- Highmark Health (Columbia, SC)
- …and member satisfaction. The incumbent is responsible for the implementation of effective Payment Integrity strategies on a pre- payment and retrospective ... with established industry and corporate standards and are within the Payment Integrity Clinician's professional discipline.Effectively function in accordance… more
- Zelis (NJ)
- …and reviewing results for all healthcare claim editing related projects within the Payment Integrity department including but not limited to the testing of ... Data Driven Edits PriZem (in-house system), Visium through the Payment Integrity (Claims Editing) process. + Analyze...claims. + Certified coder (CCS, CCS-P or CPC), or registered health information technician (RHIA/RHIT), or RN ,… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …Excel) and ability to learn new applications is necessary. **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure And/Or Compact ... people + This role reports to this job: MANAGER, PAYMENT INTEGRITY , CLINICAL + Necessary Contacts: In...(Medicare). **QUALIFICATIONS** **Education** + Bachelor's Degree in Nursing or RN Certification required **Work Experience** + 2 years of… more
- BlueCross BlueShield of North Carolina (NC)
- …and compliance to change control processes **What You'll Bring (Hiring Requirements)** * Registered Nurse or related undergraduate degree with 5 years of ... clinical/coding experience (ie revenue management / payment integrity ) * Bachelor's degree or advanced degree (where required) * 8+ years of experience in… more
- HCA Healthcare (Richmond, VA)
- …projects, charge reviews and patient audits. **Qualifications that you will need:** + Registered Nurse Degree required. + Minimum 1 year directly related ... Do you want to join an organization that invests in you as a Revenue Integrity Charge Analyst RN ? At Parallon, you come first. HCA Healthcare has committed… more
- HCA Healthcare (Richmond, VA)
- …reviews, and patient audits as needed. **Qualifications that you will need:** + Registered Nurse Degree required. + Minimum 1 year directly related Healthcare ... Do you want to join an organization that invests in you as a Revenue Integrity Clinical Charge Review Analyst RN ? At Parallon, you come first. HCA Healthcare… more
- Trinity Health (Hartford, CT)
- …**Hiring for all territories: Hartford, Waterbury, Enfield, Middlesex and Meriden!** Hospice Registered Nurse , RN Case Manager Position Purpose: Provides ... Qualifications: + Graduate of an approved nursing education program + Licensure as a Registered Nurse in the State of Connecticut + One (1) year experience… more
- BrightSpring Health Services (Carmel, IN)
- …Home Health and Hospice Overview $5k Sign-On Bonus! Join Adoration Home Health as a Registered Nurse ! Adoration Health is seeking aRegistered Nurse ( RN ... This position offers a fantastic opportunity to grow your RN skillset while making a real difference in the...an accredited school of nursing OR License as a Registered Nurse , current and in good standing… more
- State of Michigan (MI)
- MDOC- Registered Nurse P11-12-Southern Correctional Facilities Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/2262426) Apply MDOC- ... Registered Nurse P11-12-Southern Correctional Facilities Salary $34.65 - $49.15 Hourly...and procedures often available and therefore the senior level RN nurse is expected to exercise considerable… more
- State of Michigan (Jackson, MI)
- Registered Nurse P11-12-DWH Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/2435166) Apply Registered Nurse P11-12-DWH Salary ... Jackson, MI Job Type Permanent Full Time Job Number 4727-19- RN -DWH Department Corrections RN Continuous Opening Date...MDOC a Gold-Level Veteran Friendly Employer here. Become a REGISTERED NURSE at the Duane Waters Health… more