- Elevance Health (Columbus, OH)
- **Anticipated End Date:** 2024-09-16 **Position Title:** RN Hospital Bill Audit /Appeal Lead **Job Description:** **RN Hospital Bill Audit /Appeal Lead ** ... eliminate and prevent unnecessary medical-expense spending. The **RN Hospital Audit /Appeal Lead ** is responsible for leading a...line policy edits. + Trains and provides guidance to nurse auditors and manages workflow and priorities for the… more
- Trinity Health (Columbus, OH)
- …to call your own in Columbus. Learn more at www.experiencecolumbus.com The Registered Nurse Clinical Lead will supervise all clinical staff and assist physicians ... person's physical, emotional, social and spiritual needs within the scope of the Ohio Nurse Practice Act. The Registered Nurse functioning in the spirit of… more
- Elevance Health (Topeka, KS)
- **Anticipated End Date:** 2024-11-01 **Position Title:** Nurse Case Manager Lead - Kansas **Job Description:** The Nurse Case Manager Lead is responsible ... and functions as preceptor for new care management staff. + Participates in audit activities and assists supervisor with management of day-to-day activities, such as… more
- Finger Lakes Community Health (Port Byron, NY)
- …between Ovid Community Health (primary location) and Geneva Community Health. The Registered Nurse (RN) is responsible for the overall management of nursing care for ... communication within the electronic health record system . The Lead RN will directly oversee nursing staff at the...lab orders/results, patient care goals, patient history, vitals + Audit progress notes to ensure all patient history and… more
- CommonSpirit Health Mountain Region (Durango, CO)
- …serving some of the most diverse communities across the nation, letting humankindness lead the way. Overview: You have a purpose, unique talents and now is ... Assist with training and coordinating clinical review and quality assurance. Lead and review the appropriateness of clinical care and documentation practices… more
- STG International (Milledgeville, GA)
- STGi is seeking a Licensed Practical Nurse /Licensed Vocational Nurse to provide services to our Georgia Ware Veterans Home. JOB SUMMARY: The primary purpose of ... the lead LPN/LVN is to provide direct nursing care to...facility meets the minimum staffing levels for nurses and nurse aides; complete required posting of nursing staff data… more
- LA Care Health Plan (Los Angeles, CA)
- …lead successful performance improvement projects. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California License ... Utilization Management Clinical Quality Nurse Reviewer RN II Job Category: Clinical Department:...during external audits as well as leads pre- and post- audit preparation/follow-up. This position actively participates in development and… 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
- WelbeHealth (Carson, CA)
- …IDT disciplines + In collaboration with CSD and Quality Improvement Director, serve as the audit lead for clinical and nursing elements during CMS/DHCS audit ... providing comprehensive medical care and community-based services. The WelbeHealth Clinical Nurse Manager is accountable for the delivery of high-quality ambulatory… more
- MyFlorida (Marianna, FL)
- REGISTERED NURSE SPECIALIST - 67043641 - SUNLAND - UNIT 3 CASE MANAGER Date: Aug 30, 2024 The State Personnel System is an E-Verify employer. For more information ... Agency: Agency for Persons with Disabilities Working Title: REGISTERED NURSE SPECIALIST - 67043641 - SUNLAND - UNIT 3...the qualities of being humble, hungry, and smart and lead others to embody the same. This entails lacking… more
- WellSpan Health (Chambersburg, PA)
- PRN Registered Nurse - Behavioral Health Inpatient Services - Day/Evening/Night Location: Chambersburg Hospital, Chambersburg, PA Schedule: PRN/Per Diem Behavioral ... Health Inpatient Services -Registered Nurse - PRN + 26-bed Inpatient Unit, providing psychiatric...and/or RRT. 11. Demonstrates ability to perform CIWA, AIMS, DAST/ AUDIT , and Suicide Risk Assessment. 12. Performs Physical Systems… more
- Immigration and Customs Enforcement (IN)
- …of care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery; and developing policy guidance for nursing care reviews conducted ... and Certifications Required: Nursing License- Must be a Registered Nurse (RN). Maintains current/documented professional licensure. (It is the responsibility… more
- Paccar Winch Inc. (Mckinney, TX)
- Occupational Health Nurse (LPN / RN) Apply now " Apply now + Apply Now + Start applying with LinkedIn Start + Please wait Date: Sep 3, 2024 Location: McKinney, TX, ... located at the McKinney, TX facility. The Occupational Health Nurse (LPN/RN) will be an independent and organized member...compensation + Timely response to completion of safety items, audit findings, employee concerns, and near misses + Conduct… more
- State of Nevada (NV)
- HEALTH CARE COORDINATOR 2 - NURSE APPROXIMATE ANNUAL SALARY - $67,296.24 to $100,098.72 PAY GRADE: 36 For more information on benefit and retirement programs, please ... at this level may intermittently serve as the project lead of a case management team, function as coordinator...further serious occurrences. This position performs Minimum Data Set audit reviews on Skilled Nursing Facilities to assess the… more
- WellSpan Health (Lebanon, PA)
- Registered Nurse , Special Projects (Outpatient) - Ambulatory Clinical Support - South 4th Street Location: WellSpan Medical Group, Lebanon, PA Schedule: Full Time ... process- observation, supporting system objectives, patient outreach and chart review/ audit , Review of literature to support evidence based practice across… more
- MTA (New York, NY)
- Staff Nurse Job ID: 8357 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: Occupational Health Services ... Date Posted: Jul 31, 2024 Description JOB TITLE: Staff Nurse SALARY : $ 87,000 DEPT/DIV: Occupational Health Services...Records test data into electronic Medical Records system + Audit all data entries . + May administer Hepatitis… more
- Wellpath (Indianapolis, IN)
- …in accordance with HIPAA regulations. **Key Responsibilities** * Establish and lead a multidisciplinary quality improvement committee, preparing audit reports ... of care support. **How you make a difference** The Quality Assurance Nurse (QA Nurse ) is responsible for overseeing and coordinating clinical activities in the… more
- Dialysis Clinic, Inc. (Grand Junction, CO)
- …with a lower caregiver-to-patient ratio than other providers. The **Dialysis Nurse Educator** **(RN)** provides initial and ongoing professional training and ... policies and procedures with guidance from medical director and clinic manager + Lead classroom theory training for patient care staff new to dialysis + Verify… more
- Dialysis Clinic, Inc. (Albuquerque, NM)
- …with a lower caregiver-to-patient ratio than other providers. The **Dialysis Nurse Educator** (RN) provides initial and ongoing professional training and education ... policies and procedures with guidance from medical director and clinic manager + Lead classroom theory training for patient care staff new to dialysis + Verify… more
- The Hershey Company (KS)
- …Kansas (Supporting Lawrence, Edgerton, and Lenexa Plants) The Sr. Occupational Health Nurse position is responsible for managing the day to day operations and ... HR. Council employees for work and non-work-related issues. * Lead , develop, and perform audits in relation to compliance...STD, LTD and Workers Compensation. * Participate on Global Audit Team for topics including FMLA, STD, LTD, and… more