- Actalent (St. Louis, MO)
- The Quality Improvement Auditor RN will be responsible for leading medical record audits, monitoring and analyzing clinical documentation, and modifying ... or equivalent experience 3+ years of nursing or quality improvement experience. Licenses/Certifications Current state's RN license About Actalent Actalent… more
- Actalent (St. Louis, MO)
- Quality Improvement Auditor ( RN ) Position Purpose: Lead medical record audits, monitor and analyze clinical documentation, and modify business processes ... or equivalent experience. 3+ years of nursing or quality improvement experience. Licenses/Certifications: Current states RN license. Work Environment: 100%… more
- LA Care Health Plan (Los Angeles, CA)
- …Computer ease & literacy with Word, Excel, PowerPoint Skills. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Delegation Oversight Clinical Auditor RN II Job Category: Clinical...of delegated entities. This position assist in maintaining continuous quality improvement in the Delegation Oversight Clinical… more
- Somatus (Mclean, VA)
- …physical and mental well-being + Community engagement opportunities + And more! The Quality Auditor effectively and efficiently manages a diverse workload in a ... fast- paced, rapidly growing environment. The Quality Auditor provides support to the local...or renal care setting is a must. * Current Registered Nurse compact state licensure and other… more
- Houston Methodist (Cypress, TX)
- …auditing in a surgical or hospital setting **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact ... At Houston Methodist, the Nurse Auditor position is responsible auditing...State Licensure within 60 days **OR** + RN -Temp - Registered Nurse -… more
- Elevance Health (Columbus, OH)
- …would provide an equivalent background. + Requires current, active, unrestricted Registered Nurse license in applicable state(s). **Preferred Skills, ... **Diagnosis Related Group Clinical Validation Auditor ** **Location:** This position will work a hybrid...and Hospital-Acquired Conditions (HACs). + Suggests and develops high quality , high value, concept and or process improvement… more
- Grace Healthcare Services (Edison, NJ)
- …towards achieving and maintaining compliance through other clinical quality improvement initiatives. QUALIFICATIONS: NJ Registered Nurse or Licensed ... highest level of dignity and grace. PURPOSE: The Compliance Auditor is an experienced nurse to oversee...to improve outcomes for our patients. This position supports quality and safety initiatives and improvement measures.… more
- Rising Medical Solutions (Chicago, IL)
- …business was born - and continues to thrive. Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark in the world of medical cost ... team and maximize client savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance,… more
- Molina Healthcare (Milwaukee, WI)
- …a report summary of audit findings. + Collaborates with the development, process improvement and ongoing quality management of the LTC-FS processes, and complete ... **Job Description** **Job Summary** The Auditor , Eligibility Screening is responsible for providing support...School of Nursing, must have an active, unrestricted Wisconsin Registered Nursing ( RN ) license in good standing… more
- InnovaCare (San Juan, PR)
- …reports identified quality issues to the health plan's and hospital's Quality Improvement Department.9. Initiates the initial discharge assessment to all ... MMM Holdings, Inc.Job Description Inpatient Unit POSITION: Concurrent Review Nurse (CRN) POSITION DESCRIPTION Manages the inpatient utilization of healthcare… more
- Blue KC (Workman, MN)
- …to auditors. + Acts as primary coding resource for all HEDIS(R) & quality improvement related reporting activities. + Responsible for maintaining inter rater ... adoption financial assistance** **Employee discount program** **Job Description Summary:** The Quality Performance Analyst RN provides clinical interpretation of… more
- Baystate Health (Springfield, MA)
- …Team Operations Associate Cardiac Monitor Tech will function in a supportive role to a registered nurse and work collaboratively with the health care team in the ... **Baystate Health, a nationally recognized leader in healthcare quality and safety,** **is looking for an Operations...a long and proud tradition of continuous learning and improvement . We educate and train hundreds of healthcare workers… more
- Molina Healthcare (South Florida, FL)
- **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement ... Quality Interventions / QI Compliance contributes to one or more of these quality improvement functions: Quality Interventions and Quality … more
- Molina Healthcare (CA)
- **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement ... QI Compliance contributes to one or more of these quality improvement functions: Quality Interventions...**Preferred License, Certification, Association** + Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may… more
- MyFlorida (Tallahassee, FL)
- …to key performance indicators. Reports findings to management. Must be licensed as a Registered Nurse in the state of Florida. Florida Statutes Reference: 464, ... Health Nursing Experience + Must be licensed as a Registered Nurse in the state of Florida....customers & engaging our partners. E xcellence: We promote quality outcomes through learning & continuous performance improvement… more
- Baystate Health (Springfield, MA)
- **Baystate Health, a nationally recognized leader in healthcare quality and safety,** **is looking for a Full Time Operations Associate Cardiac Monitor Technician to ... Springfield, MA **THE ADVANTAGES OF WORKING WITH BAYSTATE!** + Excellent Compensation High- quality , low-cost medical, dental and vision insurance + Generous PTO - up… more
- Molina Healthcare (NM)
- **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and ... education programs specific to the Provider Network; ensures maintenance of Provider Quality Improvement programs in accordance with prescribed quality … more
- Carle (Urbana, IL)
- …Bachelor's Degree in Nursing or Healthcare-related field CERTIFICATION & LICENSURE REQUIREMENTS Registered Professional Nurse ( RN ) License Illinois upon hire ... systems standards relative to patient safety. Leads and supports quality and safety performance improvement initiatives and...setting Essential Functions: + Serves as a DNV ISO-9001 auditor . + Serves on Patient Safety related committees and… more
- Commonwealth Care Alliance (Boston, MA)
- …members of the Compliance team, oversees the development, delivery, and ongoing improvement of CCA's privacy and security compliance training and education programs. ... business support services to support the development, updating and continuous improvement of CCA's business resilience and continuity policies, procedures, and… more