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Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. Responsibilities ..
Job Information Humana RN - Senior Stars Improvement, Clinical Professional - Must reside in Atlanta, GA area in Atlanta Georgia Description The Senior Stars Improvement, Clinical Professional (RN) responsible for the ..
Specialty: Travel Emergency Department RN Job Description Triage (assign degrees of urgency and order of treatment) to patients so those who have more critical issues get care first Assist in the ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
Job Information Humana RN - Senior Stars Improvement, Clinical Professional - Must reside in Southern Georgia in Atlanta Georgia Description The Senior Stars Improvement, Clinical Professional (RN) responsible for the development, ..
... AND SCOPE: The professional registered nurse Outpatient RN CAP 2 may ... and notifies Team Leader Charge Nurse Supervisor or Physician as needed.Assesses ... a Team Leader or designated..
... PURPOSE AND SCOPE:The professional registered nurse Inpatient RN CAP 2 may ... in collaboration with another Registered Nurse.Performs ongoing, systematic collection and analysis ... notifies Supervisor, Physician, patient’s primary..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere ... in Atlanta Georgia Description The Nurse Auditor 2 performs clinical audit/validation ... to support optimal reimbursement. The Nurse Auditor 2..
Job Information Centerwell RN Clinical Manager Home Health Full Time in Decatur Georgia The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, ..
Description The Nurse Auditor 2 will work on the clinical research and development team with coders, clinicians and genetic counselors to develop, implement and maintain clinical lab audit concepts. The Nurse ..
Description The Senior Stars Improvement, Clinical Professional (RN) responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Senior Stars Improvement, Clinical Professional work assignments involve ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Neuro Critical Care Nurse Practitioner or Physician Assistant Locums Job | Atlanta Based Health SystemDetails/Requirements:--Located in the heart of Atlanta, Georgia--Neuro ICU for APP coverage--Seeking two Neuro Critical Care experienced APPs ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Atlanta Georgia Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be responsible ..
Job Information Centerwell RN Clinical Manager in Decatur Georgia The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, and organizes clinical ..
POSITION FEATURES:About this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and ..
Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..
RN—ClinicalAbout this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing ..
Job Information Kindred at Home RN Clinical Manager in Sandy Springs Georgia The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Atlanta Georgia Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
Senior Occupational Health ManagerAt Pilgrimu2019s, Safety Is A Condition, which means the safety of our team members comes first - always.We have implemented safety measures to prevent the spread of COVID-19. ..
... a Labor & Delivery Registered Nurse .n nFull-Time Day Shift 7:00am ... imaging capabilities.n nThe RN Clinical Nurse is a proactive member of ... environment that is administered by..
**Company :**Highmark Inc.**Job Description :****JOB SUMMARY**This job has primary ownership and oversight over a specified panel of oncology members that range in health status/severity and clinical needs. The incumbent assesses health ..