RN Clinical Quality AuditorVirtualVocations • Rockford, Illinois, United States
No se aceptan más aplicaciones
RN Clinical Quality Auditor
VirtualVocations • Rockford, Illinois, United States
Hace 7 días
Tipo de contrato
- A tiempo completo
Descripción del trabajo
A company is looking for a Clinical Quality Auditor, RN - Remote.
Key Responsibilities :
Review and audit contracted sub-delegates
Assist with report preparation and records regarding work function activities and projects
Support Medical Management Initiatives with quality improvement across various departments
Required Qualifications :
Current unrestricted RN license
5+ years of clinical experience
1+ years of experience in managed care or the insurance industry
Experience with Medicare and / or Medicaid
Knowledge of clinical standards of care, HEDIS, NCQA, and regulatory agency requirements
Crear una alerta de empleo para esta búsqueda
Quality Auditor • Rockford, Illinois, United States
Ofertas relacionadas
CRNA Job Openings in Beloit, WI.Shifts Available : 8,10,and 12 hours.CRNA Call : First and Second call responsibilities; 6-7 nights and weekends.
Collegial atmosphere, Supportive, exceptional, executi...Mostrar más
TravelNurseSource is working with GO Healthcare Staffing to find a qualified Med / Surg RN in Quincy, Illinois, 62301!.The ideal candidate must have at least 2 years of experience, with active RN lic...Mostrar más A company is looking for a Senior Manager, Clinical to join their Case Management team.Key Responsibilities Review and maintain policies and procedures to meet regulatory, accreditation, and orga...Mostrar más A company is looking for a RCM Quality Auditor-Remote.Key Responsibilities Conduct routine audits of vendor activities including payment posting, denial resolution, and patient account follow-up ...Mostrar más A company is looking for an RN Clinical Program Manager for a full-time remote position.Key Responsibilities Lead the alignment and improvement of patient length of stay for designated population...Mostrar más A company is looking for a Utilization Management RN Reviewer.Key Responsibilities Conduct admission, concurrent, and retrospective reviews of patient charts and clinical systems Collaborate wit...Mostrar más A company is looking for a Clinical Review Auditor.Key Responsibilities Review medical records to determine accuracy of billing through verification of coding and supporting documentation Conduc...Mostrar más TravelNurseSource is working with LRS Healthcare to find a qualified CVICU RN in Peoria, Illinois, 61606!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 2...Mostrar más TravelNurseSource is working with GO Healthcare Staffing to find a qualified CVICU RN in Peoria, Illinois, 61637!.The ideal candidate must have at least 2 years of experience, with active RN licens...Mostrar más TravelNurseSource is working with Triage Staffing to find a qualified CVICU RN in Peoria, Illinois, 61610!.Travel Nursing : Cardiovascular Intensive Care Unit Peoria.
Shift Details : 12H Nights (7 : 0...Mostrar más A company is looking for an RN Concurrent Review.Key Responsibilities Monitor and document medical treatment telephonically, ensuring compliance with established guidelines Track patient progres...Mostrar más A company is looking for a Supervisor, Clinical Data Acquisition (Remote).Key Responsibilities Supervises staff involved in HEDIS performance measurement and quality reporting Implements and ove...Mostrar más TravelNurseSource is working with LRS Healthcare to find a qualified Outpatient Clinic RN in Rockford, Illinois, 61103!.Ready to start your next travel adventure? LRS Healthcare offers a full benef...Mostrar más A company is looking for a Clinical Review Clinician - Appeals.Key Responsibilities Performs clinical reviews to resolve and process appeals by analyzing medical records and clinical data Ensure...Mostrar más TravelNurseSource is working with Triage Staffing to find a qualified CVICU RN in Peoria, Illinois, 61610!.Travel Nursing : Cardiovascular Intensive Care Unit Peoria.
