Talent.com
RN Clinical Quality Auditor
RN Clinical Quality AuditorVirtualVocations • San Angelo, Texas, United States
RN Clinical Quality Auditor

RN Clinical Quality Auditor

VirtualVocations • San Angelo, Texas, United States
job_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 a Clinical Quality Auditor, RN - Remote.

Key Responsibilities :

Review and audit contracted sub-delegates

Assist with report preparation and records regarding work function activities and projects

Support Medical Management Initiatives with quality improvement across various departments

Required Qualifications :

Current unrestricted RN license

5+ years of clinical experience

1+ years of experience in managed care or the insurance industry

Experience with Medicare and / or Medicaid

Knowledge of clinical standards of care, HEDIS, NCQA, and regulatory agency requirements

serp_jobs.job_alerts.create_a_job

Quality Auditor • San Angelo, Texas, United States

Job_description.internal_linking.related_jobs
RCM Quality Auditor

RCM Quality Auditor

VirtualVocations • San Angelo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a RCM Quality Auditor-Remote.Key Responsibilities Conduct routine audits of vendor activities including payment posting, denial resolution, and patient account follow-up ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Kentucky Licensed RN QA Manager

Kentucky Licensed RN QA Manager

VirtualVocations • San Angelo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for an RN Quality Assurance Manager.Key Responsibilities Lead the development and execution of the clinical quality assurance program, including chart audits and provider fee...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Texas Licensed Clinical Reviewer

Texas Licensed Clinical Reviewer

VirtualVocations • San Angelo, Texas, United States
serp_jobs.job_card.part_time
A company is looking for a QHCP Clinical Reviewer (NP, PA, or CNM) - Fractional / Part-Time in Texas.Key Responsibilities Monitor patient data trends to identify high-risk cases requiring intervent...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Lead RN Reviewer

Lead RN Reviewer

VirtualVocations • San Angelo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Lead RN, Concurrent Review.Key Responsibilities Provide supervision, coaching, and mentoring to the nursing staff Coordinate day-to-day oversight and direction to clin...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Texas Licensed Clinical Manager

Texas Licensed Clinical Manager

VirtualVocations • San Angelo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Manager, Clinical to join their Case Management team.Key Responsibilities Review and maintain policies and procedures to meet regulatory, accreditation, and orga...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
RN

RN

Shannon Health • San Angelo, TX, US
serp_jobs.job_card.full_time
Under general supervision, perfoms a wide variety of professional level of nursing duties for patiens served in the clinical areas. PACU - required or completed within 1 year of hire date,.Shannon S...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
California Licensed Clinical Appeals RN

California Licensed Clinical Appeals RN

VirtualVocations • San Angelo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Appeals RN to work remotely in the EST or CST time zone.Key Responsibilities Perform initial assessment reviews of appeals and medical records to determine cov...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Massachusetts Licensed RN Reviewer

Massachusetts Licensed RN Reviewer

VirtualVocations • San Angelo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for an RN Utilization Management Reviewer.Key Responsibilities : Conduct pre-certification, concurrent, and retrospective reviews focusing on utilization management and care c...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
RN Licensed Quality Program Manager

RN Licensed Quality Program Manager

VirtualVocations • San Angelo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a UM Operations Quality Program Manager.Key Responsibilities Oversee the design, testing, and implementation of AI tools for clinical operations Lead quality and audit p...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Travel Physical Therapist

Travel Physical Therapist

Synergy Medical Staffing • Ballinger, TX, US
serp_jobs.job_card.permanent
Synergy Medical Staffing is seeking a travel Physical Therapist for a travel job in Ballinger, Texas.Job Description & Requirements. Shift : 5x8 Days, 08 : 00 : 00-16 : 00 : 00, 8.When you join Synergy M...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
State Licensed Clinical Audit Lead

State Licensed Clinical Audit Lead

VirtualVocations • San Angelo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Audit Lead.Key Responsibilities Supervises teams to ensure compliance with laws, regulations, and organizational policies Implements measures to mitigate risk...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
RN Clinical Coordinator

RN Clinical Coordinator

VirtualVocations • San Angelo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Clinical Administrative Coordinator RN - Remote in MST.Key Responsibilities Manage the initial patient intake process, ensuring timely verification, assessment, ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Travel SNF Physical Therapy Assistant

Travel SNF Physical Therapy Assistant

AHS Staffing • Ballinger, TX, US
serp_jobs.job_card.full_time
AHS Staffing is seeking a travel Physical Therapy Assistant for a travel job in Ballinger, Texas.Job Description & Requirements. AHS Staffing is looking for a SNF Physical Therapy Assistant in B...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Licensed Clinical Reviewer

Licensed Clinical Reviewer

VirtualVocations • San Angelo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Reviewer of Behavioral Health.Key Responsibilities Review medical records to determine medical appropriateness based on contract requirements Monitor and adju...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Oregon Licensed Clinical Program Coordinator RN

Oregon Licensed Clinical Program Coordinator RN

VirtualVocations • San Angelo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Program Coordinator RN, Medicare / Medicaid who will provide care coordination and case management services to members. Key Responsibilities Provide care coordi...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Washington Licensed Clinical Program Coordinator RN

Washington Licensed Clinical Program Coordinator RN

VirtualVocations • San Angelo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Program Coordinator RN, Medicare / Medicaid who will provide care coordination and management services for members. Key Responsibilities Provide care coordinati...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Georgia Licensed Clinical Quality Coordinator

Georgia Licensed Clinical Quality Coordinator

VirtualVocations • San Angelo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Quality Assurance Coordinator.Key Responsibilities Perform quality assurance review of peer review reports and ensure compliance with client specifications and...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
RN Clinical Review Manager

RN Clinical Review Manager

VirtualVocations • San Angelo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Manager of Clinical Review to oversee clinical operations and ensure high-quality patient care. Key Responsibilities Monitor quality of care and compliance with policies...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted