UNKNOWN

ADAPTED_NOW

HOUR

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Jobot

QC Data Reviewer

YEAR

RHIA - Registered Health Information Administrator required or: CCS-Certified Coding Specialist required or: Certified International Credit Professional (CICP) required or: CCDS Certified Clinical Documentation Specialist required or: RN - Registered Nurse - State Licensure and/or Compact State Licensure Registered Nurse or Higher (in combination with a coding credential) preferred. Independently conducts comprehensive MS-DRG and APR-DRG coding and clinical validation reviews, exercising professional judgment to verify ICD-10-CM/PCS assignments, validate clinical diagnoses, identify discrepancies, and apply inpatient reimbursement rules without direct supervision.

Centene

DRG Reviewer

SonicJobs Redirect

Experience reviewing Medicaid, Medicare, Marketplace, Commercial, CHIP, Dual Eligible Special Needs Plans (D-SNP), or other government-sponsored healthcare programs preferred. Performs utilization management activities including prior authorization review, concurrent review, retrospective review, and appeal review activities utilizing approved medical necessity criteria, organizational policies, contractual requirements, and regulatory guidelines.

University Health

Clinical Reviewer Utilization Management

TMP PX

FULL_TIME

FEED

Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. From its beautiful lakes and extensive bike trails to its dynamic food scene and cultural attractions, Madison consistently ranks as one of the best places to live in the U.S. Home to a highly educated workforce and innovative industries, the city blends small-town charm with big-city amenities.

UW Health Rehabilitation Hospital

Registered Nurse (RN) Rehabilitation

Appcast Custom Questions GTM

The PRN Registered Nurse provides professional nursing care through assessment and accurate documentation, diagnosis, planning, implementation and evaluation for the comfort and well-being of patients; carries out a plan of care specific to unit competencies for the target patient population; coordinates care delivery and education through collaboration with patient, family and all health care team providers to ensure safe, effective and quality patient care; follows organizational policies in providing safe patient care; performs other duties as assigned. Coordinates care delivery and education through collaboration with patient, family, and all health care team providers to ensure safe, effective and quality patient care.

University of Kansas Health System

PRN Registered Nurse (RN) - Surgical OR

JobAdX

Our benefits are designed to support your well-being and start on day one : Supervise care and treatments, lead patient assessments, tailor care plans, and address patient concerns to provide exceptional care. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing.

Rehabilitation Hospital of Kingsport, a joint venture of Ballad Health and Encompass Health

Registered Nurse

As a Full-Time RN, you will play an integral role in delivering high-quality patient care, collaborating with interdisciplinary teams, and making a lasting difference in the lives of patients and communities we serve. Whether you're seeking temporary work to accommodate personal commitments, explore different healthcare settings, or gain diverse experience, we have flexible 16-week contract positions available.

Encompass Health Rehabilitation Hospital of Nittany Valley

Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. MercyOne Clive Rehabilitation Hospital is a state-of-the-art, 50-bed inpatient acute rehabilitation hospital dedicated to the treatment and recovery of individuals who have experienced the debilitating effects of a severe injury or illness.

MercyOne Clive Rehabilitation Hospital

Registered Nurse (RN) - Rehabilitation

Job Description Scheduled Weekly Hours: 36 Throughout communities in Illinois and Wisconsin, 13 hospitals, numerous community-based health centers and clinics, our 13,000+ colleagues have built a culture based on our solid core values of respect, care, competence, and joy. Other benefits include: Wellness program with incentives, employer-paid life insurance and short-term and long-term disability coverage, flexible spending accounts, employee assistance program, ID theft coverage, colleague rewards and recognition program, discount program, and more!

Hospital Sisters Health System

Registered Nurse (RN) CVICU

CVICU RN Registered Nurse-Critical Care

The RN works in accordance with local practice acts and regulations, delegates and ensures supervision of nursing activities and functions to other competent nursing personnel appropriate to their scope of practice. VitalCore Health Strategies (VCHS), an industry leader in Correctional Health Care has openings for Full-Time Day Shift Charge Registered Nurse (RN) at Sussex Community Corrections Center located in Georgetown, DE !

