313 rn jobs found

Job Description Job Description Registered NurseJob Title: Registered Nurse (RN) Coder Department: SCH Home Health Full Time/PRN: Full Time Job Summary Provides nursing care through assessment, planning, implementation, and evaluation; promotes restorative/supportive care; ensures safe medication administration and documentation. Minimum Qualifications • Current RN license by MS Board of Nursing; ability to read/write/communicate effectively. Preferred Qualifications • CPR or ACLS certification. Essential Duties & Responsibilities • Coordinate care and perform assessments. • Develop Plans of Care and educate patients/families. • Document accurately; report changes. • Maintain infection prevention; administer meds safely. • Participate in performance improvement. Physical Requirements • Ability to stand and/or walk for extended periods. • Frequent bending, reaching, squatting, and kneeling. • Lift, carry, push, and pull up to 50 lbs independently; >50...

Summary This position must have basic knowledge of family medicine and be able to assess, plan, implement and evaluate care for patients. The role is responsible for the coordination of the MyMichigan Medical Group (MMG) and the Physician Enterprise family practice staff to assure high quality, compassionate patient care. The Supervisor RN will maintain and oversee employees and patients at the office location, act as a liaison with other subsidiary and organization personnel, order all medical and office supplies, and assure compliance with MyMichigan Medical Group, the Physician Enterprise, and Health Care System policies, including OSHA, CLIA, and corporate compliance. The Supervisor RN will coordinate and train new employees, including float staff, provide teaching to patients and family members, manage pain and symptom management, and handle office emergencies. Calls in prescriptions and teaches patients and families about medications and side‑effects, and ensures continuity...

Summit Healthcare is seeking a Clinical Quality Compliance Auditor RN to ensure patient care and safety meet regulatory standards. The role conducts chart reviews, data abstraction, and reporting to support quality initiatives at federal, state and local levels, with a proactive, detail‑oriented approach. The ideal candidate holds an AZ nursing license, a BSN, and at least five years as an RN, plus 1–3 years in clinical leadership. #J-18808-Ljbffr

Clinical Quality Compliance Auditor RNThe Clinical Quality Compliance Auditor RN's overall purpose is to ensure that Summit Healthcare meets the highest standards of patient care, safety, and compliance with regulatory requirements. This position will assist in the implementation and reporting of quality improvement initiatives at the federal, state and local level. The position requires a strong background in quality assurance, patient record review, abstraction and data analysis. It is essential that the Clinical Quality Compliance Auditor RN has a strong attention to detail, a proactive mindset and the ability to manage multiple priorities and deadlines. Essential Functions Assists with compliance in regulatory standards and accreditation requirements. Provides in-depth reviews of patient charts and abstracting data to facilitate mandated reporting requirements for federal, state and local quality programs (IPPS, OPPS, DAP, JC, HealthII). Assists with Center for Medicare and...

Job TitleValidates 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 in New York.Job Responsibility1. 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 staff.8. Identifies appropriate coding...

Overview Join our team as a day shift, full-time, Clinical Educator Medical/Surgical ICU Registered Nurse (RN) in Tyler, TX. Why Join Us? Thrive in a People-First Environment and Make Healthcare Better Thrive: We empower our team with career growth opportunities, tuitionassistance, and resources that support your wellness, education, and financial well-being. People-First: We prioritize your well-being with paid time off, comprehensive health benefits, and a supportive, inclusive culture where you are valued and cared for. Make Healthcare Better: We use advanced technology to support our team and enhance patient care. Get to Know Your Team: UT Health Tyler is the flagship hospital of the system serving hundreds of thousands annually. Specializing in advanced acute care medicine, our midtown location boasts a Level 1 trauma center and comprehensive stroke center, the region’s only EMCO program and a Level III NICU. Our medical staff includes more than 500 physicians and a full...

