- VitalCore Health Strategies (Monroe, MI)
- …Medical Audit Committee and facilitates the monthly meetings. Ensures compliance with ACA and/or NCCHC standards and VitalCore clinical services and ... Health Care has an opening for aHealth Services Administrator / Registered Nurse atMonroe County Jail in Monroe, Michigan AtVitalCorewe pride ourselves on retaining… more
- Senior Living Communities (Brunswick, GA)
- …RN This management position is responsible for providing some direct care and compliance support for nursing as well as conducting marketing and outreach directly to ... Foley Catheter Insertion: Male or Female Resident, Winyah Medication Administration Audit tool, Oxygen Administration, Dressings, Dry/Clean - Wound, Feeding Tube,… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the health ... studies. Ensures the requirements are met for subject enrollment and compliance from entry through follow up, investigator participation, data report submission… more
- LHC Group (Olympia, WA)
- LHC Group is seeking a Registered Nurse (RN) Home Health Director of Nursing for a nursing job in Olympia, Washington.Job Description & RequirementsSpecialty: ... administrative practices, agency philosophy, goals, and policies which assure compliance with applicable state and federal regulations; enhancing the profitability… more
- Cambia Health Solutions, Inc (Portland, OR)
- …health care system. Who We Are Looking For: Every day, Cambia's dedicated Clinical Audit team is living our mission to make health care easier and lives better. ... As a member of the Clinical Audit team, the Payment Integrity RN (I) conducts post...years (or full time equivalent) of direct clinical careRegister Nurse (RN) license (must have a current unrestricted RN… more
- Pacer Staffing (Atlanta, GA)
- …Works with Clinical Operations Managers and Directors to develop and implement audit tools for evaluating staff compliance desk procedures and accreditation ... of practice research and focused studies; and conducts process audit . Trains staff on RM and UM processes and...Develops and maintains UM and RM desk procedures ensuring compliance with TRICARE Operational Manuals and best practices. Trains… more
- Pacer Staffing (Atlanta, GA)
- …procedures, conducts standards of practice research and focused studies; and conducts process audit . Trains staff on RM and UM processes and assists with monitoring ... and techniques for measuring outcomes. Education & Experience Required: . Registered Nurse , with current unrestricted license in appropriate state . 4+ years… more
- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** The Compliance Audit Nurse is responsible for auditing care management activities and ... documentation to ensure adherence to policies, procedures, and regulations. The Compliance Audit Nurse work assignments are varied and frequently require… more
- BrightSpring Health Services (Louisville, KY)
- Our Company BrightSpring Health Services Overview The Clinical Coding and Audit Specialist monitors, responds and performs the clinical coding and audit support ... + Code diagnosis accurately utilizing ICD-10 for purposes of reimbursement and compliance within coding regulations and guidelines + Identify problems and follow up… more
- Baptist Memorial (Memphis, TN)
- Summary Medicare / Medicaid Appeals Registered Nurse reviews and evaluates medical documentation to support billing compliance and external regulatory ... care experience and 3 years in Medicare billing environment. Previous audit experience, knowledge of InterQual and Medicare Billing practices. Minimum: Required… more
- Houston Methodist (Cypress, TX)
- At Houston Methodist, the Nurse Auditor position is responsible auditing and reconciling patient charts (ie medical record) on a daily basis or upon request from ... Risk Management, Revenue Cycle, and other hospital entities needing completion of audit for reasons of treatment, payment or operations to ensure accuracy and… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Clinical Quality Nurse Reviewer RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... to achieve that purpose. Job Summary The Utilization Management Clinical Quality Nurse Reviewer RN II, under the purview the Utilization Management (UM) Department… more
- Veterans Affairs, Veterans Health Administration (Amarillo, TX)
- …that use RMD, facilitating review/revision of all RME SOPs, developing and applying audit tools and other mechanisms to validate compliance with internal and ... represents SPS and RMD on Environment of Care (EOC) Rounds. Facilitates VI 7 OSP Audit Tools for facility led inspections. Submits findings to SPS Chief and VI 7.… more
- Tenet Healthcare (Detroit, MI)
- …legal and ethical standards, and as directed, implementing external and internal audit recommendations. Monitors activities to ensure compliance with applicable ... Trauma Nurse Practitioner Per Diem Rotate - 2406002282 Description...quality trauma care delivery 5. Demonstrates knowledge of and compliance with trauma policies E. PROFESSIONAL 1. Maintains current… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 240830-5613FP-001 Location Middletown, CT Date Opened 9/5/2024 12:00:00 AM Salary $86,261 ... is accepting applications for one (1) full-time Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=&R3=) position, in Middletown, CT. We welcome… more
- Immigration and Customs Enforcement (Pearsall, TX)
- …care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery; and developing policy guidance for nursing care reviews conducted by ... 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 (Salt Lake City, UT)
- …support personnel to solve patient care and staff issues Assist the Nurse /Clinical Manager in monitoring unit/clinic for compliance with applicable performance ... Summary The Assistant Nurse Manager position is an exempt entry-level management...hospital policies and procedures to staff, physicians, and others Audit charts for complete documentation as required for specific… more
- Immigration and Customs Enforcement (Miami, FL)
- …care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery; and developing policy guidance for nursing care reviews conducted by ... 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 (West Palm Beach, FL)
- …has been amended to update the Contact Information Responsibilities In compliance with VA Policy & union requirements/recommendations for Title 38 clinical ... and cleaning of anesthesia equipment. Translates the principles of professional nurse anesthesia practice into appropriate patient care. Performs the pre-anesthetic… more
- Elderwood (Hamburg, NY)
- Salary $38.00 - $48.50 / hour Overview Elderwood is seeking a Registered Nurse to join our clinical team as a RN MDS Nurse . LPNs, with the right skill set, will ... be considered as well. MDS Nurse - Position Overview: + An MDS ...completion and submission of Minimum Data Set (MDS). + Compliance with Federal and State requirements, and facility policies.… more
