213 rn jobs found

Req Number 176729 Job Description Validates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record. Seeking RN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Remote position Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review of CDI suggested code changes 3.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. 4.Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. 5.Applies coding rules and regulations to the validation review process. 6.Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. 7.Communicates DRG changes and rationale to the coding and CDI...

Supervisor Rn Summary: This position must have basic knowledge of general and complex rehabilitation patients and able to assess, plan, implement and evaluate care for patients. They will maintain and oversee employees and patients at the office location and will act as the liaison with other subsidiary and organizations personnel. This position orders all medical supplies to manage patient care. The Supervisor RN will assure compliance with the policies/procedures by maintaining the Health Systems policies, OSHA guidelines, CLIA regulations, and corporate compliance. The Supervisor RN will coordinate and train of any new employees. The position will provide teaching to patients and their family members. Manages the patient with pain management and symptom management, and will be available for office emergencies. Calls in prescriptions and teaches the patient and family the reasons for the medication and side effects. Will be working in collaboration with providers and staff...

A leading health care company is seeking a Nurse Auditor 2 to perform clinical audits, ensuring accurate medical documentation and coding. This role involves validating inpatient medical records and requires an active RN license and significant nursing experience. Strong judgment, discretion, and excellent communication skills are essential. This remote position may involve occasional travel for training, and typically requires a Bachelor’s degree in a related field. The salary ranges from $78,400 to $107,800 per year, with additional bonus opportunities. #J-18808-Ljbffr

Supervisor Registered Nurse This position must have basic knowledge of triage for the specialty of the practice assigned and ability to assess, plan, implement and evaluate care for patients. This position is responsible for the coordination of the MyMichigan Medical Group (MMG) and contracted nurse triage service staff to assure high quality, compassionate patient care. They will maintain and oversee employees and patients at the specialty office locations and will act as the liaison with contracted nurse triage personnel. The Supervisor Registered Nurse (RN) will assure compliance with the policies/procedures of MMG and the Health Care System by maintaining Occupational Safety and Health Administration (OSHA) guidelines, Clinical Laboratory Improvement Amendments (CLIA) regulations, and corporate compliance. The Supervisor RN will coordinate and train of any new employees, students, and float staff. This position provides daily direction and problem solving to clinical staff....

A leading healthcare company is looking for a Nurse Auditor 2 to conduct clinical audits and ensure accuracy in medical record documentation. The role is remote but may require occasional travel for training. Candidates should have an active RN license and at least two years of experience in acute inpatient settings. Strong knowledge of medical diagnoses and advanced skills in MS Office are essential. The position offers competitive pay in line with experience and comprehensive benefits. #J-18808-Ljbffr

A leading health services firm is seeking a Nurse Auditor 2 to perform clinical audits and validation processes remotely. The role requires an active RN license and at least 2 years of inpatient hospital care experience. Candidates must possess in-depth knowledge of complex medical diagnoses, as well as advanced MS Office skills. This position offers a flexible work environment and a competitive compensation package ranging from $78,400 to $107,800 annually, including opportunities for bonus incentives. #J-18808-Ljbffr

A health services company seeks a Nurse Auditor 2 to perform clinical audits ensuring medical records are accurate and compliant. This remote position requires an active RN license and a minimum of 2 years of acute hospital care experience. Candidates should have strong knowledge of medical diagnoses and coding, and excellent communication skills. The role involves validating medical documentation and occasionally requires travel for training. Compensation ranges from $78,400 to $107,800 annually, eligible for bonuses. #J-18808-Ljbffr

Description Summary: Responsible for the coordination of orientation of all nursing personnel; representation of CHRISTUS in community activities; and planning, development, implementation, and evaluation of nursing continuing education programs. Responsibilities: Maintains consistency with Administrative and Departmental policies with appropriate behavior, dress, attitude, attendance, confidentiality, professionalism, and reliability. Plans and implements educational activities to meet identified learning needs, utilizing adult education principles. Develops and utilized appropriate evaluative system to determine effectiveness of educational activities. Promotes collaborative relationships among health care professionals. Participates in committees, task forces, meetings, and activities to assist in the development of staff, ultimately resulting in improved care. Participates in activities that promote professional development through education and other...

