- UNC Health Care (Hendersonville, NC)
- …the health and well-being of the unique communities we serve. Summary: The Recovery Audit Contractor (RAC) Coordinator (RN) is responsible and accountable for ... all Care Management Denial and Recovery Audit Contractor (RAC) requests and follow-ups,...* Must be licensed to practice as a Registered Nurse in the state of North Carolina or one… more
- TEKsystems (Chesapeake, VA)
- …and professional Chargemaster and Charge Capture processes. Skills Revenue Integrity, Coding, Nurse Audit , RN, Coder, Charge Master Additional Skills & ... Summary: With direction from the Patient Financial Services Director, the Nurse Auditor/ Revenue Integrity/CDM Analyst is responsible for performing audits of… more
- Immigration and Customs Enforcement (Jena, LA)
- …adequacy of care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery ; and developing policy guidance for nursing care reviews ... 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)
- …adequacy of care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery ; and developing policy guidance for nursing care reviews ... 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 (Tacoma, WA)
- …adequacy of care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery ; and developing policy guidance for nursing care reviews ... 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 (Kansas City, MO)
- Summary This is a full time Nurse Anesthetist position at the Kansas City VA Medical Center. There are currently two positions available and the position reports ... VA. A Full Performance Level Staff CRNA is a nurse anesthetist who reports to the Chief CRNA and...post-anesthetic management of patients in order to optimize the recovery from anesthesia and minimize pain. Provides patient care… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- Job Summary With direction from the Director, the Nurse Auditor/Revenue Integrity Specialist is responsible for auditing itemized charges versus the patient medical ... the billing staff of appropriate HCPCS codes and modifiers. The Nurse Auditor/ Revenue Integrity Specialist works directly with revenue producing departments… more
- WellSpan Health (Chambersburg, PA)
- PRN Registered Nurse - Behavioral Health Inpat Services - Day/Night Location: Chambersburg Hospital, Chambersburg, PA Schedule: PRN/Per Diem RN - Behavioral Health ... team approach to care + Therapeutic groups and family treatment based on recovery curriculum, led by the staff from nursing, care coordinator and occupational… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- Summary With direction from the Patient Financial Services Director, the Nurse Auditor/ Revenue Integrity/ CDM Analyst is responsible for performing audits of ... advising the billing staff of appropriate HCPCS codes and modifiers. The Nurse Auditor/ Revenue Integrity/ CDM Analyst works directly with revenue producing… more
- MyFlorida (Macclenny, FL)
- …promote strong and economically self-sufficient families, and advance personal and family recovery and resiliency. Within DCF, the Substance Abuse and Mental Health ... of a comprehensive statewide system of care for the prevention, treatment, and recovery of children and adults with serious mental illnesses or substance use… more
- GE Vernova (Houston, TX)
- …process procedures. + Plan & execute a data & risk assessment driven audit strategy for your scope of supplier assignments that includes holistic process audits, ... to verify compliance to GE specifications & technical regulations/standards with timely audit report issuance and audit tracker updates. + Support the… more
- The County of Los Angeles (Los Angeles, CA)
- …State Medicare and Medicaid regulations for reimbursement claiming and maximum recovery costs for directly operated billable services. Develops and monitors ... and review methods as necessary. Oversees audits and the implementation of audit recommendations for programs managed. Represents managed programs in meetings with… more
- Tenet Healthcare (Detroit, MI)
- …injury care. The Institute houses the Center for Spinal Cord Injury Recovery and the Southeastern Michigan Traumatic Brain Injury System (SEMTBIS), one of ... requirements and DMC policies. As directed, implements external and internal audit recommendations. Ensures hospital departments achieve objectives for diversity of… more
- Eastern Connecticut Health Network (Vernon, CT)
- …audits that include but is not limited to Additional Documentation Requests (ADR), Recovery Audit Contractors (RAC), and Third-Party Liability (TPL). + Responds ... Why consider applying to Visiting Nurse & Health Services of CT? Here are...to coordinate department activities. Supports the department's efforts to audit , track and trend patient outcomes, analyzes data, develops… more
- Granville Medical Center (Oxford, NC)
- …indicators. * Obtains documentation relevant to denials avoidance related to the Recovery Audit program, the Comprehensive Error Rate Testing (CERT) program, ... and other audit programs, recognizing and disseminating to physicians the importance...Board-approved nursing program with current licensure as a Registered Nurse (RN) or Licensed Practical Nurse (LPN)… more
- Granville Health System (Oxford, NC)
- …Admission indicators. #Obtains documentation relevant to denials avoidance related to the Recovery Audit program, the Comprehensive Error Rate Testing (CERT) ... program, and other audit programs, recognizing and disseminating to physicians the importance...Board-approved nursing program with current licensure as a Registered Nurse (RN) or Licensed Practical Nurse (LPN)… more
- Penn Medicine (Philadelphia, PA)
- …and instrument pre-processing. Works directly with the Infection Control Officer to audit OR cleaning logs for accuracy and feedback. Oversees all instruments and ... operating rooms, changing rooms, and post-op litters/recliner chairs in the recovery room between patient procedures with exposure to blood and bodily… more
- Monte Nido (Dedham, MA)
- …over two decades, providing compassionate care and a comprehensive approach to recovery . Our programs integrate medical, therapeutic, and holistic approaches, and we ... by location and level of care. + Maintain and audit , on a regular and recurring basis, the roster...payors. + Maintain approved drafts of Physician Agreements and Nurse Practitioner Agreements for specific roles, sites, and levels… more
- Covenant Health Inc. (Knoxville, TN)
- …through and communication. + Provides ongoing customer service to include service recovery related to patients, physicians, vendors etc + Ensures that all complaints ... of all documentation. May serve as member of the Audit Team. + Directs the staff to ensure OASIS...preferred. Licensure Requirement: Must have and maintain state registered nurse license. Employee must have a valid Tennessee driver's… more
- University of Utah (Salt Lake City, UT)
- …that current and correct treatment roadmap is available. Assist clinical care nurse coordinators and clinicians in obtaining current treatment roadmap for all ... processing. 10. Prepare all necessary documents for an Institutional Audit and/or site visit Peer Review 11. Provides cross-coverage...on a research study have no other option for recovery , the incumbent must be aware of the subjects… more