Clinical Policy Coder RN II - Drive Coding & Compliance
Working Nurse
Working Nurse in Los Angeles is seeking a Clinical Policy Clinical Coder RN II to ensure accurate medical coding and compliance with regulations. The role requires collaboration with stakeholders to implement policies and oversee utilization management. The ideal candidate has at least 8 years of clinical nursing experience, particularly with Medi-Cal and Medicare, and an Associate's degree in Nursing. This position offers a full-time shift with a competitive salary. #J-18808-Ljbffr Working Nurse
Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Clinical Policy Coder RN II - Drive Coding & Compliance in Los Angeles, CA vacancy
$102.18k
Clinical Policy Clinical Coder RN II Shift: Full Time Pay Range: $102,183.00 (Min.) - $132,838.00 (Mid.) -... ...management policies to ensure accurate coding, appropriate authorization... ...implementation, and organizational compliance with state, federal, and accreditation...PolicyFull timeShift work$102.18k
...Clinical Policy Clinical Coder RN II Job Category: Clinical Department: Utilization Management Location... ...management policies to ensure accurate coding, appropriate authorization... ...implementation, and organizational compliance with state, federal, and accreditation...PolicyFull time$88.85k
...Management Claims Review Nurse RN II Job Category: Clinical Department: Utilization... ...with established clinical policies and regulatory standards.... ...accurate adjudication and compliance. This position... ...supports billed services, coding is accurate and aligned with...PolicyFull timeLOS Angeles Care Health Plan
Los Angeles, CA5 days ago- L.A. Care Health Plan is seeking a Clinical Policy Clinical Coder RN II to ensure accurate coding and compliant claims processing. The role involves analyzing clinical... ...logic, and working with various teams to ensure compliance with regulations. Candidates should have...Policy
$93.8k - $128.95k
...Specialist Level II is responsible for conducting clinically based... ...reimbursement compliance for acute care... ...50 lbs - None Driving - None Essential... ...date DRG. Assists coders in follow-up on... ...set by hospital policies and procedures,... ...information management coding staff,...PolicyFull timeLocal area$88.85k - $142.17k
L.A. Care Health Plan is seeking a Clinical Policy Nurse RN II in Los Angeles, CA. This position involves researching and evaluating healthcare policies related to regulatory compliance and health outcomes. The ideal candidate will have over 5 years in Clinical Nursing...PolicyFull time$88.85k
...Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management... ..., detailed knowledge of medical policies, clinical guidelines and benefit plans... ...(CMS) requirements for health plan compliance with UM or CM. Licenses/...PolicyFull timeAll shiftsShift workNight shiftAfternoon shift- ...A prominent healthcare institution in California is seeking an experienced Coder II for a remote position. The role involves assigning ICD-10-CM and CPT codes for patient services. Candidates must have a CPC certification and familiarity with multi-specialty surgical coding...Remote work
Cedars-Sinai
Los Angeles, CA3 days ago - ...Clinical Operations Coordinator II, RN Join Cedars-Sinai! Cedars-Sinai is #1 in California and has been named... ...relate to regulatory standards, policies and procedures. In collaboration... ...CSMCF policies. Monitors staff compliance with professional licenses and certifications...PolicyWork experience placementWork at officeShift work
- Working Nurse in Los Angeles is seeking a Clinical Policy Nurse RN II. This full-time position involves analytical research and assessment based on legislation affecting healthcare policies. The ideal candidate will translate regulatory impacts into operational strategies...PolicyFull time
$88.85k
...Clinical Policy Nurse RN II Job Category: Clinical Department: Utilization Management... ...maintenance of clinical coding for the authorization... ...plans to assess effectiveness, compliance, and impact on patient... ...recommendations to stakeholders to drive evidence-based policy and...PolicyFull timeLocal area- ...Summary An Infusion Nurse II is a licensed... ...safety with continuity and compliance under a physician’s plan... ...communicates with Option Care’s Clinical team, medical providers... ...per Option Care’s policy. Coordinates discharge... ...and unrestricted RN license in the state of...PolicyLocal areaFlexible hours
Option Care
Santa Fe Springs, CA2 days ago $44.67 - $74.44 per hour
...week. An Infusion Nurse II is a licensed... ...safety, continuity and compliance under a physician’s plan... ...timely with Option Care’s Clinical team, medical providers... ...practices per Option Care’s policy. Coordinate discharge planning... ...and unrestricted RN license in the state of...PolicyHourly payDaily paidLocal areaMonday to Friday10 hours per weekWeekend workOption Care
Santa Fe Springs, CA2 days ago- ...Summary An Infusion Nurse II is a licensed... ...safety with continuity and compliance under a physician’s plan... ...communicates with Option Care’s Clinical team, medical providers... ...per Option Care’s policy. Coordinates discharge... ...and unrestricted RN license in the state of...PolicyLocal areaFlexible hours
