RN Clinical Audit & Denials Specialist
Northside Hospital
Northside Hospital in Atlanta is looking for a dedicated nursing professional to support utilization management efforts. This role involves processing clinical denials and developing data collection methodologies. Candidates must have strong clinical case management skills and a minimum of three years of related experience. You will be responsible for tracking denials, analyzing data, and collaborating with various stakeholders to develop action plans. Excellent communication skills are essential, along with the ability to communicate effectively with the care team and medical staff. #J-18808-Ljbffr Northside Hospital
- ...today. Responsibilities Processes, tracks and appeals clinical denials. Supports and facilitates the design, development and implementation... ...prevalent guideline criteria; knowledge of coding, billing, audit and reimbursement payer methodologies and guidelines....SuggestedWork at officeWeekend work
- Northside Hospital Inc. in Atlanta is seeking a Clinical Case Management professional to process and appeal clinical denials while supporting Utilization Management efforts. The ideal candidate will be a graduate from an accredited nursing school with at least three years...SuggestedFull time
$1,668 per week
...Registered Nurse (RN) | Outpatient Clinic Location: Atlanta, GA Agency: Stability Healthcare Pay: $1,668 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: 8/3/2026 About the Position About Stability Healthcare...SuggestedHourly payWeekly payFull timeContract workFlexible hoursShift work$1,668 per week
...Registered Nurse (RN) | Outpatient Clinic Location: Atlanta, GA Agency: Stability Healthcare Pay: $1,668 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: 8/3/2026 About the Position TravelNurseSource is working...SuggestedHourly payWeekly payFull timeContract workFlexible hoursShift work- Position Overview The Clinical Compliance & Audit Specialist supports Lumio Dental's compliance program through audit execution, documentation quality oversight, and day-to-day operational support. This role ensures clinical documentation aligns with regulatory standards...SuggestedWork at office
$53 per hour
...Registered Nurse (RN) | Outpatient Clinic Location: Atlanta, GA Agency: Adelphi Healthcare Pay: $53 per hour Shift Information: Rotating - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: ASAP About the Position Summary:...Hourly payFull timeContract workImmediate startShift workRotating shift- ...Work Shift Day (United States of America) Job Summary: The RN Oncology Infusion Therapy Clinician functions under the direction... ...Therapy Clinician demonstrates knowledge, competency, and clinical expertise in oncology infusion therapy including but not limited...Local areaShift work
- ...Position Overview: The Clinical Manager – Home Health works under the direction and guidance of the Branch Administrator to provide... ...orientation and ensure competence as a Preceptor and or ensure RN Case Manager/Preceptor resources are in place. Ensures that services...Work at office
- ...Each of CenExel's research sites specialize in Phase I to Phase IV clinical trials. Our Centers of Excellence comprise some of the most well... ...Summary: With moderate oversight, the Clinical Research RN I is responsible for overseeing the implementation of daily clinical...Full timeMonday to Friday
- ...Clinical Care RN Sandy Springs, GA Location: Hybrid within 30 miles of driving commute to Sandy Springs, GA Job Type: Full Time, M-F 8:... ...quality improvement initiatives, complete case review and chart audits, and host team meetings Identify and troubleshoot issues...Full timeWork at officeNight shift
$1,967 per month
...Kaiser - Glenlake Medical Offices Job Type Travel Offering Nursing Profession RN Specialty Clinic/Dr.Office Job ID 15715128 Weekly Pay $1967.0 Shift Details Shift 08:00 AM - 05:00 PM...Hourly payWeekly payWork at officeShift work- ...Clinical Record Auditor The Clinical Record Auditor is a clinician that conducts a comprehensive assessment of home health clinical records... ...as indicated. Qualifications include: Active unrestricted RN license Associate degree in Nursing or the equivalent...Local areaWork from home
$95k - $110k
Position Summary The Clinical Compliance and Operations Auditor is responsible for conducting rigorous onsite evaluations to ensure centers... ...and clinical integrity. This role involves performing surprise audits to observe real-time operations, conducting facility walk-...Work experience placementWork at officeLocal areaMonday to FridayShift work- ...Under the supervision of the Executive Director, Compliance Audit, the Manager, Clinical Compliance Audit has primary oversight of the enterprise-... ...Licensure is commensurate with corresponding clinical degree (i.e. RN licensure is with a nursing degree) Required Possession of...Work experience placementLocal area
- The Council of State and Territorial Epidemiologists seeks a Clinical Compliance and Operations Auditor to conduct thorough onsite evaluations... ...reviews. Key responsibilities include conducting surprise audits, generating detailed reports, and supporting clinical staff...
