RN Auditor: Regulatory Medical Records & Utilization
$48.77 - $81.51 per hourTorrance Memorial
Torrance Memorial in Torrance, California, is seeking a qualified RN Auditor responsible for reviewing medical record documentation to ensure compliance with federal and state regulations, as well as Medicare and Medi-Cal programs. This role requires an Associate's Degree in Nursing and five years of experience in Case or Utilization Management. The compensation range for this position is $48.77 - $81.51 per hour, depending on experience. Competitive benefits and opportunities for professional growth are also offered. #J-18808-Ljbffr Torrance Memorial
$48.77 - $81.51 per hour
...RN Auditor Under direct supervision of the Manager, RN Auditor... ...responsible for the review of medical record documentation for accuracy... ...with all Federal and State regulatory bodies, Medicare, and Medi-... ...criteria to the Utilization Review Committee. Documents...RegulatoryWork at office$48.77 - $81.51 per hour
...healthcare institution in Torrance is looking for an RN Auditor to ensure compliance with medical record documentation and regulatory requirements. This role involves reviewing... ...relevant experience in case management or utilization management. Full-time compensation ranges...RegulatoryHourly payFull time$44.8 - $57.95 per hour
...wound management, and product utilization Participates in... ...documentation according to regulatory and organizational standards... ...Information: Access to complete medical records including clinical and demographic... ...Current Registered Nurse (RN) license in good standing...Regulatory- ...professional nursing care, utilizing the nursing process in... ...consistent with the Medical Center Vision, Mission,... ...activities. Complies with regulatory requirements, policies,... ...: Specialty Unit Staff RN - Hospital - PICC... ...arrest and/or conviction records will be considered for...RegulatoryDaily paidFull timeLocal areaFlexible hoursShift workAfternoon shift
- ...Specialty Unit Staff RN - Hospital - ICU As the leader of... ...provides professional nursing care, utilizing the nursing process in... ...performance consistent with the Medical Center Vision, Mission, and... ...activities. Complies with regulatory requirements, policies, procedures...RegulatoryDaily paidFull timeLocal areaFlexible hoursShift workNight shiftAfternoon shift
- ...Pediatrics* ICU MS Case Management/Utilization Review Pre-Cert Review* Prior... ...Continued Stay Reviews Determine Medical Necessity per Evidence-Based Guidelines... ...Settings Acute Hospital Ambulatory Regulatory CMS: Centers for Medicare and...RegulatoryRemote work
- ...you an experienced Hospice RN who thrives in leadership and... ...management, team coordination, and regulatory compliance, all while... ...plans within the Electronic Medical Records (EMR)system, ensuring accuracy... ...unique living conditions. Utilize a tablet or laptop for real-...RegulatoryLocal area
$56 per hour
...Position Summary The Utilization Review/Management Nurse is accountable for planning... ...responsible in performing and completing medical necessity reviews utilizing McG and... ...Knowledge of all Federal, State and Local regulatory standards Professional demeanor with...RegulatoryFull timeLocal areaImmediate start$29.05 - $67.97 per hour
...Job Title Utilizing clinical knowledge and experience... ...documentation to ensure medical necessity and... ...validates the medical record and claim submitted support... ...applicable state and federal regulatory requirements and guidelines... .... • Registered Nurse (RN). License must be...RegulatoryHourly payFull timeWork experience placementWork at office$30.5 - $59.47 per hour
...Provides support for medical claim and internal appeals... ...state and federal regulatory requirements, Molina policies... ...claims and associated records by applying advanced... ...complaints regarding utilization management and long-... ...Registered Nurse (RN) in Nevada. License must...RegulatoryHourly payFull timeWork experience placementWork at office- ...observes residents for changes in medical status. This position also... ...and in compliance with all Regulatory Agencies. Administration of... ...is legible and neat and that records are appropriately signed (i.e... .... Charting Forms: Utilizes the appropriate charting forms...RegulatoryShift workWeekend work
$44.28 - $65.1 per hour
...Job Title: Float RN I - Full Time: 3 shifts per... ...Delivers comprehensive, regulatory-compliant nursing care... ...care units, including Medical/Surgical, Telemetry, Behavioral... ...arrest or conviction records will be considered for... ...and family members. Utilizes white boards for patient...RegulatoryFull timeTemporary workRelocation packageShift workWeekend work$1,573.5 per month
...an experienced Registered Nurse (RN) – Utilization Review to assess the medical necessity, efficiency, and... ...comprehensive reviews of patient records to determine medical necessity and... ...policies, reimbursement methods, and regulatory requirements Excellent critical...RegulatoryShift work$30.5 - $59.47 per hour
...Provides support for medical claim and internal appeals... ...state and federal regulatory requirements, Molina policies... ...claims and associated records by applying advanced... ...complaints regarding utilization management and long-... ...Registered Nurse (RN) in Nevada. License must...RegulatoryHourly payFull timeWork experience placementWork at office- ...the maintenance of patient records from intake through discharge... ...services provided (staffing, medications, HME, supplies, level of... ...expenses. Quality Improvement/Regulatory Compliance Monitors clinical... ...annual program review. Performs utilization review of continuous care...RegulatoryContract workLocal area
