281 rn jobs found

Community Health Systems, Inc. is seeking a Registered Nurse (RN) to provide patient-centered care through the nursing process and collaborate with physicians and the healthcare team to ensure high-quality outcomes. The role includes documentation, medication administration, and participation in emergencies. Qualifications include RN licensure and BLS; ACLS/PALS/NRP are preferred based on unit requirements. #J-18808-Ljbffr

SCAN Group is seeking a registered nurse to lead and oversee audits for the Department of Health Care Services (DHCS) within the MCP. The role focuses on Facility Site Reviews and Medical Record Reviews to ensure safe, compliant clinical services. Most audits occur in the Los Angeles area, with regional travel as required. The ideal candidate holds an active CA RN license, with 2+ years of ER/Acute Care experience, and can work remotely/field-based in California. #J-18808-Ljbffr

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the \"12 Angry Seniors.\" Their mission continues to guide everything we do. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity. At SCAN, we...

Intermountain Health is seeking an RN Charge/Coding Auditor for fully remote engagement. The role audits clinical charges, supports denial reviews, and provides expert guidance on charging, documentation, and policy adherence across the revenue cycle. Requires BSN, active RN license, and coding certification (AAPC/AHIMA). The position emphasizes collaboration with care teams, regulatory knowledge, and ongoing education to reduce denials while maintaining compliance. #J-18808-Ljbffr

Intermountain Health is seeking an experienced Revenue Integrity RN Charge/Coding Auditor for remote work. You will conduct clinical charge audits for denials review and retrospective reviews, serving as a clinical resource across revenue cycle departments. Stay compliant with laws, regulations, and coding guidelines while communicating denial activity to stakeholders. The role requires BSN, RN licensure, and coding certification. #J-18808-Ljbffr

CommunityCare HMO Inc. is seeking a Nursing Supervisor to oversee daily workflow and staff leadership in an acute care setting. You will develop operating procedures and manage personnel and resources to ensure efficient operations. The role requires RN licensure in Oklahoma, a BSN preferred, and at least three years of clinical nursing experience with two years of management experience preferred. Equal opportunity employer and commitment to compliance are stated. #J-18808-Ljbffr

Job Title Eddy Visiting Nurse and Rehab Association has a rewarding opportunity for a per diem, part time, or full time Registered Nurse (RN) CODER/OASIS Reviewer to join our interdisciplinary Home Care team! Employment Type: Full time Shift: Day Shift Description: Come join the satisfied, long-term staff of this 5 out of 5 Star Agency. There's not a local agency that compares to us! Flexibility to work remote What you will do: The role of the coding/OASIS position is to code and complete OASIS reviews on SOC, ROC, and RECERTS, meeting Coding and OASIS guidelines. We take pride in our job at EVNRA working closely with the clinical team to achieve a 5 Star - Top 6% in the country. Requirements: Valid NYS Registered Nurse license Must have current HCS-D Must have either current HCS-O or COS-C (preferred). COS-C Certification would have to be obtained within a year of hire if missing. Must have one year of previous experience in the health care field. Additional...

Revenue Cycle AuditValidates 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 positionJob Responsibility Job Responsibility Leverages clinical expertise to identify and validate DRG code assignment. Full review of CDI suggested code changes Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations. Applies coding rules and regulations to the validation review process. Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. Communicates DRG changes and rationale to the coding and CDI staff. Identifies...

