217 nurse auditor jobs found

Overview: The Clinical Denial Management Nurse Auditor is responsible for completing, tracking, and reporting clinical denials at an enterprise level between all UF hospitals. Reporting to Enterprise Denial Management Manager, this role serves as a support to revenue cycle including clinical departments, finance, accounting, compliance, patient financial services, revenue integrity, managed care, utilization review, and patient access. The Clinical Denial Management Nurse Auditor is considered a clinical expert in denial management and ensures all denied claims are accurately worked from a clinical perspective, and appropriately appealed to secure maximum reimbursement and minimize organizational write-offs. Qualifications: Minimum Education and Experience Requirements: Required: LPN or RN Required: 2-3 years Clinical experience as RN or 3-5 years clinical experience as a LPN Preferred: CPC, COC, CCS Preferred: Knowledge or experience related to coding, medical record...

Our client, a large Healthcare Corporation is looking for a Clinical Services Auditor to join their team! This position is 100% Remote but you must reside in PST. *CA resident's preferred.* *Job Summary:* Responsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with NCQA, CMS and State Medicaid requirements including delegation standards and requirements contained in the delegation agreement. *Knowledge/Skills/Abilities: * * Responsible for ensuring that our Healthcare's UM delegates are compliant all applicable State, CMS, and NCQA requirements, as well as our Healthcare business needs. In addition, will assist the Delegation Oversight Manager with additional duties of the team. This includes, but is not limited to: * Coordinates, conducts, and documents pre-delegation and annual assessments as necessary to comply with state, federal, NCQA, and any other applicable requirements. *...

Join the VitalCore Team in Michigan! We’re people fueled by passion, not by profit. The full job description covers all associated skills, previous experience, and any qualifications that applicants are expected to have. VitalCore Health Strategies (VCHS), an industry leader in Correctional Health Care, has an opening for a Health Services Administrator / Registered Nurse at Lenawee County Jail in Adrian, Michigan!!!! At VitalCore we pride ourselves on retaining and acquiring compassionate, dedicated individuals who are committed to providing quality services. Join our team and experience first-hand how VitalCore Health Strategies promotes a positive work environment that is based on respect and appreciation of the hard work and dedication of our staff. HEALTH SERVICES ADMINISTRATOR (RN) BENEFITS PACKAGE: Holiday Pay: New Year’s Day, Martin Luther King Jr. Day, Memorial Day, Juneteenth, Independence Day, Labor Day, Veteran’s Day, Thanksgiving Day, and Christmas Day Medical...

Home-Based Product Tester (No Experience Required) $25/hr-$45/hr. Part-Time/Full-Time We are a consulting firm specializing in home-based product testing for businesses worldwide. We focus on emerging ventures from Europe and Asia aiming to penetrate the US market. Our services entail delivering real-time user feedback to companies and market research firms, facilitating product evaluation for proper certification, and enhancing market access. Big companies are willing to pay you handsomely for your valuable product feedback. These companies are racing against each other to find remote product testers like you. Quick feedback from you can save them millions. It helps them make their products better or come up with new ones faster, cutting down on development time and reaching bigger markets quicker. We're searching for product testers from every corner of the United States. We welcome individuals of all ages, races, education levels, and income statuses. Your unique...

Home-Based Product Tester (No Experience Required) $25/hr-$45/hr. Part-Time/Full-Time We are a consulting firm specializing in home-based product testing for businesses worldwide. We focus on emerging ventures from Europe and Asia aiming to penetrate the US market. Our services entail delivering real-time user feedback to companies and market research firms, facilitating product evaluation for proper certification, and enhancing market access. Big companies are willing to pay you handsomely for your valuable product feedback. These companies are racing against each other to find remote product testers like you. Quick feedback from you can save them millions. It helps them make their products better or come up with new ones faster, cutting down on development time and reaching bigger markets quicker. We're searching for product testers from every corner of the United States. We welcome individuals of all ages, races, education levels, and income statuses. Your unique...

Home-Based Product Tester (No Experience Required) $25/hr-$45/hr. Part-Time/Full-Time We are a consulting firm specializing in home-based product testing for businesses worldwide. We focus on emerging ventures from Europe and Asia aiming to penetrate the US market. Our services entail delivering real-time user feedback to companies and market research firms, facilitating product evaluation for proper certification, and enhancing market access. Big companies are willing to pay you handsomely for your valuable product feedback. These companies are racing against each other to find remote product testers like you. Quick feedback from you can save them millions. It helps them make their products better or come up with new ones faster, cutting down on development time and reaching bigger markets quicker. We're searching for product testers from every corner of the United States. We welcome individuals of all ages, races, education levels, and income statuses. Your unique...

