Registered Nurse jobs

Remote

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15d ago

Job Title:RegisteredNurse Clinical AuditorLocation: Remote with Occasional travel - Downtown Indianapolis, IN(Local candidates strongly preferred)We are seeking a detail-orientedRegisteredNurseto support medical record reviews, billing compliance audits for the Indiana Health Coverage Programs. This role is responsible for evaluating quality of care, reviewing medical records and program policies and identifying compliance issues, preparing audit documentation and reports, and supporting appeals

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Full-time

Depends on Experience

Clinical Systems Analyst (CPC/CCS)

Hybrid in Columbia, South Carolina

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2d ago

Requirements 10 or more years of experience in healthcare insurance operations, medical reviews, or program integrity. Proficiency in ICD-10, CPT, and HCPCS medical coding translation methodologies. Experience with clinical nursing operations and possessing an active Registered Nurse (RN) licensure. Experience in a healthcare payer environment collaborating directly with software developers and programmers. Experience with specialized medical coding software such as Optum Encoder and enterprise

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Contract, Third Party

Depends on Experience

Nurse RN 3

Remote

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15d ago

Day to Day ResponsibilitiesThe Clinical Quality Review (CQR) team investigates and reviews potential quality of care issue (PQI) allegations or concerns arising from member grievances and internal referrals. PQI reviews may confirm a quality problem that resulted in or had the potential for harm to the member and can lead to identification of provider opportunities for improvement related to practice patterns that are outside the framework of accepted standards. The Clinical Quality Reviewer wil

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Third Party, Contract

$45 - $48

Clinical Quality Governance & Regulatory

Atlanta, Georgia

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Yesterday

Senior Director, Clinical Quality Governance & Regulatory Location:Atlanta, GA (Onsite) Employment Type:Permanent | Full-Time Industry:Healthcare Salary:$194,700-$251,900 About the Organization A leading integrated healthcare organization is seeking a Senior Director, Clinical Quality Governance & Regulatory to provide executive leadership for clinical quality, patient safety, risk management, credentialing, peer review, and regulatory compliance. The organization is committed to deli

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Full-time, Third Party

Depends on Experience

Medical/Surgical RN

Great Bend, Kansas

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15d ago

Job Title: Medical/Surgical Registered Nurse (RN)Location: Great Bend, KS 67530 Position OverviewWe are seeking a compassionate and skilled Medical/Surgical Registered Nurse (RN) to join our acute care team. This full-time position provides comprehensive nursing care to adult medical and surgical patients in a collaborative, patient-centered environment. The ideal candidate will demonstrate strong clinical judgment, excellent communication skills, and a commitment to delivering high-quality pat

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Full-time

$35 - $37

Business Analyst (Clinical Analyst & Coding Specialist)

Columbia, South Carolina

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Today

We are seeking a Clinical Analyst & Coding Specialist to serve as a Subject Matter Expert (SME) supporting state healthcare programs and Medicaid systems. Position Details Location: Columbia, SC Work Arrangement: Hybrid (80% Remote / Onsite for required trainings & meetings) Candidate Requirement: Must be a current South Carolina Resident Interview Process: 1-Round Virtual/Online Interview The Core Role You will bridge the gap between clinical expertise, medical coding, and IT systems. Princi

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Contract

Healthcare Business Analyst in Columbia, SC (W2 Only)

Hybrid in Columbia, South Carolina

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Today

Location: Columbia, SC Duration: 12 Months REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE): 10+ years in healthcare insurance; medical review, program integrity, or appeals. 5+ years working with IT developers/programmers in a payor environment. 5+ years Medical Coding in payer environment. 3+ years clinical experience in a healthcare environment (strong clinical assessment and critical thinking skills.) 5+ years knowledge of ICD/CPT/HCPCS translation and coding methodologies. 5+ years know

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Contract

Strategic Planner - Healthcare Setting

Falls Church, Virginia

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Today

Arthur Lawrence is looking for a Strategic Planner - Healthcare Setting one our clients in Falls Church, VA. Please find the job description below and send us your updated resume if interested: Must-Have Skills: Current, unrestricted Registered Nurse (RN) license with a Bachelor s degree in Nursing and a Master s degree in Business, Management, or Nursing.5+ years of experience in a healthcare setting, including 2+ years in Perioperative Services leadership.Strong strategic planning, communicati

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Contract

Depends on Experience

Healthcare Consultant - Business Analyst with Min 10yrs exp (Webcam Interview) (HYBRID_only Local to South carolina)

