- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that ... rendered is complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and frequently require… more
- Northwell Health (Garden City, NY)
- …experience. 2 .Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. Additional ... 1.Leverages clinical expertise to identify and validate DRG code assignment. 2 .Full review of CDI suggested code changes 3.Demonstrates comprehensive knowledge of… more
- InnovaCare (San Juan, PR)
- …MMM Holdings, Inc.Job Description Inpatient Unit POSITION: Concurrent Review Nurse (CRN) POSITION DESCRIPTION Manages the inpatient utilization of healthcare ... appropriate Utilization, Quality Assurance, Risk Management and Discharge Planning Needs. 2 . Validates all Inpatient admissions for appropriate level of care… more
- Northwell Health (Garden City, NY)
- …Degree in Nursing, preferred. Must be enrolled in an accredited BSN program within two ( 2 ) years and obtain a BSN Degree within 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 needed. *Additional Salary Detail The… more
- LA Care Health Plan (Los Angeles, CA)
- Delegation Oversight Clinical Auditor RN II Job Category: Clinical Department: Audit Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get...achieve that purpose. Job Summary The Delegation Oversight Clinical Auditor RN II is responsible for ensuring that delegates… more
- Mohawk Valley Health System (Utica, NY)
- …systems experience. + 2 years of experience as an Internal Process Auditor . + Knowledge of ISO 9001 Quality Management System requirements. + Understanding of ... experience Licensure/Certification Requirements REQUIRED: + Certification as an Internal Auditor . PREFERRED: + Registered Nurse Disclaimer Qualified applicants… more
- SSM Health (St. Louis, MO)
- …MO-SSM Health Mission Hill **Worker Type:** Regular **Job Highlights:** RN-Clinical Auditor Manager, Care Transformation - Case Management and Social Work 7 ... AND/OR CERTIFICATIONS State of Work Location: Illinois + Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)… more
- SSM Health (MO)
- …commitment to our mission is what sets us apart. Candidate must have at least 2 years of CDI experience + Bachelor's Degree in Nursing preferred. + Three - five ... vital member of the interdisciplinary care team member, an auditor , and an educator ensuring medical records are complete...- Regional MSO Credentialing + Or + Registered Professional Nurse (RN) - Illinois Department of Financial and Professional… more
- Baystate Health (Springfield, MA)
- …**SCHEDULE:** + Part time, 24 hours/week, 1st shift (DAYS) + Hours: 7am-7:30pm + 2 shifts per week, rotating days and weekends required **LOCATION** : + Baystate ... health needs of all communities in need. **QUALIFICATIONS:** + HS Diploma/GED + 1- 2 years experience in customer service (healthcare setting preferred) + Ability to… more
- Baystate Health (Westfield, MA)
- **Summary:** Reports to the Nurse Manager but daily activities are coordinated by the charge nurse . Under direct supervision works with patient and family ... ADTs. Checks BMD enters new data, and advises Charge Nurse of changes. Checks CIS for discharge orders, follows...breaks and meals to ensure constant flow of ADTs. ** 2 )** Proficiently and accurately utilizes the following computer applications… more
- Baystate Health (Springfield, MA)
- …**SCHEDULE:** + Part time, 24 hours per week, 3rd shift + Hours: 7pm-7:30am + 2 shifts per week, rotating days and weekends required **LOCATION** : + Baystate Main ... Associate Cardiac Monitor Tech will function in a supportive role to a registered nurse and work collaboratively with the health care team in the management of… more
- GE Vernova (Schenectady, NY)
- …or college + Experience in quality and project management. + Min 2 years' experience in power generation industry Desired Characteristics + Demonstrated technical ... equipment + Qualification in Quality Management Systems as Lead Auditor as per ISO 9001, etc. + Continuous Improvement...drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance Program,… more
- AdventHealth (Orlando, FL)
- …Finance, Computer Science, Information Technology, Nursing or related field Two ( 2 ) years of full-time experience in building, amending, and maintaining research ... Administrators (NCURA), Research Administratora€ (TM) s Certification Council (RACC) Registered Nurse Three (3) years full time experience in building, amending, and… more
- Carle (Urbana, IL)
- …or Healthcare-related field CERTIFICATION & LICENSURE REQUIREMENTS Registered Professional Nurse (RN) License Illinois upon hire and Certified Professional in ... Patient Safety (CPPS) within 2 years and Basic Certificate in Quality & Safety...setting Essential Functions: + Serves as a DNV ISO-9001 auditor . + Serves on Patient Safety related committees and… more
- Covenant Health Inc. (Knoxville, TN)
- …Covenant Health standards of Telephone Excellence policy. + Refers patient accounts to nurse auditor upon request by patient or insurance company, and monitors ... possessing a HS diploma or GED. Minimum Experience: One (1) to two ( 2 ) years of experience in Patient Accounts/Customer Service is required. Must meet all… more