Remote RN Clinical Auditor - Behavioral Health
RADcube - A NLogix Company
- Remote job
RADcube - A NLogix Company, a Carmel, Indiana-based technology and data analytics firm, is seeking a Registered Nurse Clinical Auditor with extensive Behavioral Health experience to support IHCP medical record reviews and billing compliance audits remotely. Responsibilities include reviewing records, preparing documentation and reports, identifying compliance issues, and assisting with appeals. Requires active Indiana (or compact) RN license, 2+ years Medicaid claims/billing experience, and #J-18808-Ljbffr RADcube - A NLogix Company
- RADcube is seeking a Registered Nurse Clinical Auditor with extensive Behavioral Health experience to support IHCP medical record reviews and billing compliance audits. This fully remote role includes occasional travel to Downtown Indianapolis, IN (expenses covered) to...Remote job
- ...role as a trusted partner for large-scale government digital initiatives and more. Job Description This is a remote position. RN Clinical Auditor - Behavioral Health Location: Fully Remote, with occasional travel to Downtown Indianapolis, IN (expenses covered) Job Summary...Remote workContract work
$90k - $104.84k
...RN, DRG Coder / Clinical Auditor Must be a Registered Nurse with experience Remote | Full-Time | Healthcare | Clinical Documentation & Coding About the Role We’... ...recent DRG auditing experience in a hospital or health plan setting. Inpatient ICD-10 coding...Remote workFull timeWork at office- Molina Healthcare is seeking an RN with a US license in good standing to join the Medicaid Team as a Clinical Auditor. The role may offer remote work flexibility, but the candidate must reside in Michigan and operate within Michigan-based guidelines. The incumbent will...Remote job
- Optum Insight is seeking a Clinical Claim Review RN to perform compliance reviews... ...with a team of auditors to document findings and input... ...-time (40 hours/week) with remote work options in Massachusetts... ...am-5:00 pm local time. #J-18808-Ljbffr Texas Health InstituteRemote jobFull timeLocal area
$35 - $62.5 per hour
...do with our team will directly improve health outcomes by connecting people with the... ...together. In this position as a Clinical DRG RN auditor , you will apply your expert knowledge... ...time Ability to work independently in a remote environment and deliver exceptional results...Remote workHourly payDaily paidMinimum wageFull timeTemporary workPart timeWork experience placementWork at officeLocal areaRelocation package$96.46k - $144.69k
Overview Clinical Revenue Auditor-CDM Patient Financial Services-Corporate... ...-Days-Option to work remote or hybrid. The... ...for the Mount Sinai Health System (MSHS) and the... ...processes/standards of behavior. Performs other... ...licensure (Registered Nurse (RN), Occupational...Remote workFull timeTraineeshipLocal area$70.8k - $123.8k
Clinical Nurse Auditor Position Description CGI is one of the world's largest... ...commercial and government health plans. Your expertise will... ...practices. This position is remote within the United States, and... ...Registered Nurse (RN) license in your state of residence...Remote workWork at officeLocal area- The Wilkinson Firm is seeking an independent consultant to provide senior clinical advisory on complex HR engagements in the behavioral health sector. This remote position allows for continued involvement in other roles and offers competitive hourly rates ranging from...Remote jobHourly pay
- ...can be substantiated by the documentation in the Medical Record.Seeking RN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Remote position in New York.Job Responsibility1. Leverages clinical expertise to...Remote workHourly payFull time
- ...HEDIS Auditor RN/LPN Integrated Resources, Inc is a premier staffing firm recognized as... ...specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and... ...meeting which candidate must attend and remote other days. Riya Khem Life Science...Remote workContract workWork from home
- At Duke Health, we're driven by a commitment to compassionate... ...specialty outpatient clinics, extending the reach of... ...IV Leader- Outpatient Behavioral Health Pediatrics JOB... ...Embedded Providers (remote support) for Onco-Psych... ...have current or compact RN licensure in the state...Remote work16 hoursMonday to FridayShift workWeekend workDay shiftAfternoon shift
- ...Job Title: Behavioral Health Registered Nurse (RN) Location: Ottumwa, IA Employment Type: Full-Time Work Model: Onsite (Remote not applicable; must report to facility) Travel:... ...Skills Strong patient care and clinical assessment skills Excellent...Remote workFull time
$42.19 - $72.88 per hour
...patients based on established clinical nursing practice standards... ...patient outcomes. The Behavioral Health Nurse is a Registered Nurse who... ...Registered Nurse [RN - Massachusetts] - required... ...Hampshire and Franklin counties. Remote Type Onsite Work Location...Remote workHourly payWork from homeShift workNight shift- ...Medical Review Nurse - Home Health Auditor Machinify is a... ...Payers. You will work remotely in a fast-paced and... ...Cross train in all clinical departments/areas.... ...(active/unrestricted RN license) is required.... ...causes of events and behaviors. Proven ability to...Remote workWork at office
