Manager is accountable for the delivery of high-quality ambulatory… more
- WellSpan Health (Chambersburg, PA)
- PRN Registered Nurse - Behavioral Health Inpatient Services - Day/Evening/Night Location: Chambersburg Hospital, Chambersburg, PA Schedule: PRN/Per Diem Behavioral ... Health Inpatient Services -Registered Nurse - PRN + 26-bed Inpatient Unit, providing psychiatric...and/or RRT. 11. Demonstrates ability to perform CIWA, AIMS, DAST/ AUDIT , and Suicide Risk Assessment. 12. Performs Physical Systems… more
- Immigration and Customs Enforcement (IN)
- …of care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery; and developing policy guidance for nursing care reviews conducted ... and Certifications Required: Nursing License- Must be a Registered Nurse (RN). Maintains current/documented professional licensure. (It is the responsibility… more
- Paccar Winch Inc. (Mckinney, TX)
- Occupational Health Nurse (LPN / RN) Apply now " Apply now + Apply Now + Start applying with LinkedIn Start + Please wait Date: Sep 3, 2024 Location: McKinney, TX, ... located at the McKinney, TX facility. The Occupational Health Nurse (LPN/RN) will be an independent and organized member...compensation + Timely response to completion of safety items, audit findings, employee concerns, and near misses + Conduct… more
- State of Nevada (NV)
- HEALTH CARE COORDINATOR 2 - NURSE APPROXIMATE ANNUAL SALARY - $67,296.24 to $100,098.72 PAY GRADE: 36 For more information on benefit and retirement programs, please ... at this level may intermittently serve as the project lead of a case management team, function as coordinator...further serious occurrences. This position performs Minimum Data Set audit reviews on Skilled Nursing Facilities to assess the… more
- WellSpan Health (Lebanon, PA)
- Registered Nurse , Special Projects (Outpatient) - Ambulatory Clinical Support - South 4th Street Location: WellSpan Medical Group, Lebanon, PA Schedule: Full Time ... process- observation, supporting system objectives, patient outreach and chart review/ audit , Review of literature to support evidence based practice across… more
- Fresenius Medical Center (Ogden, UT)
- …fosters a commitment to patient satisfaction and teamwork. Supervision of Nurse Practitioners and Physician Assistants (Advanced Practitioners ), training and clear ... (ie: Emergency Department etc), documents according to protocols + Participate and lead the development of clinical protocols in obtaining, preparation and transport… more
- Wellpath (Indianapolis, IN)
- …in accordance with HIPAA regulations. **Key Responsibilities** * Establish and lead a multidisciplinary quality improvement committee, preparing audit reports ... of care support. **How you make a difference** The Quality Assurance Nurse (QA Nurse ) is responsible for overseeing and coordinating clinical activities in the… more
- Dialysis Clinic, Inc. (Little Rock, AR)
- …with a lower caregiver-to-patient ratio than other providers. The **Dialysis Nurse Educator** **(RN)** provides initial and ongoing professional training and ... policies and procedures with guidance from medical director and clinic manager + Lead classroom theory training for patient care staff new to dialysis + Verify… more
- MTA (New York, NY)
- Staff Nurse Job ID: 8357 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: Occupational Health Services ... Date Posted: Jul 31, 2024 Description JOB TITLE: Staff Nurse SALARY : $ 87,000 DEPT/DIV: Occupational Health Services...Records test data into electronic Medical Records system + Audit all data entries . + May administer Hepatitis… more