RN Clinical Auditor
VirtualVocationsMiami, Florida, United Statesjob_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for an RN Clinical Auditor.
Key Responsibilities
Perform clinical audit reviews for government and commercial payers to ensure compliance and quality standards
Analyze medical records and data to identify trends and discrepancies, preparing audit materials as needed
Collaborate with healthcare providers and educate staff on audit outcomes and best practices
Required Qualifications
Associates or Bachelor's Degree in Nursing
Registered Nurse (RN) license required
3 years of regulatory audit experience, utilization review, or clinical validation preferred
Experience with electronic medical records (EMR) systems
Ability to manage time and adapt to changing regulations in a production-based environment
serp_jobs.job_alerts.create_a_job
Auditor • Miami, Florida, United States
Job_description.internal_linking.related_jobs A company is looking for a Clinical Appeals RN, fully remote, requiring 4 or 5 workdays per week with weekends required.Key Responsibilities Review medical records and verify if requested service...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Family First Homecare provides exceptional homecare services to children with life-long health conditions.We live by our values of telling the truth, owning the details, and raising the bar, workin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Our 459-bed acute care hospital has made excellence in delivering healthcare a priority, and it shows : .We are home to the Heart Institute of Florida, where our doctors have worked on the leading ed...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process.
To learn how to apply for a facu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Our 459-bed acute care hospital has made excellence in delivering healthcare a priority, and it shows : .We are home to the Heart Institute of Florida, where our doctors have worked on the leading ed...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with established clini...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
HCA Florida Westside Hospital is committed to investing in the latest technology enabling nurses to work more efficiently.
Are you passionate about delivering patient-centered care?.Submit your appl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Clinical Documentation Specialist RN.Key Responsibilities Conducts concurrent reviews of clinical documentation in medical records to ensure compliance and accuracy for...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Clinical Auditor 2.Key Responsibilities Performs audits of medical records for denials review, defense audits, disallowed charges, and utilization reviews Completes an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Clinical Supervisor - RN - Full-time (Remote U.Key Responsibilities Lead and oversee all Utilization Management (UM) activities, ensuring accuracy and timely completion...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Clinical Outcomes Manager - Population Health.Key Responsibilities Conducts regular in-person and virtual rounds to provide status reports and insights to providers and...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours Provides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance p...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for an RN Clinical Auditor.Key Responsibilities Perform clinical audit reviews for government and commercial payers to ensure compliance and quality standards Analyze medica...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Clinical Appeals RN to work on post-service appeals for Medicare-based claims remotely.Key Responsibilities : Review provider post-service appeals for Medicare and Retir...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, inc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 
The Clinical Partner (CP) provides basic technical nursing skills (deemed competent) and delegated tasks (i.Foley catheter) under the direction and / or supervision of the registered nurse in accorda...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click.Workday to use the internal application process.
The Clinical Translational Research Site is curren...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
CRNA Opportunity! How would you like to join an EXCELLENT TEAM !.Envision Physician Services and Aventura Hospital are currently seeking CRNAs to join our collaborative Anesthesia team located in t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Provides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance p...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days The Manager of Clinical Research will be responsible for assisting the Director of Clinical Research Operations, providing oversight, management, planning, and direction of all clinical research op...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
- serp_jobs.job_card.promoted
California Licensed Clinical Appeals RN
VirtualVocationsMiami, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Manager RN
Anchor Home Health CareFort Lauderdale, FL, USserp_jobs.job_card.full_time
RN Clinical Educator-ICU-Full Time
Florida Medical CenterLauderdale Lakes, FL, USAserp_jobs.job_card.full_time +1
serp_jobs.filters_job_card.quick_apply
- serp_jobs.job_card.promoted
Sr. Clinical Assistant
University of MiamiFort Lauderdale, FL, USserp_jobs.job_card.full_time
RN Clinical Educator-Full Time
Florida Medical CenterLauderdale Lakes, FL, USAserp_jobs.job_card.full_time +1
serp_jobs.filters_job_card.quick_apply
- serp_jobs.job_card.promoted
Care Review Clinician, Inpatient Review (RN)
Molina HealthcareMiami, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
PICC RN
HCA Florida Westside HospitalFort Lauderdale, FL, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Colorado Licensed Clinical Documentation Specialist RN
VirtualVocationsHialeah, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Auditor with RN License
VirtualVocationsFort Lauderdale, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Indiana Licensed Clinical Supervisor RN
VirtualVocationsHollywood, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Ohio Licensed Clinical Outcomes Manager
VirtualVocationsHollywood, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Care Review Clinician (RN) (Must reside in MI)
Molina HealthcareMiami, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
RN Clinical Auditor
VirtualVocationsHialeah, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Maryland Licensed Clinical Appeals RN
VirtualVocationsHialeah, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Care Review Clinician, PA (RN)
Molina HealthcareFort Lauderdale, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Partner 2 (CNA), Intensive Care Unit, PT, 7P-7 : 30A
Baptist HealthMiami, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Manager, Clinical Research
University of MiamiMiami, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
CRNA - Anesthesiology job available in Miami, Florida
Envision Physician ServicesMiami, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Care Review Clinician (RN)
Molina HealthcareMiami, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Manager, MCI Clinical Research, Clinical Trials, FT, 8 : 00A - 4 : 30P
Baptist HealthMiami, FL, USserp_jobs.job_card.full_time