VitalCore Health Strategies

Full-Time Day Shift Charge Registered Nurse (RN)

JobTarget

PART_TIME

Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.

Mercy Rehabilitation Hospital – South

Scheduled Weekly Hours: 36 Throughout communities in Illinois and Wisconsin, 13 hospitals, numerous community-based health centers and clinics, our 13,000+ colleagues have built a culture based on our solid core values of respect, care, competence, and joy. Other benefits include: Wellness program with incentives, employer-paid life insurance and short-term and long-term disability coverage, flexible spending accounts, employee assistance program, ID theft coverage, colleague rewards and recognition program, discount program, and more!

Registered Nurse (RN) Cath Lab

Registered Nurse (RN) ED

Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!

Encompass Health Rehabilitation Hospital of Sioux Falls

OTHER

Encompass Health Rehabilitation Hospital of Amarillo

The RN works in accordance with local practice acts and regulations and delegates and ensures supervision of nursing activities and functions to other competent nursing personnel appropriate to their scope of practice. VitalCore Health Strategies (VCHS), an industry leader in Correctional Health Care has openings for Full-Time Day, Full-Time/Part-Time Night & PRN Shift Registered Nurses at Sussex Correctional Institution in Georgetown, DE!

Registered Nurse (RN)

CONTRACTOR

CRAWL_WRAP

Duties of this healthcare role will include, but are not limited to: Observing, assessing, planning, implementing and evaluating nursing support for well, chronic or acutely ill individuals in a community or small facility setting. In addition to assessing the health of the people we serve and implementing their care plans, the Registered Nurse will ensure health maintenance and disease prevention and/or provide case management.

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<h4>Since 1988, Technology Consulting Inc. has provided information systems and consulting services to a variety of organizations across the United States. We concentrate on IT staffing with deep roots in government contract opportunities across all technology platforms. Our team is committed to aligning leading edge knowledge of information systems, processes and people to ensure practical success along with customer satisfaction. Whether you are a skilled professional looking for your next career or an organization in need of experienced talent, we can help!</h4>
</div>

Technology Consulting Inc

Registered Nurse 1304

As a Full-Time RN, you will play an integral role in delivering high-quality patient care, collaborating with interdisciplinary teams, and making a lasting difference in the lives of patients and communities we serve. Our benefits are designed to support your well-being and start on day one : Supervise care and treatments, lead patient assessments, tailor care plans, and address patient concerns to provide exceptional care.

Reviewer Jobs in the United States

QC Data Reviewer Jobot

DRG Reviewer Centene

Clinical Reviewer Utilization Management University Health

Registered Nurse (RN) Rehabilitation UW Health Rehabilitation Hospital

PRN Registered Nurse (RN) - Surgical OR University of Kansas Health System

Registered Nurse Rehabilitation Hospital of Kingsport, a joint venture of Ballad Health and Encompass Health

Registered Nurse Encompass Health Rehabilitation Hospital of Nittany Valley

Registered Nurse (RN) - Rehabilitation MercyOne Clive Rehabilitation Hospital

Registered Nurse (RN) CVICU Hospital Sisters Health System

CVICU RN Registered Nurse-Critical Care Hospital Sisters Health System

Full-Time Day Shift Charge Registered Nurse (RN) VitalCore Health Strategies

Registered Nurse (RN) Rehabilitation Mercy Rehabilitation Hospital – South

Registered Nurse (RN) Cath Lab Hospital Sisters Health System

Registered Nurse (RN) ED Hospital Sisters Health System

Registered Nurse Encompass Health Rehabilitation Hospital of Sioux Falls

Registered Nurse Encompass Health Rehabilitation Hospital of Amarillo

Registered Nurse (RN) VitalCore Health Strategies

Registered Nurse 1304 Technology Consulting Inc

Registered Nurse Encompass Health Rehabilitation Hospital of Harmarville

Registered Nurse (RN) Emergency Department Hospital Sisters Health System

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