- UNC Health Care (Hendersonville, NC)
- …improve 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,...Required * Must be licensed to practice as a Registered Nurse in the state of North… more
- FLACRA (Clifton Springs, NY)
- Residential Supervising Registered Nurse ( RN ) Finger Lakes Addiction Counseling and Referral Agency Inc Clifton Springs, NY (Onsite) Full-Time $37.00 - ... $39.00/Hour Apply Now (https://flacra.jobs.net/apply/j3t10w5ymwvqlz01yyd?ipath=CR¬ify=true&siteid=cbnsv) Job Details Job Title:Residential Supervising Registered Nurse ( RN ) Location:Finger Lakes… 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 ... care + Therapeutic groups and family treatment based on recovery curriculum, led by the staff from nursing, care...as needed + Shift and Weekend Differential Eligibility The Registered Nurse is responsible and accountable for… more
- Eastern Connecticut Health Network (Vernon, CT)
- …master's or doctorate degree. + Possession of a current license to practice as a registered nurse or as a Physical Therapist, or Occupational Therapist in the ... Why consider applying to Visiting Nurse & Health Services of CT? Here are...but is not limited to Additional Documentation Requests (ADR), Recovery Audit Contractors (RAC), and Third-Party Liability… more
- Granville Medical Center (Oxford, NC)
- …of CDI. Required: Graduation from a Board-approved nursing program with current licensure as a Registered Nurse ( RN ) or Licensed Practical Nurse (LPN) in ... * Obtains documentation relevant to denials avoidance related to the Recovery Audit program, the Comprehensive Error Rate Testing (CERT) program, and other… more
- Granville Health System (Oxford, NC)
- …of CDI. Required:# Graduation from a Board-approved nursing program with current licensure as a Registered Nurse ( RN ) or Licensed Practical Nurse (LPN) ... indicators. #Obtains documentation relevant to denials avoidance related to the Recovery Audit program, the Comprehensive Error Rate Testing (CERT) program, and… more
- UCHealth (Denver, CO)
- Description Revenue Recovery RN Location: Colorado. This may be...3 years experience. + CO State licensure as a Registered Nurse ( RN ). + 3 years ... must reside in Colorado. Department: UCHlth Denials Management Payer Audit FTE: Full Time, 1.0, 80.00 hours per pay...payors to recover denials. Coordinates with payors to conduct RN reviews and facilitates MD to MD peer reviews… more
- Immigration and Customs Enforcement (Jena, LA)
- …preferred. Qualifications-Licenses and Certifications Required: Nursing License- Must be a Registered Nurse ( RN ). Maintains current/documented professional ... adequacy of care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery ; and developing policy guidance for nursing care reviews… more
- Immigration and Customs Enforcement (Pearsall, TX)
- …preferred. Qualifications-Licenses and Certifications Required: Nursing License- Must be a Registered Nurse ( RN ). Maintains current/documented professional ... adequacy of care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery ; and developing policy guidance for nursing care reviews… more
- Immigration and Customs Enforcement (Tacoma, WA)
- …preferred. Qualifications-Licenses and Certifications Required: Nursing License- Must be a Registered Nurse ( RN ). Maintains current/documented professional ... adequacy of care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery ; and developing policy guidance for nursing care reviews… more
- Immigration and Customs Enforcement (IN)
- …preferred. Qualifications-Licenses and Certifications Required: Nursing License- Must be a Registered Nurse ( RN ). Maintains current/documented professional ... adequacy of care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery ; and developing policy guidance for nursing care reviews… more
- Covenant Health Inc. (Knoxville, TN)
- …exerience strongly preferred. Licensure Requirement: Must have and maintain state registered nurse license. Employee must have a valid Tennessee ... communication. + Provides ongoing customer service to include service recovery related to patients, physicians, vendors etc + Ensures...of all documentation. May serve as member of the Audit Team. + Directs the staff to ensure OASIS… more
- Molina Healthcare (Meridian, ID)
- …care experience. **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION** : Active, unrestricted State Registered Nursing ( RN ) license in good standing. **PREFERRED ... for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse.… more
- Molina Healthcare (KY)
- …care experience. **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION** : Active, unrestricted State Registered Nursing ( RN ) license in good standing. **PREFERRED ... for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse.… more
- The County of Los Angeles (Los Angeles, CA)
- …practice as a clinical social worker, marriage and family therapist, psychologist, or registered nurse issued by the appropriate State of California licensing ... practice as a clinical social worker, marriage and family therapist, psychologist, or registered nurse issued by the appropriate State of California licensing… more
- Penn Medicine (Philadelphia, PA)
- …to deliver proper and safe patient care under the direct supervision of a Registered Nurse , CRNA, and/or Physician. Assists with transferring patients to and ... to all duties described in their job description. Trains and supports registered nurses to perform OR cleaning, set-up, instrument processing, HLD (high-level… 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
- 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
- Commonwealth Care Alliance (Boston, MA)
- …of quality incentives such as the Medicare Star Rating system and the recovery of the Quality Withhold. Major responsibilities of this position include completing ... equivalent experience **Desired Licensing (nice to have):** + Current unrestricted RN license in the Commonwealth of Massachusetts preferred **MA Health Enrollment**… more