The position is located at Texas Spine and Joint Hospital in Tyler, Texas.  The RN has the responsibility to plan, direct organize, coordinate and implement all nursing care services for patients in a manner suitable to accepted standards of care. He / she ensures the highest quality and safe delivery of patient care while maintaining compliance with professional nursing, JCAHO, and all Federal and State standards of care.  Required Skills Graduate of an accredited RN School of Nursing. At least 1 year experience as a RN in hospital Medical/Surgery or ICU unit. RN, current in the State of Texas BLS Current ACLS preferred or included in education plan Ability to make decisions based on nursing judgment. Able to prioritize and organize workload to meet needs of patients and unit. Strong communication skills, verbal and written. Required Experience Qualifications: Graduate of an accredited RN School of Nursing. At least 1 year experience as a RN in...

A healthcare company is seeking a Nurse Auditor 2 for a remote position that involves clinical audit and validation of medical records to ensure compliance and accuracy. The ideal candidate holds an active RN license and has a minimum of 2 years of experience in an acute inpatient setting, with advanced knowledge in diagnoses and MS Office. This role includes occasional travel to the office for training and meetings, with a competitive salary range and comprehensive benefits package. #J-18808-Ljbffr

A leading health insurance provider is seeking a Nurse Auditor 2 to ensure accurate medical record documentation and coding. This role involves conducting clinical audits and requires an active RN license with at least 2 years of acute care experience. Candidates must demonstrate strong analytical skills and knowledge of complex medical diagnoses. The position is remote with occasional travel, offering competitive compensation and comprehensive benefits. #J-18808-Ljbffr

ICD-10 Coding Specialist You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be willing to travel to NYC twice a year for required meetings. Position Purpose: The focus of this position is to establish processes to respond to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review, hospital readmission review and outlier payment review. Analyze moderately complex health care information; reviews medical records; integrate medical coding and reimbursement rules; provide pricing guidance. Ensure medical coding rules and regulations including compliance requirements are adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues. Provide...

A leading healthcare organization is seeking a Nurse Auditor 2 to perform clinical audits on medical records, ensuring compliance and accuracy for optimal reimbursement. The role requires an active RN license and at least 2 years of acute inpatient hospital care experience. This remote position allows flexibility, but may necessitate occasional travel to offices. Candidates should possess excellent communication skills, advanced knowledge of MS Office, and a strong understanding of complex medical diagnoses. Competitive compensation and robust benefits are offered. #J-18808-Ljbffr

A leading health insurance provider is seeking a Nurse Auditor 2 to conduct clinical audits and validate medical records. This remote position requires an active RN license and two years of acute care experience. The ideal candidate will have advanced knowledge of complex medical diagnoses and strong MS Office skills. Join us to make an impact in healthcare while enjoying great benefits and a compensation range of $78,400 to $107,800 annually. #J-18808-Ljbffr

A leading healthcare organization seeks a Nurse Auditor 2 to perform clinical audits and ensure compliance with coding standards. Candidates must have an active RN license and at least 2 years of experience in critical inpatient settings. Strong communication skills and knowledge of medical diagnoses are essential. The role is remote with occasional office visits required. Competitive salary range from $78,400 to $107,800 per year, plus bonus incentives and comprehensive benefits are offered. #J-18808-Ljbffr

A healthcare company seeks a Nurse Auditor 2 to conduct clinical audits and ensure accurate medical record documentation in a remote setting. The ideal candidate holds an active RN license and possesses at least 2 years of acute inpatient experience in critical care such as ICU or CCU. Strong skills in medical diagnosis understanding, MS Office, and independent workload management are essential. This role offers a competitive salary and requires occasional office visits for training. #J-18808-Ljbffr