VIVA is seeking a Pre-Payment Clinical Auditor (RN/Coder) to investigate complex healthcare claims prior to payment. The role blends advanced coding (ICD-10, CPT, HCPCS) with investigative scrutiny of medical records for alignment with regulations and medical necessity. Responsibilities include triaging referrals, identifying fraud patterns, performing pre-payment reviews, and coordinating with SIU or Compliance teams as needed. RN licensure and multiple coding credentials are required. #J-18808-Ljbffr

Pre-Payment Clinical Auditor (RN/Medical Coder) | 5 Years of Experience | Remote | Contract Walker Healthforce is seeking a Pre-Payment Clinical Auditor (RN/MedicalCoder) with 5 years of combined experience in clinical auditing, medical coding, payment integrity, or related healthcare reimbursement functions to investigate complex healthcare claims, validate medical coding accuracy, and ensure compliance with medical necessity and reimbursement guidelines. This is a Contract opportunity. Start Date: ASAP Location: Remote - Nationwide, excluding NY, CA, HI, and AK Hours/Schedule: Monday-Friday, 40 hours Worker Type: W2 Core Requirements 5 years of combined experience in clinical auditing, medical coding, payment integrity, SIU investigations, utilization management, healthcare compliance, or related healthcare reimbursement functions. Active Registered Nurse (RN) license. Active, nationally recognized coding certification through AAPC (CPC, COC, CIC, CPMA) or AHIMA (CCS,...

Baptist Health in Florida seeks a Compliance Auditor (RN) to support audits across hospital service lines, focusing on documentation, coding accuracy, and compliance. The role collaborates with clinical and operational leaders to mitigate risk and strengthen controls. Ideal candidates hold an RN license with 5+ years of nursing and healthcare auditing experience, including DRG validation and CDI practices, and can work remotely within Florida while reporting to leadership. #J-18808-Ljbffr

Intermountain Health is seeking a Revenue Integrity RN Charge/Coding Auditor for fully remote work. You will audit clinical charges, defend audits, and communicate denial activity across the revenue cycle. Strong nursing and coding credentials are required to ensure compliance and protect information. The role emphasizes collaboration with hospital teams, utilization review, and education to reduce denials while maintaining patient care quality. Remote interview and onsite options may apply. #J-18808-Ljbffr

Medix is seeking an experienced Clinical Nurse Auditor / RN Nurse Coder (Payment Integrity) for a remote, full-time role. You will analyze flagged claims, validate diagnoses, and determine claim validity to protect resources and ensure accurate reimbursement. Responsibilities include clinical review of inpatient and outpatient claims, identifying upcoding and billing discrepancies, and using our audit platform to document findings and route claims for review. #J-18808-Ljbffr

Medical Coder/ RNImmediate need for a talented Medical Coder/ RN. This is a 06+ Months Contract opportunity with long-term potential and is located in US (Remote). Please review the job description below and contact me ASAP if you are interested.Job ID:26-33958 Pay Range: $48.5/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).Key Responsibilities:Analyze incoming third-party referrals, compliance tips, and external fraud allegations to identify specific billing patterns and suspect providers.Identify potential fraud, waste, abuse, and billing irregularities through thorough medical record reviews and claims analysis.Perform comprehensive clinical and technical reviews of high-dollar or complex medical records before claims are finalized for payment.Audit clinical documentation to ensure strict alignment with CPT, HCPCS, ICD-10-CM, ICD-10-PCS, and Official Coding...

EPITEC is seeking a Pre-Payment Clinical Auditor (RN/Coder) for a 6-month remote engagement in the United States. The role requires RN licensure, active coding credentials, and 5+ years in clinical auditing and coding. You will review complex claims prior to payment, validate documentation against CPT/HCPCS/ICD-10, assess medical necessity, and coordinate with Medical Directors and SIU as needed. #J-18808-Ljbffr

Job Description Job Description Embark on a fulfilling career with Fellowship Home and Community Based Services, where we're not just an older adult community – we're a destination of care and compassion. We're seeking a Home Care Visiting RN Supervisor to join our non-medical Home and Community Based Services team based in Monmouth and Ocean County, NJ . In this pivotal role, you'll be the advocate for the well-being of our remarkable residents . As a key player in delivering exceptional care, you'll lead in providing personalized care, overseeing clinical team members in the field, and collaborating with them to enhance the overall quality of life for our HCBS residents. If you're a compassionate RN with extensive experience and a true dedication to senior care, we warmly invite you to share your expertise with our community, where we redefine the residents experience by empowering lives. Responsibilities: Adhering to the Best Practices established by the...

