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Nurse Jobs





Job info
 
Location
Fort Wayne, IN
Posted Date
Sep 02, 17
Info Source
Employer  - Full-Time   

Clinical Documentation Specialist (RN)-Hleath Information Management','1748633','Lutheran Health Network encompasses eight separately licensed hospitals and nearly 1,000 inpatient beds, including 793 in Allen County alone. The foundation of LHN is an experienced ..

 
Location
Rancho Cucamonga, CA
Posted Date
Sep 03, 17
Info Source
Employer  - Full-Time   

Medical Audit Coord, RN Spec','625654','Aug 29, 2017','!*!Review claims for services obtained outside of Kaiser facilities for compliance with health plan service agreement with members; identifies health plan claims with potential quality ..

 
Company
Location
Manchester, NH
Posted Date
Sep 08, 17
Info Source
Employer  - Full-Time   

POSITION SUMMARY The Senior Compliance Audit Analyst RN plays an important role in a high-profile group tasked with handling all commercial and government audit processes. Performs auditing services for Elliot Health ..

 
Location
Rancho Cucamonga, CA
Posted Date
Sep 21, 17
Info Source
Recruiter  - Full-Time   

Qualifications Requirements: MUST be RN with clear/active license in CA 2 years of auditing experience with a background in quality/auditing - NCQA, MOC, CMS 2 years of Utilization Management experience *MO25..

 
Company
Location
Seattle, WA
Posted Date
Sep 23, 17
Info Source
Employer  - Full-Time   

nAnthem, Inc. is the nation's leading health benefits company serving the needs of approximately 40 million medical members nationwide. Your Talent. Our Vision. At Amerigroup, a proud member of the Anthem, ..

 
Location
Philadelphia, PA
Posted Date
Sep 26, 17
Info Source
Employer  - Full-Time   

PA Field HEDIS Nurse Responsibilities will include: Visit physicians’ offices to retrieve and review specific requested documentation from medical records Scan relevant components of the medical record to support reviews performed ..

 
Location
Philadelphia, PA
Posted Date
Sep 28, 17
Info Source
Employer  - Full-Time   

nRegistered HEDIS Nurse Responsibilities will include:nnnnn Visit physicians’ offices to retrieve and review specific requested documentation from medical recordsn n Scan relevant components of the medical record to support reviews performedn ..

 
Location
Houston, TX
Posted Date
Sep 29, 17
Info Source
Employer  - Full-Time   

Revenue Integrity Nurse Auditor','1702277','!*!JOB SUMMARY:Assist in resolving billing ... UB04 fields. The Revenue Integrity Nurse Auditor position interprets policies and ... requirement.LICENSE/REGISTRATION/CERTIFICATION: LVN RNEDUCATION & TRAINING:Registered Nurse Degree, a plusSKILLS:..

 
Location
Irving, TX
Posted Date
Sep 30, 17
Info Source
Employer  - Full-Time   

nDescriptionnDuties and Responsibilities:nnThe Quality Clinical Auditor will conduct, review, analyze and summarize findings of audit plans for internal business units and delegated partners and entities on a monthly, quarterly and/or annual ..

 
Location
Melville, NY
Posted Date
Sep 30, 17
Info Source
Employer  - Full-Time   

Company Statement Careers at EmblemHealth: For nine decades, EmblemHealth has been making quality health care accessible and affordable for New Yorkers, and helping to make life better in the communities we ..

 
Location
Arlington, VA
Posted Date
Sep 30, 17
Info Source
Employer  - Full-Time   

nABOUT THE POSITION We are currently seeking a dynamic Clinical Services Quality Auditor to join our team.  The Clinical Services Quality Auditor will ensure the delivery of excellent service to internal ..

 
Company
Location
Indianapolis, IN
Posted Date
Oct 02, 17
Info Source
Employer  - Full-Time   

nJOB SUMMARY: The Revenue Integrity Auditor is responsible for pre- and post-payment auditing of medical records and associated clinical documentation to ensure proper charge capture, billing in accordance with standard billing ..

 
Company
Location
Louisville, KY
Posted Date
Oct 02, 17
Info Source
Employer  - Full-Time   

Clinical Auditor - RN','181993','US-KY-Louisville','US-Texas-Austin, US-Mississippi-Ridgeland','Virtual/Work At Home','Virtual/Work At Home','Full-time','','!*!Role: Clinical Auditor, RN Location: Work at Home   Humana’s dream is to help our members and our own associates achieve lifelong well-being. Use ..

 
Company
Location
Nashua, NH
Posted Date
Oct 03, 17
Info Source
Recruiter  - Full-Time   

Required Qualifications: Must have sound understanding of ICD-9-CM and CPT coding systems; prospective reimbursement system. Ability to review and analyze issues related coding, billing and medical record documentation. Excellent interpersonal and ..

 
Job title
Company
Location
Atlanta, GA
Posted Date
Oct 04, 17
Info Source
Recruiter  - Full-Time   

Grady Health System offers many career paths for experienced professionals. Whether you have many years of experience or are in the early stages on your career, you can find a rewarding ..

 
Company
Location
Louisville, KY
Posted Date
Oct 05, 17
Info Source
Employer  - Full-Time   

Role: Clinical Auditor, RN Location: Work at Home Humanau2019s dream is to help our members and our own associates achieve lifelong well-being. Use your clinical experience to work with patients and ..

 
Company
Location
Louisville, KY
Posted Date
Oct 05, 17
Info Source
Employer  - Full-Time   

nRole: HCS Compliance & Risk Management Quality Audit Program ManagernAssignment: Healthcare Services (Clinical) nLocation: Louisville, Hum Tower Healthcare isnu2019t just about health anymore. Itu2019s about caring for family, friends, finances, and ..

 
Company
Location
Ewing, NJ
Posted Date
Oct 08, 17
Info Source
Recruiter  - Full-Time  

Job Description: Prefers RN's with HEDIS experience Job Summary: This position is responsible for conducting quality audits for state audits, HEDIS and quality referral and complaints issues. This position is also ..

 
Location
San Antonio, TX
Posted Date
Oct 11, 17
Info Source
Employer  - Full-Time   

Position Description There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a ..

 
Location
Charleston, WV
Posted Date
Oct 13, 17
Info Source
Employer  - Full-Time   

Peer Review Clinical Auditor- Stonerise Therapy Summary: Responsible for the providing clinical recommendations driven by multidisciplinary outcome data to guide care. Provides education and training to directors of rehabilitation and clinicians ..

 
Job title
GRANTED JOB
Location
Spartanburg, SC
Posted Date
Oct 14, 17
Info Source
Employer  - Full-Time   

Profile More Jobs RN Clinical Auditor Per Diem 8a - 4:30p Days (weekends as needed) ADN Required; BSN Preferred Registered Nurse State of South Carolina Current SC Nursing License required and ..

 
Job title
GRANTED JOB
Location
Kennebunk, ME
Posted Date
Oct 16, 17
Info Source
Employer  - Full-Time   

Full Time Shift: Day Shift Hours: Job Details: Position Summary This position is part of the Physician Services Revenue Integrity and the Physician Services Coding department that provides the coding and ..

 
Company
Location
Albuquerque, NM
Posted Date
Oct 18, 17
Info Source
Employer  - Full-Time   

nContract opportunity with a Major Health Plan located at their Albuquerque, NM location.  Working with annual HEDIS medical record retrieval process. Nurses and Coders are needed to conduct abstraction of medical ..

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