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Registered Nurse Clinical Consultant
enhance Coding Validation processes and assist in quality assurance activities Support the Clinical Services team with implementation and testing of Coding Validation guidelines and policies Required Qualifications Associate or Bachelor's degree in Nursing...with an active/unrestricted RN license Professional coder certification (CPC, CPC-H, CPC-P, or CCS-P), RHIT, or RHIA certification required 2+ years of clinical experience as a Registered Nurse 1+ years of experience in Coding Validation and claimsOklahoma Licensed Appeal Nurse
A company is looking for an Appeal Nurse Associate - Remote.Registered Nurse Telephonic Case Manager
A company is looking for a Registered Nurse - Telephonic Case Manager....with an unrestricted nursing license and multi-state/compact privileges 3+ years of clinical/nursing practice experience 1+ year of medical case management, care coordination, or discharge planning experience Proficiency in using personal computersRegistered Nurse Telephonic Case Manager
A company is looking for a Registered Nurse - Telephonic Case Manager....with an unrestricted nursing license and multi-state/compact privileges 3+ years of clinical/nursing practice experience 1+ year of medical case management, care coordination, or discharge planning experience High-speed internet access with the abilityClinical Auditor DRG Certification
Utilize proprietary auditing systems to make determinations and generate audit documentation Meet productivity and accuracy standards while identifying potential new claim types for recovery Required Qualifications Associate or bachelor's degree in nursingQuality Program Strategist
, Public Health, or a related clinical field, or equivalent experience 2+ years of clinical experience or managed care Health insurance experience required; 1+ year of quality experience preferred Registered Nurse, Licensed Practical Nurse, Licensed...Vocational Nurse, or Licensed Clinical Social Worker preferred; CPHQ preferredArizona Licensed Clinical Trainer
expertise to educate staff on best practices and decision-making Evaluate training effectiveness and collaborate on special projects to support enterprise growth and new clinical initiatives Required Qualifications Completion of an accredited Registered Nurse...(RN) Program and an Associate's or Bachelor's Degree in Nursing, or a related field 2 or more years of experience in case, disease, or utilization management; managed care; or medical/behavioral health settings One year of experience in training deliveryQuality Program Strategist
initiatives Assist stakeholders in determining root causes of business issues and recommend solutions Ensure implementation of strategic programs alongside key stakeholders to enhance quality rating systems Required Qualifications Bachelor's degree in NursingQuality Program Strategist
Assist stakeholders in determining root causes of business issues and recommend solutions Ensure implementation of strategic programs and initiatives to enhance quality rating systems and business value Required Qualifications Bachelor's degree in NursingSouth Carolina Licensed Clinical Informatics Analyst
in a professional health care discipline Three years Company clinical experience and two years Company clinical informatics experience Epic Certification required within 6 months Company hire/transfer Active licensure in discipline by the Company Board Company Nursing
