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Keywords: RN Clinical Review Nurse - Retrospective Review, Location: USA

Page: 4

Clinical Documentation Specialist- WMCG

and/or prospective/retrospective to the patient visit to determine opportunities to query physicians regarding essential clinical... 1.00 Required Reg Nurse (Single State) 1.00 Required RN - Multi-state Compact 1.00 Required Additional Licenses and Certifications...

Location: Atlanta, GA
Posted Date: 26 Jan 2025

Clinical Documentation Improvement Specialist - Camarillo CA

of processes related to the concurrent review of the clinical documentation in the inpatient medical record of Optum 360 clients... Responsibilities: Provides expert level review of inpatient clinical records within 24-48 hours of admit; identifies gaps in clinical...

Location: Camarillo, CA
Posted Date: 23 Jan 2025
Salary: $70200 - 137800 per year

Clinical Documentation Improvement Specialist - Camarillo CA

of processes related to the concurrent review of the clinical documentation in the inpatient medical record of Optum 360 clients... Responsibilities: Provides expert level review of inpatient clinical records within 24-48 hours of admit; identifies gaps in clinical...

Location: Camarillo, CA
Posted Date: 23 Jan 2025
Salary: $70200 - 137800 per year

CLINICAL EFFECTIVENESS COORD, Full Time, Day

or University preferred. Three (3) to Five (5) years of clinical experience as a Registered Nurse (RN) in an acute care setting... Repayment Assistance Program The Clinical Effectiveness Coordinator will analyze and report on key clinical performance...

Location: Palmdale, CA
Posted Date: 07 Dec 2024

CLINICAL EFFECTIVENESS COORD, Full Time, Day

or University preferred. Three (3) to Five (5) years of clinical experience as a Registered Nurse (RN) in an acute care setting... Repayment Assistance Program The Clinical Effectiveness Coordinator will analyze and report on key clinical performance...

Posted Date: 07 Dec 2024

Clinical Documentation Specialist

process. Our team members review medical record documentation and apply clinical criteria and guidelines to ensure... data collection. • Collaborates with coding staff on retrospective medical record review for severity, accuracy...

Location: California
Posted Date: 04 Dec 2024
Salary: $32 - 52 per hour

Clinical Appeals & CDI Specialist

, and compliant. The Clinical Appeals and CDI Specialist provides nurse consultation services that consist of reviewing... in order to create educational strategies to ensure correct diagnosis code assignment by the client. • Review clinical...

Location: California
Posted Date: 04 Dec 2024
Salary: $32 - 45 per hour

DRG CVA RN Auditor - National Remote

. Connecting. Growing together. In this position as a Coding & Clinical Auditor / DRG Specialist RN, you will apply your expert... to successfully substantiate code assignments Perform clinical coding review to ensure accuracy of medical coding and utilizes...

Location: Plymouth, MN
Posted Date: 15 Feb 2025
Salary: $34.42 - 67.6 per hour

DRG CVA RN Auditor - National Remote

. Connecting. Growing together. In this position as a Coding & Clinical Auditor / DRG Specialist RN, you will apply your expert... to successfully substantiate code assignments Perform clinical coding review to ensure accuracy of medical coding and utilizes...

Location: Plymouth, MN
Posted Date: 15 Feb 2025
Salary: $34.42 - 67.6 per hour

Care Coordinator, RN-Denial Management - Patient Case Management

Job Description: Overview The Care Coordinator, RN for Denial Management is a Registered Nurse who is assigned... to the Patient Case Management Department to provide retrospective medical record review of a patient's hospital encounter...

Posted Date: 15 Feb 2025

Care Coordinator, RN-Denial Management - Patient Case Management

Overview: The Care Coordinator, RN for Denial Management is a Registered Nurse who is assigned to the Patient Case... Management Department to provide retrospective medical record review of a patient's hospital encounter. Using a collaborative...

Posted Date: 15 Feb 2025

Case Manager - RN - Inpatient Units- Brooklyn Methodist - Days

. Â A utilization nurse completes no less than 20 initial clinical reviews daily. Â Responsibilities also includes...Discover Where Amazing Works Case Manager - RN - Inpatient Units- Brooklyn Methodist - Days Located in Park Slope...

Posted Date: 08 Feb 2025
Salary: $112508 - 149911 per year

Coding Quality Auditor - RN | HIM Revenue Cycle

review and identifies trends. Conducts focused retrospective audits and regular scheduled audits of individual clinical... as a non-frequent driver' Licensure/Certification/Registration:: Registered Nurse (RN). Certified Clinical Documentation...

Posted Date: 07 Feb 2025

Case Manager / RN ER

and development of improved strategies to benefit high risk patients. Provides clinical review against standard criteria for the... care with demonstrated clinical expertise. RN, BLS Preferred Job Requirements: BSN Current certification as a Care...

Posted Date: 05 Feb 2025

Inpatient Care Manager RN PRN

UM activities as required based on local structure to include providing clinical updates to payers and/or external review...Inpatient Care Manager RN Sherman Hospital Per Diem Job Summary: Works to enhance the effective utilization...

Location: Elgin, IL
Posted Date: 02 Feb 2025

Inpatient Care Manager RN PRN

clinical updates to payers and/or external review organizations, collecting data, coordinating denial activity, supporting... Holiday (optional) Inpatient Care Manager RN Sherman Hospital Per Diem Job Summary: Works to enhance the effective...

Location: USA
Posted Date: 02 Feb 2025

Utilization Management Admissions Liaison RN II

%) Performs prospective, concurrent, post-service, and retrospective claim medical review processes. Utilizes clinical judgement.... Actively participates in the discharge planning process, including providing clinical review and authorization for alternate...

Posted Date: 02 Feb 2025

RN Denials

Management Nurse is considered a clinical expert in Denial Management and Avoidance and ensures all denied claims are accurately..., and financial outcomes. Responsibilities: Clinical Knowledge and Interpersonal Skills Completes clinical review of appropriate...

Posted Date: 29 Jan 2025

DRG CVA RN Auditor - National Remote

. Connecting. Growing together. In this position as a Coding & Clinical Auditor / DRG Specialist RN, you will apply your expert... to successfully substantiate code assignments Perform clinical coding review to ensure accuracy of medical coding and utilizes...

Posted Date: 23 Jan 2025
Salary: $33.75 - 66.25 per hour

DRG CVA RN Auditor - National Remote

. Connecting. Growing together. In this position as a Coding & Clinical Auditor / DRG Specialist RN, you will apply your expert... to successfully substantiate code assignments Perform clinical coding review to ensure accuracy of medical coding and utilizes...

Posted Date: 23 Jan 2025
Salary: $33.75 - 66.25 per hour