DaMar Staffing is seeking a Registered Nurse with CDI auditing responsibilities to validate inpatient coding and DRG assignments based on documentation in the medical record. The role requires a nurse with a BSN, an active NY RN license, and experience with CHHA is preferred. The position involves reviewing charts for coding accuracy and ensuring compliance with federal and state regulations. #J-18808-Ljbffr

FHAS Federal Hearings & Appeals Services, Inc. is seeking a Nurse Reviewer RN for a full-time on-site role in Wilkes-Barre, PA. The position focuses on timely review and determination of medical claims, appeals, and prior authorizations, with emphasis on accurate coding review and adherence to Medicare regulations. The ideal candidate holds an active RN license, has 1+ years of clinical experience, and preferably a coding certification. #J-18808-Ljbffr

Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you’re ready for a rewarding new career, join Team Bronson and be part of the experience. Location BBC Bronson Battle Creek Title Bronson Battle Creek Hospital Unit Coordinator (RN Supervisor) Medical Surgical Oncology Full-Time Nights Under general supervision from the unit manager and/or director, and in accordance with the policies and guidelines established within the organization and individual unit, the unit coordinator’s priority is to function as leader and clinical liaison with staff, physicians and management, providing continuity of leadership day to day. The unit coordinator acts as a role model, mentor, coach and resource person to staff to ensure all unit standards are maintained and to encourage a team environment. The unit coordinator is...

The University of Vermont Health Network is seeking a qualified RN Clinical Coder/Auditor for a hybrid position based in Colchester, VT. This role involves auditing clinical documentation to ensure compliance with regulatory standards and enhancing clinical outcomes through accurate coding. Candidates must possess a current Vermont RN Licensure and relevant prior experience in home health or hospice. Strong skills in ICD-10 coding, attention to detail, and project management are essential for success in this position. #J-18808-Ljbffr

FellowshipLIFE Inc in Freehold, NJ is seeking an RN Supervisor for Home Care and non-medical personal care services. The role oversees field care teams, coordinates with nursing leadership, and ensures quality outcomes for HCBS residents. The ideal candidate holds an NJ RN license, BLS, and a valid NJ driver’s license. Prior home health or long-term care experience and on-call flexibility are preferred. #J-18808-Ljbffr

Total Rewards OSF HealthCare is dedicated to provide Mission Partners with a comprehensive and market-competitive total rewards package that includes benefits, compensation, recognition and well-being offerings that focus on the whole person and engage with their current stage of life and career. Pay range for this position is $44.10 - $61.53/hour. Actual pay is based on years of licensure. This is a salaried position. Overview POSITION SUMMARY: Responsible for coordinating, supervising daily operations of the unit. Directs the delivery of care by department personnel to ensure patient outcomes are achieved, high quality care is delivered and the patient experience is enhanced. Fosters and maintains positive working relationships among staff, physicians and medical center personnel to ensure collaboration. Demonstrates the knowledge and skills necessary to provide patient care that is appropriate to the age of the patients served. Qualifications REQUIRED QUALIFICATIONS:...

Department: 34000 Carolinas Medical Center - Administration: Nursing Status: Full time Benefits Eligible: Yes Hours Per Week: 36 Schedule Details/Additional Information: Full Time 12 hour shifts Pay Range: $44.15 - $66.25 Job Summary Supervises and coordinates hospital activities with emphasis upon communications, patient throughput, patient experience, rounding for quality, safety and operational efficiency, performance improvement activities, service recovery, and compliance with regulatory requirements interacting with nursing and hospital teammates in daily operations. Authorized to act as the administrative designee on behalf of and in cooperation with Administration responding to immediate needs or as requested by the Administrator-On-Call to investigate or respond to requests for information, follow-up or assistance with complaint investigations or emergency events. Promotes a safe environment and performs all related job responsibilities in a safe manner. Maintains...

DaMar Staffing is seeking a Registered Nurse (RN) to review and evaluate medical necessity, appropriateness, quality, and compliance of services rendered by providers. The role covers claims analysis, provider audits, fraud detection, and regulatory enforcement to ensure state and federal compliance. The RN will analyze claims data, conduct retrospective reviews, review billing practices, prepare reports, and participate in hearings and official proceedings. #J-18808-Ljbffr

Responsibilities Cedar Hill Regional Medical Center Cedar Hill Regional Medical Center GW Health is the first new full-service hospital in Washington, DC in more than 20 years, integrating clinical care with existing community providers, Federally Qualified Health Centers (FQHC’s), The George Washington University Hospital, and our Urgent Care Center in Ward 8. This integrated delivery system is a robust network of care for all District residents, but more importantly, it ensures that residents of Wards 7 and 8 have access to high quality care in their community. This full-service hospital includes 136 beds (with the ability to expand to 184 beds), a verified trauma center, adult and pediatric emergency departments, maternal health and newborn delivery, an ambulatory pavilion for clinic visits and other outpatient services, a 500-car garage, and a helipad for emergency transport. We are currently seeking a RN Clinical Supervisor - Medial Surgical (Full Time-Days) The RN...