- The Fayette Chamber of Commerce is looking for a Clinical Compliance Auditor to join Piedmont Healthcare. This role includes conducting enterprise-wide clinical compliance audits and ensuring adherence to relevant regulations. The ideal candidate will have at least 3 years...
- ...disabilities. Are you ready to make a Difference? JOB SUMMARY :The RN or LPN will be working in a Mental Health environment. RN or LPN will provide direct service to individuals, such as clinical nursing assessments, labs, injections, and medication management...Work at officeFlexible hours
- ...About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality... ...complies with all data collections and auditing activities. Accountable for completion of... ...of an accredited School of Nursing (RN). Current appropriate state licensure. EXPERIENCE...Full time
$90k - $105k
...time Make a difference every day as an Amedisys registered nurse clinical manager Join Amedisys-one of the largest and most trusted home... ...Associate or bachelor's degree in nursing. Current RN license, specific to the state(s) you are assigned to work....Full timeImmediate startShift work- ...IR Lead in Atlanta, Georgia. The position is responsible for overseeing Insurance Representatives and managing claim follow-up and denial processes. This role involves training and supporting the team while ensuring compliance and performance metrics are met. The ideal...
- ...Services, Inc. in Atlanta, Georgia, is seeking an IR Lead responsible for guiding the Insurance Representatives team in claim follow-ups, denial management, and revenue recovery. The ideal candidate will bring 2-4 years of medical billing experience along with leadership...
- Piedmont Healthcare in Atlanta seeks a Manager, Clinical Compliance Audit to oversee the clinical compliance auditing program. This role includes managing audits, ensuring adherence to policies, and developing the annual Compliance Work Plan. The ideal candidate will possess...
- Piedmont Healthcare is looking for a Manager, Clinical Compliance Audit to oversee the enterprise-wide clinical compliance auditing program. You will manage audits and ensure adherence to healthcare regulations and policies. The ideal candidate has a Bachelor's Degree in...
$50 - $55 per hour
...weekend or evening visits to client homes and participation in a clinical on-call rotation (phone support only). Full job description Help... ...Atlanta metro area. Job Title Clinical Supervisor – Home Health RN Position Overview We are seeking a dynamic and experienced...Hourly payWeekly payFull timePart timeWork at officeFlexible hoursDay shiftAfternoon shift$105k - $120k
...the senior leadership team for a VITAS service area, ensuring the clinical, financial, and operational aspects of hospice are running... ...quality and continuity of care for patients. In addition to your RN license and at least four years of healthcare management experience...Work at officeLocal area- ...Clinical Research RN -Research Infusion Nurse Coordinator Full-time position, Direct Hire, 8am-5pm, Monday-Friday Position: Clinical Research RN - Research Infusion Nurse Coordinator Company Overview: Avery Partners is a leading healthcare staffing and consulting...Full timeMonday to Friday
$500 per month
...Overview Become an RN Clinical Supervisor with Georgia Hospice Care We are looking for impeccable leaders to join our team who are committed to creating meaningful patient experiences. As a clinical supervisor at Georgia Hospice Care you'll manage the coordination...Temporary workImmediate start- ...evenings/holidays (United States of America) Position Highlights Clinic Manager Job Summary: Responsible for all aspects of the day-to-day... ...License/Certification, or Work Experience: Registered Nurse (RN) - Board of Nursing An active license in the state of practice Upon...Full timePart timeWork experience placementWork at officeShift workWeekend workAfternoon shift
- ...Cardiovascular Rn Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality... ...Northside today. Responsibilities Working in a Heart Failure Clinic setting, the Cardiovascular RN provides high quality patient care...Part timeMonday to Friday
- Travel Rn Clinic/Dr.office Shift details: 08:00 am - 05:00 pm Job order details: start date 07/04/2026, end date 10/03/2026, duration 13 weeks Client details: city Atlanta, state GA Staff DNAWork at officeShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN Clinical Audit & Denials Specialist. Be the first to apply!
- rn relocation bonus Atlanta, GA
- private practice rn Atlanta, GA
- new grad rn residency Atlanta, GA
- flex rn Atlanta, GA
- charge registered nurse Atlanta, GA
- ccu rn Atlanta, GA
- international registered travel nurse Atlanta, GA
- picu rn Atlanta, GA
- registered nurses covid-19 Atlanta, GA
- interventional radiology rn Atlanta, GA



