Medical Review Nurse (RN) Molina Healthcare IncMedical Review Nurse (RN)Las Vegas, NVReevaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of relevant and applicable state and federal regulatory requirements and guidelines, knowledge of Molina policies and procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. REQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review, medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience.
Data and Quality Assurance Analyst --Medical Records ARC Health & WellnessData and Quality Assurance Analyst --Medical RecordsSparks, NVThis role sits at the intersection of quality assurance and data operations — you'll ensure records are accurate, compliant, and flowing through efficient workflows that our QA team, billing department, and leadership rely on every day. Identify and resolve errors or discrepancies in medical documentation, collaborating directly with healthcare providers as needed.
Medical Records Clerk - Home Health VALLEY HOME HEALTH CARE INCMedical Records Clerk - Home HealthLas Vegas, NVFull timeThe Medical Records Clerk is responsible for managing and maintaining patient medical records, ensuring documentation is complete, accurate, organized, and compliant with Medicare, ACHC, HIPAA, and agency policies. This role works closely with Intake, Clinical Managers, QA, and field clinicians to support timely processing of patient records throughout the episode of care.
Medical Records Asst-Full Time Trellis ParadiseMedical Records Asst-Full TimeLas Vegas, NVFull timeEnsure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen-saver activates within established facility policy guidelines. • Assist in developing procedures to ensure resident records are properly completed, assembled, coded, signed, indexed, etc., before filing.
ROI Medical Records Specialist MRO CorporationROI Medical Records SpecialistReno, Nevada$16–$22 / hourFull timeResponsibilities: Determines records to be released by reviewing requestor information in accordance with HIPAA guidelines and obtaining pertinent patient data from various sources, including electronic, off-site, or physical records that match patient request. Overview: The ROI Specialist is responsible for providing support at a specified client site for the Release of Information (ROI) requests for patient medical record requests*.
Medical Records Clerk - Home Health CbMedical Records Clerk - Home HealthLas Vegas, NevadaThe Medical Records Clerk is responsible for managing and maintaining patient medical records, ensuring documentation is complete, accurate, organized, and compliant with Medicare, ACHC, HIPAA, and agency policies. This role works closely with Intake, Clinical Managers, QA, and field clinicians to support timely processing of patient records throughout the episode of care.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)NV$50,460–$72,644 / yearRequired as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
Medical Record Specialist Acadia Healthcare Co IncMedical Record SpecialistHenderson, NVMedical Record Specialist to assist with Maintaining medical record integrity through filing, assembling, analysis and retrieving confidential patient records. Pull charts as requested for audits, peer review, readmissions, HBIPS processing and route to appropriate area or department.
Medical Records Technician US Department of Health and Human ServicesMedical Records TechnicianNV$37,193–$44,780 / yearRefer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference. Required as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only."
UTILIZATION REVIEW AND APPEALS RN Carson Tahoe Regional HealthcareUTILIZATION REVIEW AND APPEALS RNCarson City, NVThis position has the overall responsibility to maintain current knowledge of disease processes, available resources, treatment options appropriate to patient population and reviewing medical necessity, responding to authorization concerns, and/or reconciling coverage related issues. This position is responsible for facilitating care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources while respecting patient's right to self-determination.
NewDirector of Utilization Review Desert Parkway Behavioral Healthcare HospitalDirector of Utilization ReviewLas Vegas, NVDesert Parkway Behavioral Healthcare Hospital is dedicated to delivering compassionate, high-quality care for patients with psychiatric and mental health needs. You will lead a team that tracks authorized care, monitors lengths of stay, and ensures that clinical documentation supports medical necessity.
REVIEW APPRAISER State of NevadaREVIEW APPRAISERCarson City, NV$70,282.08–$104,713.20 / yearApplicable eminent domain principles, practices, and considerations including damages and/or special benefits; city and neighborhood trends, inspection techniques of improved properties, adequate review and understanding of legal descriptions and title encumbrances. Review Appraisers prepare and review appraisals for transportation projects, appraise residential, commercial, industrial, or other special purpose property, and assist with establishing values for property management functions.
Veterinarian Medical Director AmeriVetVeterinarian Medical DirectorElko, NevadaWe provide services that include digital radiology, in-house diagnostic laboratory services, ultrasound, MRI and CT imaging, electrocardiography, video-otoscopy, laser therapy, regenerative medicine, orthopedic surgery including TTA, TPLO, interlocking nail, external fixation, toggle pin, and plate and screw fracture repair, endoscopy, radio cautery surgery, glaucoma testing, dentistry with digital dental radiography (just to name a few). Evaluate, develop, and continuously improve clinical competency across the veterinary team , including doctors, relief doctors, veterinary assistants, and technicians, through direct observation, coaching, case discussions, and periodic medical record reviews to elevate medical quality and consistency of care.
Medical Director Veterinarian AmeriVetMedical Director VeterinarianLas Vegas, NevadaEvaluate, develop, and continuously improve clinical competency across the veterinary team , including doctors, relief doctors, veterinary assistants, and technicians, through direct observation, coaching, case discussions, and periodic medical record reviews to elevate medical quality and consistency of care. In close partnership with the Practice Manager, the MD provides medical oversight of hospital operations and care delivery to ensure consistently exceptional outcomes for patients, clients, and team members, and achievement of performance metrics and business goals.
Patient Care Coordinator - Full Time (38 hours per week) - Stateline Medical Center, NV Barton HealthPatient Care Coordinator - Full Time (38 hours per week) - Stateline Medical Center, NVNVSummary of Position: The Patient Care Coordinator (PCC) provides all non-clinical assistance required by the Patient Centered Medical Home (PCMH). Collects, compiles, and distributes information regarding patient's personal insurance and financial status providing appropriate information entered into EPIC including scanning insurance cards and photo ID into EPIC.
NewCommunity Based Care Manager - Nye County, NV CareSourceCommunity Based Care Manager - Nye County, NVtonopah, NV$62,700–$100,400 / yearEssential Functions: Engage the member and their natural support system through strength-based assessments and a trauma-informed care approach using motivation interviewing to complete health and psychosocial assessments through a health equity lens unique to the needs of each member that identify the cultural, linguistic, social and environmental factors/determinants that shape health and improve health disparities and access to public and community health frameworks. Job Summary: The Community Based Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports.
Community Based Care Manager CareSourceCommunity Based Care ManagerNV$62,700–$100,400 / yearEssential Functions: Engage the member and their natural support system through strength-based assessments and a trauma-informed care approach using motivation interviewing to complete health and psychosocial assessments through a health equity lens unique to the needs of each member that identify the cultural, linguistic, social and environmental factors/determinants that shape health and improve health disparities and access to public and community health frameworks. Job Summary: The Community Based Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports and the population through culturally competent delivery of care and coordination of services and supports.
NewLVN/LPN Care Manager P3 Health Partners LLCLVN/LPN Care ManagerHenderson, NV$65,000–$80,000 / yearThrough case finding, data and other tools, high risk patients will be identified and guided to enhance the achievement of the Quadruple Aim: improved outcomes, improved experience of care for patients and providers and lower healthcare costs. Experience: Minimum two years of clinical experience, care management, and/or experience with a managed care/HMO organization, required.
Consultative Coding Professional Humana IncConsultative Coding ProfessionalNVRemote$59,300–$80,900 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
Consultative Coding Professional CenterWellConsultative Coding ProfessionalNevadaRemoteWork at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.