Columbia, South Carolina

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Today

Please note that this position is with our direct client "We are looking for Healthcare Consultant - Business Analyst - Consultant (Min 10+yrs Exp) HYBRID (Web Cam Interview) POSITION DESCRIPTION DIRECT CLIENT Position Number of positions: 1 Length: 12Months + Work Address:Columbia 29201 Immediate Interviews Web Cam Interview looking for an IT Healthcare Consultant - Business Analyst Consultant Work Location: Hybrid (80% remote, onsite for required training and meetings). Candidate Location: C

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Full-time, Contract, Third Party

$DOE

IT Healthcare Consultant Business Analyst Consultant

Hybrid in Columbia, South Carolina

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2d ago

Objectives to Be Fulfilled by Candidate: The principal duties of this position are to assist with the CPT/HCPCS and ICD-10 code maintenance. As the IT Healthcare Consultant Business Analyst Advanced (Clinical Analyst and Coding Specialist): Specific duties include, but are not limited to: Initiates annual (and quarterly) updates from CMS of all ICD-10, CPT/HCPCS coding changes.Performs initial review of codes to determine scope of changes.Prepares listings of codes changes to Reference Administr

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Contract

$70 - $80

Surgical Technologist (OFNHP)

The Dalles, Oregon

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Today

JOB DESCRIPTION In the heart of The Dalles, Oregon, Adventist Health Columbia Gorge has served the Columbia River Gorge community since 1901. We are comprised of a 49-bed hospital, various medical offices, home health, a birthing center and a vast scope of services located throughout The Dalles and the surrounding areas. The Dalles is known for its picturesque views of the Columbia River, local charm and delicious downtown restaurants and bakeries. There is something for everyone in this scenic

Full-time

IT Healthcare Consultant - Business Analyst - Consultant

Columbia, South Carolina

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2d ago

Requisition Name: IT Healthcare Consultant - Business Analyst - Consultant Work Address Columbia, South Carolina Interview Process: 1 round, Virtual/Online Duration of the Contract: 12 months Possibility for Extension: Yes Work Location: Hybrid (80% remote, onsite for required training''s and meetings). Description The position we are seeking to fill is for a Certified Medical Coder. IT Healthcare Consultant Business Analyst Advanced (Clinical Analyst and Coding Specialist) Position Summ

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Contract, Third Party

Depends on Experience

Certified Surgical Technician, CVOR

Lodi, California

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Today

JOB DESCRIPTION Requires recent open-heart or cardiothoracic experience Centered in the heart of San Joaquin County, Adventist Health Lodi Memorial has been one of the area's leading healthcare providers since 1952. We are comprised of a 190-bed hospital, 17 medical offices, home care services, comprehensive cancer care and a vast scope of award-winning services located throughout Lodi and the surrounding areas. Lodi is known for its small-town charm, extensive vineyards and delicious local res

Full-time

Service Line Director Hematology Oncology/Infusion

Clinton, Ohio

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Today

Full Time Days, variable 40 hours/week Summary: The Service Line Director, Hematology-Oncology/Infusion is responsible for advancing Akron Children\'s as a leader in the delivery of integrated care across the hematology/oncology service line continuum, including patient care operations and provider administrative management. This role supports the delivery of high-quality, evidence-based care and achievement of a regionally and nationally recognized comprehensive hematology/oncology program. Th

Full-time

Service Line Director Hematology Oncology/Infusion

Akron, Ohio

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Today

Full-time

Service Line Director Hematology Oncology/Infusion

Canal Fulton, Ohio

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Today

Full-time

Service Line Director Hematology Oncology/Infusion

Chagrin Falls, Ohio

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Today

Full-time

Service Line Director Hematology Oncology/Infusion

Green, Ohio

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Today

Full-time

Cardiac Surgery Quality Coordinator (RN)

Annapolis, Maryland

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Today

Position Objective: The Cardiac Surgery Quality Coordinator is a critical role dedicated to advancing patient outcomes and operational excellence within the adult cardiac surgery program. This position is responsible for the comprehensive review and management of all Adult Cardiac Society of Thoracic Surgeons (STS) quality metrics. The Coordinator serves as the primary liaison between external data abstractors and internal clinical teams, seeking to educate partners on areas of operational excel

Full-time

Compensation information provided in the description

Organ Recovery Coordinator - Critical Care RN - Knoxville

Knoxville, Tennessee

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Today

DCI Donor Services Tennessee Donor Services (TDS) is looking for a dynamic and enthusiastic team member to join us to save lives!! Our mission at TDS is to save lives through organ and tissue donation, and we want professionals on our team that will embrace this important work!! We want people to join our team in the role of the Organ Recovery Coordinator with previous experience as a registered nurse (RN) in an ICU or critical care setting. This position will facilitate all aspects of making or

Full-time

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Registered Nurse jobs