Talent.com
RN Clinical Quality Auditor
RN Clinical Quality AuditorVirtualVocations • Signal Hill, California, United States
No se aceptan más aplicaciones
RN Clinical Quality Auditor

RN Clinical Quality Auditor

VirtualVocations • Signal Hill, California, United States
Hace 8 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 • Signal Hill, California, United States

Ofertas relacionadas
RN - ICU - Intensive Care Unit in Los Angeles, California - $2,051 / week

RN - ICU - Intensive Care Unit in Los Angeles, California - $2,051 / week

Vetted Health • Los Angeles, CA, US
A tiempo completo
Vetted is seeking a RN - ICU - Intensive Care Unit for a travel job in Los Angeles, California.The job was posted 22 days ago. The assignment starts on ASAP and is 13 weeks long with 12 hour shifts ...Mostrar más
Última actualización: hace 1 día • Oferta promocionada
Ohio Licensed Utilization Management RN

Ohio Licensed Utilization Management RN

VirtualVocations • Huntington Beach, California, United States
A tiempo completo
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
Última actualización: hace 4 días • Oferta promocionada
Wisconsin Licensed Clinical Appeals RN

Wisconsin Licensed Clinical Appeals RN

VirtualVocations • Carson, California, United States
A tiempo completo
A company is looking for a Clinical Appeals RN - Remote.Key Responsibilities : Perform medical reviews on provider inquiries and member appeals Ensure compliance with Department of Labor and Stat...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Licensed Utilization Review Clinician

Licensed Utilization Review Clinician

VirtualVocations • Norwalk, California, United States
A tiempo completo
A company is looking for a Utilization Review Clinician - ABA.Key Responsibilities Evaluates member's care and health status related to Applied Behavioral Analysis (ABA) services to ensure medica...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Texas Licensed Care Review Clinician

Texas Licensed Care Review Clinician

VirtualVocations • Carson, California, United States
A tiempo completo
A company is looking for a Care Review Clinician (RN) for Prior Authorization.Key Responsibilities Assess services for members to ensure optimum outcomes and compliance with regulations Analyze ...Mostrar más
Última actualización: hace 3 días • Oferta promocionada
California Licensed Clinical Research Associate

California Licensed Clinical Research Associate

VirtualVocations • Huntington Beach, California, United States
A tiempo completo
A company is looking for a Clinical Research Associate II - Temporary.Key Responsibilities Conduct site initiation, routine monitoring, and closeout visits to ensure adherence to protocols and re...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
RN

RN

Fresenius Medical Care • Bellflower, CA, US
A tiempo completo
As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-k...Mostrar más
Última actualización: hace 18 horas • Oferta promocionada • Nueva oferta
Texas Licensed Clinical Auditor

Texas Licensed Clinical Auditor

VirtualVocations • Norwalk, California, United States
A tiempo completo
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
Última actualización: hace 4 días • Oferta promocionada
Certified Risk Adjustment Auditor

Certified Risk Adjustment Auditor

VirtualVocations • Carson, California, United States
A tiempo completo
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
Última actualización: hace más de 30 días • Oferta promocionada
RN - ICU

RN - ICU

Providence • Fullerton, CA, US
A tiempo completo
RN – ICU at Providence St.Jude Medical Center in Fullerton, CA.This position is Full-Time and will work 12-hour Day and Night shifts. Jude Medical Center in Fullerton, CA was designated as a M...Mostrar más
Última actualización: hace 4 días • Oferta promocionada
RN Clinical Review Clinician

RN Clinical Review Clinician

VirtualVocations • Huntington Beach, California, United States
A tiempo completo
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
Última actualización: hace 4 días • Oferta promocionada
Kentucky Licensed Clinical Quality Nurse

Kentucky Licensed Clinical Quality Nurse

VirtualVocations • Signal Hill, California, United States
A tiempo completo
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
Última actualización: hace 1 día • Oferta promocionada
Arizona Licensed Clinical Supervisor

Arizona Licensed Clinical Supervisor

VirtualVocations • Long Beach, California, United States
A tiempo completo
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
Última actualización: hace 1 día • Oferta promocionada
Clinical Nurse Specialist RN

Clinical Nurse Specialist RN

Kaiser Permanente • Los Angeles, US
A tiempo completo
The Clinical Nurse Specialist role at Kaiser Permanente Southern California Region is a clinical manager who partners with the operational manager to ensure that nursing staff delivers safe and eff...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Texas Licensed Clinical Manager

Texas Licensed Clinical Manager

VirtualVocations • Carson, California, United States
A tiempo completo
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
Última actualización: hace más de 30 días • Oferta promocionada
California Licensed Clinical Research Coordinator

California Licensed Clinical Research Coordinator

VirtualVocations • Signal Hill, California, United States
A tiempo completo
A company is looking for a Clinical Research Coordinator, RN.Key Responsibilities Communicate with Study Sponsors, CROs, and staff regarding protocol status and concerns Monitor study conduct fo...Mostrar más
Última actualización: hace 2 días • Oferta promocionada
Clinical Nurse Specialist RN, ICU / Neuro

Clinical Nurse Specialist RN, ICU / Neuro

Kaiser Permanente • Anaheim, US
A tiempo completo
The role of the CNS is highly varied.On a typical day, they round with physicians to consult on complex patient cases, provide advanced clinical expertise, and help guide evidence-based practice at...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Texas Licensed Concurrent Review RN

Texas Licensed Concurrent Review RN

VirtualVocations • Norwalk, California, United States
A tiempo completo
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
Última actualización: hace 4 días • Oferta promocionada