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Working remotely, the full-time Clinical Validation Auditor RN will apply expert knowledge of MS-DRG and APR-DRG coding methodologies to audit inpatient claims, validate ICD-10 codes, and identify overpayments while composing rationales to support...

Company Overview: Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team from...

Licensed Practical Nurse (LPN) – Hospice Care Location: Central Ohio Schedules to choose from: Offering 36-40 Hours a week / Schedule can consist of 3 - 12-hour shifts from 7p-7a or may work 8 hour...

Job Description: Participates in the development and ongoing implementation of QM Work Plan activities. Improve quality products and services, by using measurement and analysis to process, evaluate and make...

Do you want to work for a company that Forbes named one of the Top 50 Most Innovative Companies? Are you looking to fast-track your career with one of LinkedIn's top companies in the U.S.? If so, keep reading! Title of Job: Remote...

Evaluating medical necessity and appropriateness for claims, the full-time State Licensed Legal Nurse will review liability demand packages, analyze medical records, and support negotiation and litigation efforts in a remote environment.Key...

Include the following, other duties may be assigned: Provides health education to families through workshops, parent meetings, handouts, etc. Utilizes and inputs data in Child Plus or designated HS software program. Documents all communication with...

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is...

Explore opportunities with Caretenders, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the...

Medical Analyst The Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking an experienced Registered Nurse to serve as a Medical Analyst in its Syracuse office. Medical Analysts support the...

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OverviewResponsible for collaboration with the Practice Manager to ensure consistent supervision of the staff.ResponsibilitiesResponsible for collaboration with the Practice Manager to ensure consistent supervision of the...

To support clinical auditing efforts, the full-time RN Clinical Auditor will perform retrospective chart reviews on Readmission and Place of Service Claims, utilizing clinical guidelines and proprietary systems while maintaining productivity and...

A prominent healthcare provider in Bellaire is seeking a PRN Utilization Management Review Nurse. This role involves evaluating medical services, ensuring appropriate care levels, and collaborating with healthcare teams. Candidates must hold a...

Job Id: 65711 Public Health Nursing Consultant 1 Location: Hybrid, 7th Floor Andrew Johnson Tower Nashville, Tennessee 37243-0000 Client: TN DOH Duration: 12 Months Job Description: The Neonatal Abstinence Syndrome (NAS) Surveillance Program...

Care Management Nurse (NY License Required) - Remote Title: Care Management Nurse (NY License Required) - Remote Location: Remote About Us: Mobile Primary Care is a home-based primary care practice that specializes in...

Work as a member of a strong team to provide nursing care for the comfort and wellbeing of patients. Performs the functions and procedures as identified by the physician. Utilizes the Nursing Process (Assessment, Planning, Implementation and...

Build your own schedule. Take control of your career. Looking for LPN jobs that fit your life? If you're tired of having no control over your schedule or just want to earn more money, PRN shifts could be what you're looking for! ShiftKey...

Santa Barbara Cottage Hospital is seeking a dedicated Nurse Practitioner to join their innovative Telehealth team. In this role, you will connect with patients via over-the-phone consultations, performing thorough assessments and creating...

Telehealth Nurse Practitioner | Remote 1099 | Structured Intake & Care Navigation Baba is rebuilding healthcare for older adults. Navigating healthcare can be overwhelming. By 2030, over 65 million older adults will make up nearly a...

The Case Management Society of America (CMSA) ® is looking for a PRN Utilization Management Review Nurse in Bellaire, Texas. This position involves evaluating the necessity and efficiency of medical services, working with payers on...

When you join Sunrise Senior Living, you will be able to use your unique skills to empower residents to live longer, healthier, and happier lives. Not only will you build meaningful relationships with residents, their families, and team members...

Job Description Summary **REMOTE POSITION, ROTATING NIGHTS/WEEKENDS/HOLIDAYS, REQUIRES HIGHLY MOTIVATED INDIVIDUAL** Training required for this position is a minimum of 3 months and takes place on-site, downtown Charleston...

JOIN TEAM TRILOGY: At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of...

Requisition number: 2364700 Job category: Nursing Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health...