- Elevance Health (Atlanta, GA)
- **Diagnosis Related Group Clinical Validation Auditor -** ** Registered Nurse ** **Location:** This position will work a hybrid model (remote and office). ... and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a… more
- Catholic Health Initiatives (Chattanooga, TN)
- …with us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding with an ... met at the highest level. The Sr Coding Compliance Auditor 's primary focus will be to facilitate and ensure...assist with educating providers on quality opportunities as well. Clinical background preferred but not required. **Essential Key Job… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and visitors. **Education and experience requirements:** + Bachelors degree required. + Clinical background preferred (ie, LPN, RN , etc.). + Current Certified ... mentorship and leadership programs + And more! **Description** Reporting to the Manager , Compliance Audit and Analysis, develops and executes audit, monitoring, and… 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 ... compliance with the Plan's SNP policies and MOC requirements. Clinical staff who do not complete the required annual...to the Health Services Department / UM Medical Care Manager a monthly report of activities performed.15. Attends all… more
- Molina Healthcare (Ypsilanti, MI)
- **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must live and have a current active unrestricted RN license in the ... QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Improvement ( Registered Nurse ) contributes to one or more of… more
- Molina Healthcare (IA)
- **_JOB TITLE: Sr. Specialist, Quality Improvement RN ( REGISTERED NURSE )_** **_For this position we prefer someone with 5 - 7 years hospital clinical ... QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Improvement ( Registered Nurse ) contributes to one or more of… more
- Baystate Health (Westfield, MA)
- …to: **Cole Courtemanche, Healthcare Recruiter** **###@baystatehealth.org** **Summary:** Reports to the Nurse Manager but daily activities are coordinated by the ... **10)** Observes cardiac monitors. Identifies and reports irregular rhythms to registered nurse for interpretation and intervention. Records and processes… more
- Baystate Health (Springfield, MA)
- …incentive payments that may be applicable to this role.** **Summary:** **Reports to the Nurse Manager but daily activities are coordinated by the charge nurse ... communication with NEOPO and related paperwork in conjunction with RN . Screen calls for clinical team and...by Zoned Hospitalist. Make available the unit based assignment ( RN /Case Manager /Social Worker as well as covering… more
- Baystate Health (Springfield, MA)
- …any incentive payments that may be applicable to this role. Summary: Reports to the Nurse Manager but daily activities are coordinated by the charge nurse . ... communication with NEOPO and related paperwork in conjunction with RN . Screen calls for clinical team and...by Zoned Hospitalist. Make available the unit based assignment ( RN /Case Manager /Social Worker as well as covering… more
- Baystate Health (Springfield, MA)
- …appropriate, coordinates communication with NEOPO and related paperwork in conjunction with RN . Screen calls for clinical team and facilitate communication of ... by Zoned Hospitalist. Make available the unit based assignment ( RN /Case Manager /Social Worker as well as covering...forms, etc. **8)** Unit Resource: Post/file MD schedules for clinical team inquiry. In coordination with charge nurse… more
- Molina Healthcare (Columbus, OH)
- …activities and results to identify opportunities for improvement. + Surfaces to Manager and Director any gaps in processes that may require remediation. + ... Excel and Visio (flow chart equivalent). **Preferred Education** Preferred field: Clinical Quality, Public Health or Healthcare. **Preferred Experience** + 1 year… more
- Molina Healthcare (NM)
- …activities and results to identify opportunities for improvement. * Surfaces to Manager and Director any gaps in processes that may require remediation. * ... Excel and Visio (flow chart equivalent). **Preferred Education** Preferred field: Clinical Quality, Public Health or Healthcare. **Preferred Experience** 1 year of… more
- Molina Healthcare (Cambridge, MA)
- …activities and results to identify opportunities for improvement. + Surfaces to Manager and Director any gaps in processes that may require remediation. + ... Excel and Visio (flow chart equivalent). **Preferred Education** Preferred field: Clinical Quality, Public Health or Healthcare. **Preferred Experience** 1 year of… more
- Molina Healthcare (Flint, MI)
- …activities and results to identify opportunities for improvement. + Surfaces to Manager and Director any gaps in processes that may require remediation. + ... Excel and Visio (flow chart equivalent). **Preferred Education** Preferred field: Clinical Quality, Public Health or Healthcare. **Preferred Experience** 1 year of… more
- Molina Healthcare (Seattle, WA)
- …activities and results to identify opportunities for improvement. + Surfaces to Manager and Director any gaps in processes that may require remediation. + ... and Visio (flow chart equivalent). **Preferred Education** Preferred field: Clinical Quality, Public Health or Healthcare. **Preferred Experience** + Understanding… more