DaMar Staffing is seeking a Registered Nurse (RN) to review and evaluate medical necessity, appropriateness, quality, and compliance of services rendered by providers. The role covers claims analysis, provider audits, fraud detection, and regulatory enforcement to ensure state and federal compliance. The RN will analyze claims data, conduct retrospective reviews, review billing practices, prepare reports, and participate in hearings and official proceedings. #J-18808-Ljbffr

Northwell Health is seeking a Registered Nurse CDI Auditor to validate acute inpatient coded charts and ensure documentation substantiates diagnostic information. This remote position in New York requires a NY RN license, a BSN, and strong knowledge of coding guidelines. You will audit DRG assignments, communicate changes to CDI staff, and ensure compliance with federal and state regulations. #J-18808-Ljbffr

Molina Healthcare is seeking a Remote Medical Review Nurse (RN) to work within the Central Time Zone. The role requires several years of clinical nursing experience and specific utilization review/coding expertise. You will analyze documentation to validate medical necessity and appropriate care levels while supporting Molina policies. The position emphasizes multitasking across multiple screens, strong Microsoft Office skills, and collaboration with medical directors and CMOs. #J-18808-Ljbffr

DaMar Staffing seeks an experienced RN with HCS-D and COS-C Certification for OASIS to perform revenue cycle audits. The role involves validating DRG assignments and reviewing CDI changes, ensuring compliance with federal and state regulations. Remote position, requiring strong biomedical coding knowledge and clinical expertise. You will audit Medicare and non-Medicare charts, communicate DRG changes to staff, and handle reassignments with independent judgment. NY licensure is required. #J-18808-Ljbffr

DaMar Staffing in Minnesota is seeking an experienced Certified RN Medical Coder to support a full-time COC/SPD project, blending clinical expertise with coding accuracy to ensure compliant plan documentation. You will review coding selections, collaborate with peers and business analysts, and contribute your subject matter knowledge to reimbursement discussions while working remotely with a dispersed team. #J-18808-Ljbffr

About WellSpace Health WellSpace Health is the region's largest Community Health System, driven by the mission of achieving regional health through high-quality comprehensive care. WellSpace is accredited by The Joint Commission for Ambulatory Care, Behavioral Health, and as a CCBHC — reflecting an unwavering commitment to clinical excellence for every patient, no matter where they call home. The Opportunity We're seeking a compassionate, experienced Registered Nurse to step into a pivotal clinical leadership role at WellSpace's Bunker Medical Respite/Recuperative Care program — a 24/7 program providing 30-90 days of medical respite, care coordination, medication management, and mental health support to patients experiencing homelessness. This is a chance to lead a mission-driven team and directly shape the quality of care for one of our community's most vulnerable populations. What You'll Do Provide clinical leadership and oversight to a team of 2 LVNs and 8-12 Clinical Support...

Comagine Health seeks an experienced Supervisor, Clinical Review to oversee clinical staff performing utilization reviews. The role requires active RN licensure and Alabama residency, guiding reviewers to assess medical necessity and ensure adherence to established criteria. The position emphasizes leadership, training, and collaboration with care teams, with a focus on regulatory compliance and quality improvement in a healthcare setting. #J-18808-Ljbffr

Molina Healthcare is seeking a Remote Medical Review Nurse (RN) to work within the Central Time Zone. The role requires several years of clinical nursing experience and specific utilization review/coding expertise. You will analyze documentation to validate medical necessity and appropriate care levels while supporting Molina policies. The position emphasizes multitasking across multiple screens, strong Microsoft Office skills, and collaboration with medical directors and CMOs. #J-18808-Ljbffr

J29, Inc. is seeking a Medical Reviewer, RN Coder for a temporary assignment conducted remotely. The role is expected to last approximately 3-6 months and focuses on reviewing Medicare FFS claims, including Part A/B, DMEPOS, and Home Health/Hospice. Qualifications include 5+ years of direct medical coding or medical billing experience in healthcare, active RN license in the United States, and CPC/CCS or equivalent certification. #J-18808-Ljbffr