QA Nurse / Coder (RN) As a QA Nurse / Coder, you will ensure the accuracy, completeness, and regulatory compliance of Home Health documentationparticularly OASIS assessments, the Home Health Plan of Care (485), and face-to-face encounter noteswhile properly sequencing diagnoses according to federal/state standards and agency policy. Core responsibilities include: Review OASIS forms and Plans of Care for appropriateness, completeness, and compliance. Assign and sequence ICD?10 codes in line with current home health coding guidelines. Ensure consistency and compliance of face-to-face encounter documentation with OASIS and care plans. Conduct additional clinical record audits and OASIS reviews as assigned. Stay current on Medicare reimbursement policies, home health regulations, and compliance requirements. Maintain relevant certifications (HCS?D, HCS?O or COS?C). Participate in quality assurance and performance-improvement efforts. Coordinate with physicians,...

A healthcare insurance provider is looking for a Nurse Auditor 2 to ensure the accuracy and compliance of medical record documentation. This remote position demands an active RN license and significant inpatient hospital care experience, particularly in critical care settings. The role involves validating diagnoses and interpretations of medical documentation. Competitive pay ranging from $78,400 to $107,800 annually, plus benefits including medical, dental, 401(k), and paid time off are offered. #J-18808-Ljbffr

A healthcare company seeks a Nurse Auditor 2 for remote clinical audit processes. This position requires a valid RN license and at least 2 years of critical care experience. Candidates must demonstrate strong understanding of medical diagnoses and possess advanced MS Office skills. The role involves validating medical documentation and making independent decisions. The annual salary ranges from $78,400 to $107,800 and includes a bonus incentive. Occasional office travel may be required. #J-18808-Ljbffr

RN Clinical Supervisor, Full-Time, Nights Find your calling at Mercy! Overview: Utilizes the nursing process to provide patient care. Maintains professional accountability for provision of patient care for the assigned patients. Evaluates the overall effectiveness of care provided by other direct care givers. Coordinates the patient care in conjunction with other departments. Maintains patient rights and confidentiality of patient information. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards. Position Details: Medical Surgical Supervisor Location: Mercy Hospital South - 10010 Kennerly Rd, St. Louis, Missouri 63128 Schedule:  Full-Time | 36 hours/week Shift:  Night Shift | 7:00PM-7:30AM Qualifications Education:  Graduate of an accredited school of nursing with one of the following: Associate Degree in Nursing Nursing Diploma Bachelor of Science in Nursing (BSN) Licensure:...

A leading healthcare company is seeking a Nurse Auditor 2 to conduct clinical audits on medical documentation ensuring compliance and accuracy. This remote position requires at least 2 years of acute hospital care experience and an active RN license. The Nurse Auditor will validate diagnoses and provide insights into coding practices. The role offers a competitive salary, benefits including medical, dental, and retirement plans, and a flexible work environment. #J-18808-Ljbffr

A healthcare organization is seeking a Nurse Auditor 2 to perform clinical audit processes ensuring medical record compliance and accuracy. The ideal candidate should have an active RN license and at least 2 years of acute inpatient care experience. Responsibilities include interpreting medical documentation and conducting validation reviews. The position offers remote work options, occasional office travel, comprehensive benefits, and a pay range of $78,400 - $107,800 per year, with bonus eligibility. #J-18808-Ljbffr

A leading healthcare company seeks a Nurse Auditor 2 to ensure medical record accuracy and compliance while working remotely. Responsibilities include validating medical documents, conducting audits, and making independent decisions based on clinical guidelines. Candidates should have an active RN license and at least 2 years of inpatient hospital care experience. This role is essential for supporting optimal reimbursement and improving patient care. Competitive salary and benefits offered. #J-18808-Ljbffr

A healthcare company is seeking a Nurse Auditor 2 to perform clinical audit processes to validate medical records for accuracy and compliance. This remote position requires an active RN license and at least two years of inpatient hospital care experience. The ideal candidate will have critical understanding of complex diagnoses and strong communication skills. The role offers a competitive salary range of $78,400 to $107,800, with eligibility for bonuses and comprehensive benefits. #J-18808-Ljbffr