- Cambia Health Solutions, Inc (Portland, OR)
- PAYMENT INTEGRITY RN (I)...years (or full time equivalent) of direct clinical careRegister Nurse ( RN ) license (must have a current ... care easier and lives better. As a member of the Clinical Audit team, the Payment Integrity RN (I) conducts post service review of claims in prepayment, post… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …a scrub role and other duties as assigned by under the direction of Registered Nurse . Employee performs clinical duties in accordance with population specific ... prevent damage or injury. Accurately prepares specimens and communicates with the registered nurse . Maintains organized sterile field ensuring instrumentation is… more
- Commonwealth Care Alliance (Boston, MA)
- …under the direction of the Sr. Director, TPA Management and Claims Compliance, the Payment Integrity (PI) Recovery Analyst will assist in the development of a ... & Responsibilities:** + Assist in the development a stellar payment integrity programs capable of proactively identifying...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an… more
- Elevance Health (Washington, DC)
- Nurse Audit Lead - Carelon Payment Integrity **Location:** The ideal candidate will live within 50 miles of one of our pulse point locations and will work on ... model (1-2 days per week in the office). **Carelon Payment Integrity ** is a proud member of...to recover, eliminate, and prevent unnecessary medical-expense spending. The ** Nurse Audit Lead** is responsible for leading a team… more
- Trinity Health (Hartford, CT)
- …**Hiring for all territories: Hartford, Waterbury, Enfield, Middlesex and Meriden!** Hospice Registered Nurse , RN Case Manager Position Purpose: Provides ... Qualifications: + Graduate of an approved nursing education program + Licensure as a Registered Nurse in the State of Connecticut + One (1) year experience… more
- Cassia (Bismarck, ND)
- Are you a compassionate Registered Nurse ( RN ) ready for a new adventure? If so, Baptist Health & Rehab, located in Bismarck, North Dakota, could be the ... Assistance Program with free confidential counseling/coaching for self and family members Nurse ( RN or LPN) responsibilities: + Displays a courteous attitude… more
- Surgery Care Affiliates (Omaha, NE)
- …the growing career opportunities for YOU. Responsibilities We are actively hiring for an Registered Nurse ( RN ) Inpatient. + Promote the mission, vision, and ... value-based care. + We lead the industry in value-based payment solutions through our Global 1 bundled payment...from infection. + P erforming interventions to maintain the integrity of the patient's wound and tissue perfusion at… more
- Ventura County (Ventura, CA)
- …Diem Unit MOA (Sec. 809). APPROXIMATE SALARY: Per Diem Nurse Extern: $29.54 per hour Registered Nurse I ( RN I): $41.60 - $43.72 per hour Registered ... program with a commitment to excellence, innovation, compassion, and integrity around patient care. The ideal candidate will be... II): $48.60 - $58.11 per hour Per Diem Registered Nurse I (PD RN … more
- State of Michigan (MI)
- MDOC- Registered Nurse P11-12-Southern Correctional Facilities Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/2262426) Apply MDOC- ... Registered Nurse P11-12-Southern Correctional Facilities Salary $33.00 - $46.81 Hourly...and procedures often available and therefore the senior level RN nurse is expected to exercise considerable… more
- State of Michigan (Jackson, MI)
- Registered Nurse P11-12-DWH Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/2435166) Apply Registered Nurse P11-12-DWH Salary ... Jackson, MI Job Type Permanent Full Time Job Number 4727-19- RN -DWH Department Corrections RN Continuous Opening Date...MDOC a Gold-Level Veteran Friendly Employer here. Become a REGISTERED NURSE at the Duane Waters Health… more
- State of Michigan (MI)
- MDOC- Registered Nurse P11-12- Northern Correctional Facilities Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/2262445) Apply MDOC- ... Registered Nurse P11-12- Northern Correctional Facilities Salary...and procedures often available and therefore the senior level RN nurse is expected to exercise considerable… more
- BrightSpring Health Services (Cleveland, MS)
- …needed Qualifications + Degree from an accredited school of nursing OR License as a Registered Nurse , current and in good standing + Valid driver's license from ... Manage resources + Perform PRN Assessments: falls risk, skin integrity , choking + Review IPP schedule, submit assessments 2...Security Number, credit card, driver's license, bank information, or payment for work equipment, etc.) from you via text… more
- BrightSpring Health Services (Hillsborough, NH)
- …Hill Farm is seeking an energetic and compassionate leader to fill the role of RN Supervisor. Take the next step in your career and apply today! Our comprehensive ... within the programs offering guidance as needed + Documentation of all nurse delegation training's/in-services, as required. + Ensure review of medical records for… more
- National Health Care Associates (Poughkeepsie, NY)
- …reimbursement for services provided. You will ensure the highest level of revenue integrity and compliance to all state and federal regulations for MDS completion ... compliance and accuracy in assessments + Determine Patient Driven Payment Method (PDPM) and expense associated with a potential...**-** **Qualifications of the MDS Director include:** + Valid RN license in the state of New York +… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …The RN Clinical Provider Post Service Review Manager , led by a Registered Nurse , is responsible for a team of provider correspondence associates who ... investigations unit, audit and risk management, facility and professional reimbursement strategy/ payment integrity teams in order to operationalize successfully,… more
- Commonwealth Care Alliance (Boston, MA)
- …revised coding logic, related Medicare/Medicaid policies for review/approval through the Payment Integrity governance process. **Supervision Exercised:** + No, ... and make recommendations based on new/revised coding edits for presentation to Payment Integrity committee meetings. + Analyze, measure, manage, and report… more
- Surgery Care Affiliates (Poulsbo, WA)
- …the growing career opportunities for YOU. Responsibilities We are actively hiring for an Registered Nurse ( RN ) PreOp PACU. + Promote the mission, vision, ... value-based care. + We lead the industry in value-based payment solutions through our Global 1 bundled payment...medication administration. + P erforming interventions to maintain the integrity of the patient's wound and tissue perfusion at… more
- Surgery Care Affiliates (Greensboro, NC)
- …the growing career opportunities for YOU. Responsibilities We are actively hiring for an Registered Nurse ( RN ) PreOp. + Promote the mission, vision, and ... value-based care. + We lead the industry in value-based payment solutions through our Global 1 bundled payment...medication administration. + P erforming interventions to maintain the integrity of the patient's wound and tissue perfusion at… more
- Surgery Care Affiliates (Winston Salem, NC)
- …growing career opportunities for YOU. Responsibilities We are actively hiring for an Registered Nurse Pre-Assessment Testing. + Promote the mission, vision, and ... value-based care. + We lead the industry in value-based payment solutions through our Global 1 bundled payment...medication administration. + P erforming interventions to maintain the integrity of the patient's wound and tissue perfusion at… more
- Molina Healthcare (Bowling Green, KY)
- …Level of Care, Inpatient Readmission, and any opportunity identified by the Payment Integrity analytical team; requires decision making pertinent to clinical ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more