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A company is looking for an Inpatient DRG Auditor / Coder (RN and Non RN).Key ResponsibilitiesPerform inpatient DRG auditing and coding reviewsAnalyze disease processes and clinical indicators affecting DRG assignmentReview audit outcomes and...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help...

A company is looking for a Clinical Faculty, Graduate Nursing Practicum.Key ResponsibilitiesTeach and manage up to ten course sections annually in graduate nursing, focusing on practicum and leadership/education coursesMentor and support adjunct...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...

Overview: This position will oversee the partnership between KIPP Columbus Academy and our School Based Primary Care, Dental, and Vision Center located on KIPP's Campus. The RN Site coordinator will maintain all partnership meetings...

A company is looking for a Virtual Nurse Educator for NCLEX Services.Key ResponsibilitiesProvide one-on-one online instruction to support participants preparing for NCLEXUnderstand and assist customers with ATI products and solutionsImplement...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help...

Overview: This position will work in our School Based Health Centers in Franklin County. Hours are between 7-4 depending on the site. Days are M-F depending on the site. More details will be discussed during the interview.

A company is looking for a Utilization Management RN to ensure efficient healthcare resource use while promoting quality patient care.Key ResponsibilitiesCoordinate with healthcare teams to assess and monitor the delivery of healthcare...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...

A company is looking for a Clinical Review Nurse - Correspondence.Key ResponsibilitiesDrafts correspondence letters based on clinical review outcomes in accordance with NCQA standardsInvestigates denials and provides supplemental information to...

Overview: MS/MSN required Minimum 6 years of nursing experience required 1.0 fte/40 hours per week Job Description Summary: The Professional Development Education Nurse Specialist develops tools,...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help...

A company is looking for a Clinical Review Nurse - Concurrent Review.Key ResponsibilitiesPerform concurrent reviews to assess member health and appropriate care levelsReview quality and continuity of care, including discharge planning and resource...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover...

A company is looking for a Utilization Management Director - RN Required - Remote.Key ResponsibilitiesOversee day-to-day operations of the Utilization Management Department to ensure compliance with payer requirements and regulatory...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help...

A company is looking for a Call Center Nurse RN, HouseCalls - Remote.Key ResponsibilitiesPerform telephonic outreach to members for follow-up post HouseCalls visitEnsure members have scheduled appointments with their Primary Care Provider and...

A company is looking for a Nurse Auditor.Key ResponsibilitiesPerform charge audits and assessments to resolve incorrect or missing chargesMonitor revenue loss reports and identify documentation needs to support charge captureEducate stakeholders...

A company is looking for a Nurse Case Manager (WC and PIP).Key ResponsibilitiesNegotiate fees and coordinate referrals with rehabilitation and medical case management vendorsGather, analyze, and report service data significant to clients and...

A company is looking for a Clinical File Review Specialist (RN) to support physician reviewers by analyzing complex medical records in a remote, non-patient-facing role.Key ResponsibilitiesReview medical records for disability, workers'...

A company is looking for a Utilization Management Nurse.Key ResponsibilitiesCoordinate and facilitate correct identification of patient statusConduct concurrent and retrospective reviews and support the medical necessity denial and appeal...