Home-Based Product Tester (No Experience Required) $25/hr-$45/hr. Part-Time/Full-Time We are a consulting firm specializing in home-based product testing for businesses worldwide. We focus on emerging ventures from Europe and Asia aiming to penetrate the US market. Our services entail delivering real-time user feedback to companies and market research firms, facilitating product evaluation for proper certification, and enhancing market access. Big companies are willing to pay you handsomely for your valuable product feedback. These companies are racing against each other to find remote product testers like you. Quick feedback from you can save them millions. It helps them make their products better or come up with new ones faster, cutting down on development time and reaching bigger markets quicker. We're searching for product testers from every corner of the United States. We welcome individuals of all ages, races, education levels, and income statuses. Your unique...

Home-Based Product Tester (No Experience Required) $25/hr-$45/hr. Part-Time/Full-Time We are a consulting firm specializing in home-based product testing for businesses worldwide. We focus on emerging ventures from Europe and Asia aiming to penetrate the US market. Our services entail delivering real-time user feedback to companies and market research firms, facilitating product evaluation for proper certification, and enhancing market access. Big companies are willing to pay you handsomely for your valuable product feedback. These companies are racing against each other to find remote product testers like you. Quick feedback from you can save them millions. It helps them make their products better or come up with new ones faster, cutting down on development time and reaching bigger markets quicker. We're searching for product testers from every corner of the United States. We welcome individuals of all ages, races, education levels, and income statuses. Your unique...

Home-Based Product Tester (No Experience Required) $25/hr-$45/hr. Part-Time/Full-Time We are a consulting firm specializing in home-based product testing for businesses worldwide. We focus on emerging ventures from Europe and Asia aiming to penetrate the US market. Our services entail delivering real-time user feedback to companies and market research firms, facilitating product evaluation for proper certification, and enhancing market access. Big companies are willing to pay you handsomely for your valuable product feedback. These companies are racing against each other to find remote product testers like you. Quick feedback from you can save them millions. It helps them make their products better or come up with new ones faster, cutting down on development time and reaching bigger markets quicker. We're searching for product testers from every corner of the United States. We welcome individuals of all ages, races, education levels, and income statuses. Your unique...

Home-Based Product Tester (No Experience Required) $25/hr-$45/hr. Part-Time/Full-Time We are a consulting firm specializing in home-based product testing for businesses worldwide. We focus on emerging ventures from Europe and Asia aiming to penetrate the US market. Our services entail delivering real-time user feedback to companies and market research firms, facilitating product evaluation for proper certification, and enhancing market access. Big companies are willing to pay you handsomely for your valuable product feedback. These companies are racing against each other to find remote product testers like you. Quick feedback from you can save them millions. It helps them make their products better or come up with new ones faster, cutting down on development time and reaching bigger markets quicker. We're searching for product testers from every corner of the United States. We welcome individuals of all ages, races, education levels, and income statuses. Your unique...

Home-Based Product Tester (No Experience Required) $25/hr-$45/hr. Part-Time/Full-Time We are a consulting firm specializing in home-based product testing for businesses worldwide. We focus on emerging ventures from Europe and Asia aiming to penetrate the US market. Our services entail delivering real-time user feedback to companies and market research firms, facilitating product evaluation for proper certification, and enhancing market access. Big companies are willing to pay you handsomely for your valuable product feedback. These companies are racing against each other to find remote product testers like you. Quick feedback from you can save them millions. It helps them make their products better or come up with new ones faster, cutting down on development time and reaching bigger markets quicker. We're searching for product testers from every corner of the United States. We welcome individuals of all ages, races, education levels, and income statuses. Your unique...

Home-Based Product Tester (No Experience Required) $25/hr-$45/hr. Part-Time/Full-Time We are a consulting firm specializing in home-based product testing for businesses worldwide. We focus on emerging ventures from Europe and Asia aiming to penetrate the US market. Our services entail delivering real-time user feedback to companies and market research firms, facilitating product evaluation for proper certification, and enhancing market access. Big companies are willing to pay you handsomely for your valuable product feedback. These companies are racing against each other to find remote product testers like you. Quick feedback from you can save them millions. It helps them make their products better or come up with new ones faster, cutting down on development time and reaching bigger markets quicker. We're searching for product testers from every corner of the United States. We welcome individuals of all ages, races, education levels, and income statuses. Your unique...

Home-Based Product Tester (No Experience Required) $25/hr-$45/hr. Part-Time/Full-Time We are a consulting firm specializing in home-based product testing for businesses worldwide. We focus on emerging ventures from Europe and Asia aiming to penetrate the US market. Our services entail delivering real-time user feedback to companies and market research firms, facilitating product evaluation for proper certification, and enhancing market access. Big companies are willing to pay you handsomely for your valuable product feedback. These companies are racing against each other to find remote product testers like you. Quick feedback from you can save them millions. It helps them make their products better or come up with new ones faster, cutting down on development time and reaching bigger markets quicker. We're searching for product testers from every corner of the United States. We welcome individuals of all ages, races, education levels, and income statuses. Your unique...