$55 per hour
...Behavioral Health RN - Jericho, NY (\#25336) Location: Jericho, NY (90% Remote) Employment Type: Part-time, 1099 Contract (14 hours per week) Hourly Rate: $... ...opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and...Remote workHourly payContract workPart timePrivate practiceWork at office- A behavioral health organization is looking for a Telehealth RN to manage geriatric mental health care. This remote position requires a Pennsylvania RN license and offers a predictable daytime... ...compensation and a supportive clinical team are included. #J-18808-LjbffrRemote work
- ...documentation in the Medical Record. Seeking RN candidates with a HCS-D - Home Care... ...COS-C Certificate for OASIS Specialist-Clinical. Remote position in New York. Leverages clinical... ...assignment. Full review of CDI suggested code changes De… #J-18808-Ljbffr Northwell HealthRemote work
$60.2k - $107.4k
...Senior Clinical Administrative Nurse At UnitedHealthcare... ...we're simplifying the health care experience,... ...guide members regarding behavioral health and substance use... ...Current and unrestricted RN compact license ~ Ability... ...*All employees working remotely will be required to...Remote jobMinimum wageFull timeWork experience placementLocal areaWeekday work- ...Registered Nurse OpportunityInova Behavioral Health Services is looking for a dedicated Registered... ...to join the team at their Sterling Clinic. This role will be full-time day shift... ...parental leave, flexible work schedules, and remote and hybrid career opportunities on...Remote workFull timeMonday to FridayFlexible hoursShift workDay shift
$90k - $110k
...BCBAs can focus on delivering excellent clinical care while receiving the support, flexibility... ..., and balance.Being a Board Certified Behavior Analyst (BCBA) is more than a profession... ...the perfect blend of in-clinic and remote workStay Current: Keep up with the latest...Remote workFull timeWork from homeMonday to FridayWeekend work2 days per week- UnitedHealth Group in Massachusetts is seeking a Clinical Claim Review RN to perform compliance reviews of medical and administrative documentation... ...using our auditing tools. The position is full-time, remote within Massachusetts, with standard 8-hour shifts and occasional...Remote jobFull timeShift work
- ...BI for dashboards and Power Apps for workflows. The role requires deep clinical criteria expertise, regulatory knowledge, and the ability to translate findings into actionable improvements. Remote work and travel for training may be required. #J-18808-Ljbffr Santa Barbara...Remote job
$80k - $90k
...Job Title: RN Medical Bill Auditor Location: Remote Compensation: $80,000 - $90,000 annually, based on years of experience Benefits: This position... .... This role offers the opportunity to leverage clinical nursing expertise in a data-driven environment while working...Remote workFull timeWork experience placementLocal area$78.91k - $98.64k
...Position Summary Provides clinical and technical analysis... ...coordinator and/or auditor. # Certified... ...Professional Coder. #2 years health insurance industry... ...claims preferred. # RN, LPN or associate’s degree... ...required to support remote or hybrid work. Must be...Remote workHourly payFull timeWork at officeWork from homeAfternoon shift- ...About the unit: The Behavioral Health Unit (BHU) at Sentara Obici... ...automatic enrollment for any RN with less than 12 months experience... ...Orientation Specialty Clinical Track Residency Professional... ...positions that are available as remote work, Sentara Health...Remote workFull timeTemporary workRelocation packageShift workNight shift
$63k - $86k
...Ottumwa, IA is seeking a junior-level Behavioral Health Registered Nurse to join its clinical staff. This is an in-person, on-site position with no remote work option. Visa sponsorship and... ...The role. The Behavioral Health RN will provide direct nursing care to patients...Remote workVisa sponsorshipRelocation package- Elevance Health is seeking a Patient Safety DRG Clinical Validation Auditor to audit inpatient medical records and ensure documentation supports DRGs billed and reimbursed... ..., and suggest process improvements. A current RN license is required, with a minimum of 10 years in...Remote job
$87k
...General Summary The BY YOUR SIDE CSBS BCBA Clinical Lead is responsible for evaluation,... ...of the Center for Specialized Behavior Supports (CSBS) (e.g., client and RBT scheduling... ...annually ~ Flexible Scheduling with Remote Flexibility (2 remote days each week)...Remote workWork at officeLocal areaImmediate startFlexible hoursWeekend workAfternoon shift2 days per week$100k - $150k
Come Grow With Us At Gold Coast Health Plan, we are driven to create... ...audits for delegates related clinical program oversight. Responsible... ...License as a Registered Nurse (RN) Project Management experience... .... Salary range will vary for remote positions outside of California...Remote work
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