A company is looking for an Auditor Clinical Validation (Place of Service, Short Stay & Readmission).
Key Responsibilities
Analyze and audit claims based on clinical guidelines and medical chart severity
Utilize proprietary auditing systems to make determinations and generate audit letters
Maintain production goals and achieve accuracy and quality standards for audits
Required Qualifications
Associate or Bachelor's degree in nursing
Active RN License in the state of residence
5 to 7+ years of experience in Utilization Management or Case Management
Critical Care background in areas such as ICU, Emergency Room, or Med Surg
Proficiency in Word, Access, Excel, and TEAMS
Registered Nurse Clinical Auditor • Fort Lauderdale, Florida, United States
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A member of Trinity Health, one of the largest multi-institutional Catholic health care delivery systems in the nation, Fort Lauderdale-based Holy Cross Hospital, dba Holy Cross Health, is a full-s...[internal_linking.show_more]
A member of Trinity Health, one of the largest multi-institutional Catholic health care delivery systems in the nation, Fort Lauderdale-based Holy Cross Hospital, dba Holy Cross Health, is a full-s...[internal_linking.show_more]
Instructors are responsible for leveraging their expertise to deliver education services to students through:.Preparing course plans and materials.Monitoring progress/attendance.Recording grades an...[internal_linking.show_more]
A member of Trinity Health, one of the largest multi-institutional Catholic health care delivery systems in the nation, Fort Lauderdale-based Holy Cross Hospital, dba Holy Cross Health, is a full-s...[internal_linking.show_more]
Address: 1611 NW 12 Ave, Miami, FL 33160.Shift Details: Full Time (3:3 schedule), Nights.Jackson Memorial Hospital is the flagship hospital for Jackson Health System and it has been a beacon of med...[internal_linking.show_more]
A member of Trinity Health, one of the largest multi-institutional Catholic health care delivery systems in the nation, Fort Lauderdale-based Holy Cross Hospital, dba Holy Cross Health, is a full-s...[internal_linking.show_more]
RN Clinical Supervisor - Hybrid Schedule.Position: Clinical Supervisor (RN).Join a Company That Puts People First!.Aveanna Healthcare is one of the largest private-duty nursing companies in the nat...[internal_linking.show_more]
Come join us for our upcoming virtual hiring event!.Wednesday April 15th at 10am EST.Florida Care Manager Virtual Hiring Event – Molina Healthcare.Provides support for care management/care coordina...[internal_linking.show_more]
A member of Trinity Health, one of the largest multi-institutional Catholic health care delivery systems in the nation, Fort Lauderdale-based Holy Cross Hospital, dba Holy Cross Health, is a full-s...[internal_linking.show_more]
A member of Trinity Health, one of the largest multi-institutional Catholic health care delivery systems in the nation, Fort Lauderdale-based Holy Cross Hospital, dba Holy Cross Health, is a full-s...[internal_linking.show_more]
A member of Trinity Health, one of the largest multi-institutional Catholic health care delivery systems in the nation, Fort Lauderdale-based Holy Cross Hospital, dba Holy Cross Health, is a full-s...[internal_linking.show_more]
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click.Workday to use the internal application process.To learn how to apply for a faculty or staff posit...[internal_linking.show_more]
A member of Trinity Health, one of the largest multi-institutional Catholic health care delivery systems in the nation, Fort Lauderdale-based Holy Cross Hospital, dba Holy Cross Health, is a full-s...[internal_linking.show_more]
Become a part of our caring community and help us put health first.Below covers everything you need to know about what this opportunity entails, as well as what is expected from applicants.The Clin...[internal_linking.show_more]
Job Title: Clinical Research Nurse I.Location: 3340 Enterprise Way, Miramar, FL 33025.Assignment Duration: 6 months with possibility to extend.Working 3rd Shift 10:30PM - 7:00AM any day Monday - Su...[internal_linking.show_more]
A member of Trinity Health, one of the largest multi-institutional Catholic health care delivery systems in the nation, Fort Lauderdale-based Holy Cross Hospital, dba Holy Cross Health, is a full-s...[internal_linking.show_more]
A member of Trinity Health, one of the largest multi-institutional Catholic health care delivery systems in the nation, Fort Lauderdale-based Holy Cross Hospital, dba Holy Cross Health, is a full-s...[internal_linking.show_more]