RN, Clinical Supervisor CMU MemorialCare Health System believes in providing extraordinary health care to our communities and an exceptional working environment for our employees. Memorial Care stands for excellence in Health Care. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation and teamwork. Position Summary Requires full understanding and active participation in fulfilling the mission of MemorialCare. Demonstrates behavior consistent with our core values: Integrity, Accountability, Best Practices, Compassion and Synergy. Supports Long Beach Medical Center's strategic plan and participates in and advocates performance improvement/patient safety activities. Directs and...

Intermountain Health is seeking a Revenue Integrity RN Charge/Coding Auditor to lead clinical charge audits for denial review and retrospective reviews across Intermountain hospitals and clinics. The role requires nursing licensure, coding certification, and strong knowledge of healthcare revenue cycle and denial processes. Fully remote position with additional considerations for interview format; maintaining compliance with state restrictions and confidentiality is essential. #J-18808-Ljbffr

Women's Health Clinical Education SpecialistWe are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities.This position will work directly with Women's Health Leadership team to provide designated clinical unit(s) with educational support, including needs assessments, execute on project work within the care site in the areas of process improvement, quality improvement, evidence-based practice and communication. The NPD practitioner demonstrates expertise in the identified roles: learning facilitator, change agent, mentor, leader, champion for scientific inquiry, advocate for NPD specialty and partner for practice transitions. Responsibilities include onboarding/orientation, competency...

Primary City/State:Phoenix, ArizonaDepartment Name:M/S-Ortho 6ABWork Shift:DayJob Category:NursingBanner Health believes leadership matters, and we look for people who share our vision making health care easier, so life can be better. Our leaders are at the front of the health care transformation, planning the future of Banner Health.Why Banner Health?At Banner Health, leadership matters. We seek individuals who share our vision of making healthcare easier, so life can be better. Our leaders stand at the forefront of healthcare transformation, shaping Banner Health's future.Your pay and benefits are important components of your journey at Banner Health. Banner Health offers a variety of benefits to help you and your family. We provide health and financial security options so you can focus on being the best at what you do and enjoying your life.As the Associate Director of Nursing, you will be responsible for daily operations of the Medical Surgical unit at Banner Estrella Medical...

Credenza Health seeks a Clinical Educator RN (Medical/Surgical ICU) for a day shift in Tyler, TX. The role focuses on planning and delivering educational activities to elevate patient care within UT Health Tyler’s acute care environment. Ideal candidates hold a BSN with Texas RN licensure and BLS, and possess experience in management or teaching. Master’s degree and broader hospital familiarity are preferred to advance clinical education initiatives. #J-18808-Ljbffr

Medical City Arlington RN Supervisor Medical Surgical Shift - Days (Rotating weekends) Do you want to join an organization that invests in you as a(an) RN Supervisor Medical Surgical? At Medical City Arlington, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. Job Summary and Qualifications The Clinical Nurse Coordinator (CNC) ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift. In collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization’s vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. What you will do in this role:...

QA Nurse / Coder (RN)As a QA Nurse / Coder, you will ensure the accuracy, completeness, and regulatory compliance of Home Health documentation—particularly OASIS assessments, the Home Health Plan of Care (485), and face-to-face encounter notes—while 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, facilities, and clinical staff...

Guidehealth, a data-powered healthcare company, seeks a Clinical Compliance Auditor II to lead complex audits ensuring UM/PHM and delegated services meet regulatory standards. You will mentor staff, collaborate with Clinical Leadership, and enhance audit tools and processes. Qualifications include an active RN license and 3–5 years in utilization management or clinical auditing. Experience with Medicare/commercial plans is preferred. This is a fully remote role. #J-18808-Ljbffr