Home-Based Product Tester (No Experience Required) $25/hr-$45/hr. Part-Time/Full-Time We are a consulting firm specializing in home-based product testing for businesses worldwide. We focus on emerging ventures from Europe and Asia aiming to penetrate the US market. Our services entail delivering real-time user feedback to companies and market research firms, facilitating product evaluation for proper certification, and enhancing market access. Big companies are willing to pay you handsomely for your valuable product feedback. These companies are racing against each other to find remote product testers like you. Quick feedback from you can save them millions. It helps them make their products better or come up with new ones faster, cutting down on development time and reaching bigger markets quicker. We're searching for product testers from every corner of the United States. We welcome individuals of all ages, races, education levels, and income statuses. Your unique...

Home-Based Product Tester (No Experience Required) $25/hr-$45/hr. Part-Time/Full-Time We are a consulting firm specializing in home-based product testing for businesses worldwide. We focus on emerging ventures from Europe and Asia aiming to penetrate the US market. Our services entail delivering real-time user feedback to companies and market research firms, facilitating product evaluation for proper certification, and enhancing market access. Big companies are willing to pay you handsomely for your valuable product feedback. These companies are racing against each other to find remote product testers like you. Quick feedback from you can save them millions. It helps them make their products better or come up with new ones faster, cutting down on development time and reaching bigger markets quicker. We're searching for product testers from every corner of the United States. We welcome individuals of all ages, races, education levels, and income statuses. Your unique...

Home-Based Product Tester (No Experience Required) $25/hr-$45/hr. Part-Time/Full-Time We are a consulting firm specializing in home-based product testing for businesses worldwide. We focus on emerging ventures from Europe and Asia aiming to penetrate the US market. Our services entail delivering real-time user feedback to companies and market research firms, facilitating product evaluation for proper certification, and enhancing market access. Big companies are willing to pay you handsomely for your valuable product feedback. These companies are racing against each other to find remote product testers like you. Quick feedback from you can save them millions. It helps them make their products better or come up with new ones faster, cutting down on development time and reaching bigger markets quicker. We're searching for product testers from every corner of the United States. We welcome individuals of all ages, races, education levels, and income statuses. Your unique...

Home-Based Product Tester (No Experience Required) $25/hr-$45/hr. Part-Time/Full-Time We are a consulting firm specializing in home-based product testing for businesses worldwide. We focus on emerging ventures from Europe and Asia aiming to penetrate the US market. Our services entail delivering real-time user feedback to companies and market research firms, facilitating product evaluation for proper certification, and enhancing market access. Big companies are willing to pay you handsomely for your valuable product feedback. These companies are racing against each other to find remote product testers like you. Quick feedback from you can save them millions. It helps them make their products better or come up with new ones faster, cutting down on development time and reaching bigger markets quicker. We're searching for product testers from every corner of the United States. We welcome individuals of all ages, races, education levels, and income statuses. Your unique...

Home-Based Product Tester (No Experience Required) $25/hr-$45/hr. Part-Time/Full-Time We are a consulting firm specializing in home-based product testing for businesses worldwide. We focus on emerging ventures from Europe and Asia aiming to penetrate the US market. Our services entail delivering real-time user feedback to companies and market research firms, facilitating product evaluation for proper certification, and enhancing market access. Big companies are willing to pay you handsomely for your valuable product feedback. These companies are racing against each other to find remote product testers like you. Quick feedback from you can save them millions. It helps them make their products better or come up with new ones faster, cutting down on development time and reaching bigger markets quicker. We're searching for product testers from every corner of the United States. We welcome individuals of all ages, races, education levels, and income statuses. Your unique...

Home-Based Product Tester (No Experience Required) $25/hr-$45/hr. Part-Time/Full-Time We are a consulting firm specializing in home-based product testing for businesses worldwide. We focus on emerging ventures from Europe and Asia aiming to penetrate the US market. Our services entail delivering real-time user feedback to companies and market research firms, facilitating product evaluation for proper certification, and enhancing market access. Big companies are willing to pay you handsomely for your valuable product feedback. These companies are racing against each other to find remote product testers like you. Quick feedback from you can save them millions. It helps them make their products better or come up with new ones faster, cutting down on development time and reaching bigger markets quicker. We're searching for product testers from every corner of the United States. We welcome individuals of all ages, races, education levels, and income statuses. Your unique...

Home-Based Product Tester (No Experience Required) $25/hr-$45/hr. Part-Time/Full-Time We are a consulting firm specializing in home-based product testing for businesses worldwide. We focus on emerging ventures from Europe and Asia aiming to penetrate the US market. Our services entail delivering real-time user feedback to companies and market research firms, facilitating product evaluation for proper certification, and enhancing market access. Big companies are willing to pay you handsomely for your valuable product feedback. These companies are racing against each other to find remote product testers like you. Quick feedback from you can save them millions. It helps them make their products better or come up with new ones faster, cutting down on development time and reaching bigger markets quicker. We're searching for product testers from every corner of the United States. We welcome individuals of all ages, races, education levels, and income statuses. Your unique...