6 clinical rn jobs found

Registered Nurse (RN) Quality Analyst  Job Type: Full Time | Days  Your experience matters At Highpoint Health Sumner we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here, you're not just valued as an employee, but as a person. As a  registered nurse (RN)  joining our team, you're embracing a vital mission dedicated to  making communities healthier . Join us on this meaningful journey where your skills, compassion, and dedication will make a remarkable difference in the lives of those we serve. About our Health System Highpoint Health Sumner is a 167-bed hospital located in Gallatin, TN and is part of  Lifepoint Health , a diversified healthcare delivery network committed to  making communities healthier ® with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters. How you'll...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Under direction from the Manager, Health Information Management, a Lead Health Information Management Audit Specialist collaborates closely with other departments/teams to provide efficient and thorough healthcare claims auditing requirements for Beth Israel Lahey Health (BILH) and its affiliates. The Lead is responsible for a variety of third-party audits of medical record 1 data for reimbursement, regulatory compliance, quality, and appropriateness. Assists in the medical record documentation review. Key responsibilities include providing colleague training and education, orientation, monitoring productivity, quality of work standards, updating workflow procedures, and assisting the manager in day-to-day activities. The Lead is also responsible for processing and resolving complex audit compliance transactions. Job Description: Assists the manager of...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Reporting to the Manager, Patient Financial Services, the Clinical Analyst plays an important role in a high-profile team tasked with handling all commercial and government clinical appeals and audit processes. The Clinical Analyst will perform high-level clinical appeal for services in the inpatient and outpatient hospital setting, to ensure that Beth Israel Lahey Health (BILH) is in compliance with all applicable federal and state laws and regulations as they pertain to coding, billing, and documentation. To educate, give support, and provide guidance to all BILH providers about compliance, billing, coding, and documentation requirements. To perform and monitor Third Party Payer audits by obtaining information relative to all claims audited with regards to policies, departmental practices/processes, and procedures; to gather information that would support...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Reporting to the Manager, Patient Financial Services, the Clinical Analyst plays an important role in a high-profile team tasked with handling all commercial and government clinical appeals and audit processes. The Clinical Analyst will perform high-level clinical appeal for services in the inpatient and outpatient hospital setting, to ensure that Beth Israel Lahey Health (BILH) is in compliance with all applicable federal and state laws and regulations as they pertain to coding, billing, and documentation. To educate, give support, and provide guidance to all BILH providers about compliance, billing, coding, and documentation requirements. To perform and monitor Third Party Payer audits by obtaining information relative to all claims audited with regards to policies, departmental practices/processes, and procedures; to gather information that would support...

The Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, Informed Consent Forms, Clinical Trial Agreements, and other relevant study-related documents to create a coverage analysis/billing guide. The coverage analysis indicates which medical procedures/services maybe 'Routine Cost' and billable to patient insurance and which should be billed to the study sponsor. The Medicare Coverage Analyst determines whether proposed clinical research studies are a Qualifying Clinical Trial as defined by the Medicare Clinical Trial Policy (NCD 310.1) and designates medical procedures/services based on relevant regulations and determinations. The Senior Medicare Coverage Analyst applies subject matter expertise to complex protocols and mentors/trains junior team member. Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission...

Description Our facility is in need of a RN Supervisor on our vent unit at Miller Nursing Home. The Registered Nurse will assess, plan, implement, and evaluate care for a group of patients, supervise assigned nursing personnel, collaborate with other health care professionals, coordinate ancillary staff, demonstrate professional growth and development in maintaining standards for professional nursing practice at the clinical setting, and provide direct or indirect patient care to all developmental ages. The Hospital Authority of Miller County provides great benefits including: * Competitive Pay Rates * Health, Dental, and Vision Insurance * Retirement Plans Please visit our website at www.millercountyhospital.com