$55.56 - $85.96 per hour
...role integrates and coordinates utilization management, transitions of... ...planning functions. The Level II RN Case Manager is accountable... ...benchmarking goals Maintains regulatory compliance consistent with... ...Utilizes the Electronic Health Record to ensure timely, accurate...RegulatoryNight shift$55.29 - $74.66 per hour
...Staff RN Position The Staff RN uses the nursing process to deliver... ...interpretation and execution of the medical and nursing plan of treatment utilizing established procedures standards and... ...reporting process Maintains regulatory compliance consistent with quality...RegulatoryShift work$55.29 - $80.45 per hour
...Staff RN The Staff RN uses the nursing process to deliver nursing care... ...and execution of the medical and nursing plan of treatment utilizing established procedures standards and... ...follows reporting process Maintains regulatory compliance consistent with quality...RegulatoryShift work- ...Responsibilities: Conduct patient assessments, including medical history review, physical examinations, and diagnostic... ...measures. Maintain accurate and up-to-date medical records in compliance with regulatory standards. Requirements: Current California...Regulatory
- ...Utilization Management Registered Nurse The Utilization Management (UM) Registered Nurse (RN) is responsible for reviewing medical necessity, level of care appropriateness, and compliance with regulatory guidelines to ensure effective utilization of hospital resources...Regulatory
$55.29 - $80.45 per hour
...Description The Staff RN uses the nursing process to deliver... ...interpretation and execution of the medical and nursing plan of treatment utilizing established procedures standards and... ...reporting processMaintains regulatory compliance consistent with quality...RegulatoryWork experience placementShift work$54.72 - $80.45 per hour
...Staff RN The Staff RN uses the nursing process to deliver nursing care... ...and execution of the medical and nursing plan of treatment utilizing established procedures standards and... ...follows reporting process Maintains regulatory compliance consistent with quality...RegulatoryShift work$55.29 - $74.66 per hour
...Description The Staff RN uses the nursing process to deliver... ...interpretation and execution of the medical and nursing plan of treatment utilizing established procedures standards and... ...reporting process Maintains regulatory compliance consistent with quality...RegulatoryShift work$55.29 - $80.45 per hour
...Staff Registered Nurse The Staff RN uses the nursing process to... ...interpretation and execution of the medical and nursing plan of treatment utilizing established procedures standards and... ...follows reporting process Maintains regulatory compliance consistent with quality...RegulatoryShift work- ...related and non-work-related cases, supports regulatory medical programs, and collaborates with safety... ...teams Maintain accurate medical records and treatment documentation Prepare... ...Basic Qualifications Registered Nurse (RN) licensed with a State Board of Nursing...Regulatory
$54.72 - $78.11 per hour
...Staff RN The Staff RN uses the nursing process to deliver nursing care... ...and execution of the medical and nursing plan of treatment utilizing established procedures standards and... ...follows reporting process Maintains regulatory compliance consistent with quality...RegulatoryShift work$49.88 - $80.45 per hour
...Description The Staff RN uses the nursing process to deliver... ...interpretation and execution of the medical and nursing plan of treatment utilizing established procedures standards and... ...reporting process Maintains regulatory compliance consistent with quality...RegulatoryShift workNight shift$54.98 - $81.66 per hour
...Staff RN The Staff RN uses the nursing process to deliver nursing care... ...and execution of the medical and nursing plan of treatment utilizing established procedures standards and... ...follows reporting process Maintains regulatory compliance consistent with quality...RegulatoryRemote workShift work- ...areas in alignment with regulatory requirements -... ...Performs audits in utilization management, care management... ...clinical gaps in care from a medical and/or behavioral... ...protocols. Maintains detailed records of auditing results.... .... Registered Nurse (RN). License must be...RegulatoryWork at office
- ...Commercial, and Third Party). Utilizing clinical and coding... ...After review of the denial and medical record, the Clinical Appeals Review... ...based on current coding and regulatory guidelines and clinical criteria... ...Experience Registered Nurse (RN) License is required. CCS,...RegulatoryContract workRemote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN Auditor: Regulatory Medical Records & Utilization. Be the first to apply!
- neuro icu registered nurse Torrance, CA
- nicu rn Torrance, CA
- registered nurse nursing home Torrance, CA
- rn observation unit Torrance, CA
- rn hospice Torrance, CA
- outpatient registered nurse Torrance, CA
- rn evening shift Torrance, CA
- home health rn case manager Torrance, CA
- ambulatory care rn - registered nurse Torrance, CA
- dialysis rn Torrance, CA


