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Overview
Responsible for facilitating improvement in inpatient clinical documentation through concurrent review of the medial record for accurate physician documentation of diagnoses based on clinical evidence present in the chart, application of official ICD-10-CM coding guidelines, and interaction with physicians and other clinicians. Identifies opportunities for improvement in clinical docum...

Providence Health Plan caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Providence Health Plan is calling a Clinical Nurse Auditor, HEDIS who will:...

Overview
Looking to be part of something more meaningful? At HonorHealth, you’ll be part of a team, creating a multi-dimensional care experience for our patients. You’ll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact.
HonorHealth offers a diverse benefits portfolio for...

Job Description
Job Summary
Molina's Quality Improvement Sr. Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The abstraction team will meet chart abstraction productivity standards as well as minimum over read standards. Sr. Abstractors will also provide mentoring to entry level abstractors.
Job D...

UPMC Health Plan is looking for an Intermediate Clinical Auditor/Analyst to join the Quality Assurance team! This role will work standard daylight hours, Monday - Friday. The team is based out of downtown Pittsburgh's US Steel Tower, however, this role may work remotely.
The Intermediate Clinical Auditor/Analyst is an integral part of the Quality Assurance and Operational Integrity department ...

Job Description
Job Summary
The Director, Clinical Data Acquisition is responsible for the implementation, monitoring, and oversight of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment, Risk Adjustment Data Validation, and other state specific audit projects and deliverables. This role also works with the Health Plan quality leads to strategically plan for supplemental d...

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position.
As an unlicensed member of the team, this position is responsible for documenting the physician’s or licensed independent pract...

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you'll have the opportunity to work more flexible hours. And working at Gainwell carri...

Position: Monogram Health (MH) FIRST Manager
The Manager of the MH FIRST RN Team plays a critical leadership role in overseeing a team of Registered Nurses who provide essential support to field teams and patients 24/7, facing urgent and complex health concerns. This position ensures the delivery of high-quality care, the effective implementation of processes, and the seamless management of...

Clinical Quality Measure Abstractor
100% remote
2 Months+
Job Description:
This is a temporary, full-time position for employment between January and March 2025 that works under the direction of the Associate Director, Quality for a Medicare Shared Savings Program Accountable Care Organization (MSSP ACO).
Major Responsibilities:
* Review clinical records, according to 2024 CMS ACO...

Job Description
Job Summary
Molina's Quality Improvement Sr. Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The abstraction team will meet chart abstraction productivity standards as well as minimum over read standards. Sr. Abstractors will also provide mentoring to entry level abstractors.
Job Du...

Position: Bilingual Triage RN - Remote
The Bilingual Triage RN with our Monogram Health FIRST program is pivotal in providing critical support to field teams facing urgent and complex patient concerns. The Registered Nurse has expertise that will ensure patients receive the care, resources, and support they need, especially during high-stress situations and environmental crises.
Available ...

Position: Bilingual Monogram Health (MH) FIRST RN - Part Time - Remote
The MH FIRST RN is pivotal in providing critical support to field teams facing urgent and complex patient concerns. The Registered Nurse has expertise that will ensure patients receive the care, resources, and support they need, especially during high-stress situations and environmental crises.
Shift:
Remote- 7 am ...

Position: Monogram Health (MH) FIRST RN - Remote
The MH FIRST RN is pivotal in providing critical support to field teams facing urgent and complex patient concerns. The Registered Nurse has expertise that will ensure patients receive the care, resources, and support they need, especially during high-stress situations and environmental crises.
SHIFT: 7 am – 7 pm (Fri, Sat, Sun)
Roles...

Posting Title
Behavioral Health Clinical Specialist (LPN or RN)- Remote
Overview
Fast Pace Health strives to provide a best in class patient experience in every interaction. We are seeking a highly-skilled, experienced Behavioral Health Clinical Specialist (LPN or RN) to join our growing team. Our ideal candidate will be deeply committed to nurturing our Fast Pace mission of teamwork, communi...

Requisition Details
GENERAL REQUISITION INFORMATION
EEO Statement:
UNMC is an Affirmative Action Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and individuals with disabilities.
Location
Omaha, NE
Requisition Number:
Staff_13532
Department
Neurological Sciences 50001975
Business Unit
College of Medicine
Reg-Temp
Full-Time Regular
...

Newport News, Virginia
Remote Eligibility: This position is eligible for remote work for candidates residing in the following states: AK, FL, ID, KS, KY, LA, MS, MO, NE, NC, OK, PA*, SC, SD, TN, UT, VA, WV. *Some county exclusions may apply.
Overview
Facilitates the overall quality and completeness of provider-based clinical documentation in the medical record. Provides a thorough clinical revi...

Job Summary:
The Clinical Documentation Auditor/Educator will provide review of inpatient medical records to evaluate the diagnosis and procedural code assignment as an accurate and appropriate representation of the documentation and utilization of acute care services. As a Clinical Documentation Auditor/Educator the role will include facilitation of appropriate diagnosis and procedure code a...

Overview
Community Focused. Care Driven.
Join Southcoast Health, where your future is as promising as the care we provide. Our commitment to each other, our patients, and our community is more than a mission - it's our way of life, and you'll be at the heart of it.
Southcoast Health is a not-for-profit, charitable, health system with multiple hospitals, clinics and facilities throughout Southea...

Newport News, Virginia
Remote Eligibility: This position is eligible for remote work for candidates residing in the following states: AK, FL, ID, KS, KY, LA, MS, MO, NE, NC, OK, PA*, SC, SD, TN, UT, VA, WV. *Some county exclusions may apply.
Overview
Facilitates the overall quality and completeness of provider-based clinical documentation in the medical record. Provides a thorough clinica...