Option Care Home Health LLC
Santa Fe Springs, CA2 days ago $40 - $45 per hour
Clinical Practice Nurse II (Panorama City) PART-TIME Join to apply for the Clinical... .... Guides regulatory compliance by using advanced knowledge... ...plans. Implements and develops policies, procedures, protocols, and... ...Care Center Registered Nurse (RN) Santa Monica, CA $60,000.0...PolicyFull timePart timeRelocation packageNight shift$29.17 - $56.37 per hour
...workforce. You will manage payroll activities for assigned cost centers and resolve payroll-related issues while ensuring compliance with policies. The ideal candidate holds a Bachelor's degree and has over 3 years of experience in payroll processing. This role requires...PolicyHourly pay$29.17 - $56.37 per hour
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El Segundo, CA5 days ago$47 per hour
...00% of Ho urly Wage Paid for Drive Time) ~ Benefits Available for... ...work environment. Our RN-Case Managers conduct in-home... .... Serve as a local on-site clinical resource as needed and provides... ...described in Agency Scope of Practice policy. Ensure adherence to Agency...PolicyHourly payFull timeTemporary workLocal areaFlexible hoursShift workProfessional Case Management
Burbank, CA4 days ago$35.65 - $39.49 per hour
...standards of care, policies and procedures.... ...in work habits and clinical practice and treats... .... Respond to Code Blues. Take and... ...) QBS Level II required. Preferred... ...good standing to drive KP vehicle. -... ...Consistently supports compliance and the Principles...PolicyWork experience placementWork at officeLocal areaWork from homeFlexible hoursShift workKaiser Permanente
Downey, CA1 day ago- ...a Utilization Management Claims Review Nurse RN II responsible for conducting clinical reviews of medical claims. The position requires... ...of claims submission to ensure accuracy and compliance with established clinical policies. L.A. Care offers benefits including Paid...Policy
- ...Job Title Clinical Documentation Specialist (CDS) II Job Description The Clinical Documentation Specialist... ...(DRG) and severity level using coding rules and guidelines with follow up... ...nurse practitioners, case managers, coders and other members of the care team...Seasonal work
Cedars-Sinai
Los Angeles, CA5 days ago - ...accordance with FMS policies, procedures, and... ...requirements of the FMCNA Compliance Program, and FMS... ...awareness, and drive catheter reduction... ...meets with the Clinical Manager to discuss... ...management. ICD‑9 coding training. Nurses technical... ...‑state/compact RN licenses Dialysis...PolicyReliefImmediate startShift work
Fresenius Medical Care
Glendale, CA3 days ago - ...Technician to assist physicians during surgical procedures, ensuring compliance with care standards and effective patient interactions. The... ...experience, and the candidate must uphold Kaiser Permanente policies while demonstrating effective communication and teamwork....Policy
- ...Program Manager leads the clinical, administrative and... ...standard of participant care, compliance with all legal and... ...detoxification while driving continuous improvement... ...requirements and agency's policies and procedures. #... ...license in California as a RN. # Must have at least...PolicyLocal area
CLARE|MATRIX
Santa Monica, CA5 days ago - ...Certified Medical Coder- Remote We are seeking a Certified Medical... ...At least 1 years recent coding experience including coding surgical... ..., according to established policies, procedures and protocols,... ...classifications. Insure compliance with PRO data reporting and other...PolicyRemote job
$86.8k - $130.2k
...expectation of the Branch Manager II is to think and act like a... ...branch operations, driving up performance, and ensuring... ...will ensure that established policies and procedures are followed while... ...branch operations and ensure compliance. Manages Telemarketing Activities...PolicyWork experience placementWork at officeShift workPartners Federal Credit Union
Burbank, CA4 days ago$135k - $145k
...This Role As our Enrollment RN Manager, you’ll be the clinical leader at the front door... ...Operations, Finance, and Compliance to align enrollment with program... ...or complex cases arise. Drive collaboration across teams... ...law. COVID-19 Vaccination Policy At myPlace Health, we...PolicyTemporary workPart timeWork at officeLocal areaRemote workMonday to FridayFlexible hours- ...and Intermediate Care clinical setting, practices independently... .... Standard II. Patient Throughput &... ...COMPETENCIES Clinical Policies and Standards... ...ensures organizational compliance. Provides feedback for... ...required ACLS required RN License in state of...PolicyReliefLocal areaImmediate startShift work
CHRISTUS Health
Universal City, CA4 days ago $114.73k - $165.21k
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Los Angeles, CA4 days ago
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