Shift Details : 10H Days (12 : 00...Mostrar más A company is looking for a Clinical Quality Nurse Reviewer, Sr.Key Responsibilities Perform QA checks on complex clinical claim reviews Review and analyze claim data and medical records using ap...Mostrar más A company is looking for a Quality Review and Audit Senior Analyst.Key Responsibilities Evaluate and audit medical documentation for diagnosis code accuracy and compliance Assign accurate ICD-10...Mostrar más TravelNurseSource is working with GetMed Staffing to find a qualified CVICU RN in Peoria, Illinois, 61603!.GetMed Staffing is searching for a strong CVICU RN to assist our traveler-friendly client....Mostrar más
CRNA - Anesthesiology job available in Beloit, Wisconsin
Summit Recruiting Group • Beloit, WI, US
A tiempo completo +1
Última actualización: hace más de 30 días • Oferta promocionada
Travel Registered Nurse (RN) - Medical-Surgical (Med / Surg) - $3,465 per week in Quincy, IL
TravelNurseSource • Rockford, Illinois, US
A tiempo completo
Última actualización: hace 2 días • Oferta promocionada
Texas Licensed Clinical Manager
VirtualVocations • Rockford, Illinois, United States
A tiempo completo
Última actualización: hace más de 30 días • Oferta promocionada
RCM Quality Auditor
VirtualVocations • Rockford, Illinois, United States
A tiempo completo
Última actualización: hace 4 días • Oferta promocionada
California Licensed Clinical Program RN
VirtualVocations • Rockford, Illinois, United States
A tiempo completo
Última actualización: hace 3 días • Oferta promocionada
Ohio Licensed Utilization Management RN
VirtualVocations • Rockford, Illinois, United States
A tiempo completo
Última actualización: hace 3 días • Oferta promocionada
Texas Licensed Clinical Auditor
VirtualVocations • Rockford, Illinois, United States
A tiempo completo
Última actualización: hace 3 días • Oferta promocionada
Travel Registered Nurse (RN) - Cardiovascular Intensive Care Unit (CVICU) - $2,055 to $2,279 per week in Peoria, IL
TravelNurseSource • Rockford, Illinois, US
A tiempo completo
Última actualización: hace 4 días • Oferta promocionada
Travel Registered Nurse (RN) - Cardiovascular Intensive Care Unit (CVICU) - $2,198 per week in Peoria, IL
TravelNurseSource • Rockford, Illinois, US
A tiempo completo
Última actualización: hace 4 días • Oferta promocionada
Travel Registered Nurse (RN) - Cardiovascular Intensive Care Unit (CVICU) - $2,125 per week in Peoria, IL
TravelNurseSource • Rockford, Illinois, US
A tiempo completo
Última actualización: hace 4 días • Oferta promocionada
Texas Licensed Concurrent Review RN
VirtualVocations • Rockford, Illinois, United States
A tiempo completo
Última actualización: hace 3 días • Oferta promocionada
Arizona Licensed Clinical Supervisor
VirtualVocations • Rockford, Illinois, United States
A tiempo completo
Última actualización: hace 1 hora • Oferta promocionada • Nueva oferta
Travel Registered Nurse (RN) - Outpatient Clinic - $2,083 to $2,309 per week in Rockford, IL
TravelNurseSource • Rockford, IL, US
A tiempo completo
Última actualización: hace 3 días • Oferta promocionada
RN Clinical Review Clinician
VirtualVocations • Rockford, Illinois, United States
A tiempo completo
Última actualización: hace más de 30 días • Oferta promocionada
Travel Registered Nurse (RN) - Cardiovascular Intensive Care Unit (CVICU) - $2,728 per week in Peoria, IL
TravelNurseSource • Rockford, Illinois, US
A tiempo completo
Última actualización: hace 4 días • Oferta promocionada
Kentucky Licensed Clinical Quality Nurse
VirtualVocations • Rockford, Illinois, United States
A tiempo completo
Última actualización: hace 9 horas • Oferta promocionada • Nueva oferta
Certified Risk Adjustment Auditor
VirtualVocations • Rockford, Illinois, United States
A tiempo completo
Última actualización: hace más de 30 días • Oferta promocionada
Travel Registered Nurse (RN) - Cardiovascular Intensive Care Unit (CVICU) - $1,984 per week in Peoria, IL
TravelNurseSource • Rockford, Illinois, US
A tiempo completo
Última actualización: hace 4 días • Oferta promocionada