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 Review Nurse (RN) Molina Healthcare IncMedical Review Nurse (RN)Reno, 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.
Medical Records Assistant NORTHSTARMedical Records AssistantCarson City, 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.
Medical Records Assistant SIERRABASINMedical Records AssistantCarson City, 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 Records Technician US Department of Health and Human ServicesMedical Records TechnicianMoapa, NVMENU Sign in My jobs Profile Resumes & documents Search preferences Notifications Sign out My jobs Profile Resumes & documents Notifications Search preferences Sign out Events Help Center Search Back to results Apply Medical Records Technician Department of Health and Human Services Indian Health Service Various locations across the Agency Apply Print Share Save. Perform a variety of medical records technician duties which include the complete and accurate process and maintenance of hybrid paper-electronic environment of analyzing filing compiling scanning releasing information retrieving and dispatching charts and documents file managing archiving Third Party and entering data of treatment provided to patients within a complex health care facility.
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.
NewUtilization Review Specialist - LPN Desert Parkway Behavioral Healthcare HospitalUtilization Review Specialist - LPNLas Vegas, NVYou will serve as the primary bridge between our medical staff and insurance providers, facilitating timely care approvals and minimizing claim denials. We are looking for a detailed-oriented Utilization Review (UR) Specialist to help us maximize patient care quality and ensure seamless insurance operations.
UM Medical Director - Plastic Surgeon - Remote Anywhere In US UnitedHealth Group Inc.UM Medical Director - Plastic Surgeon - Remote Anywhere In USLas Vegas, NVRemote$248,500–$373,000 / yearWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
Physician Associate Director of Medical Operations Concentra Inc.Physician Associate Director of Medical OperationsLas Vegas, NV$250,000–$290,000 / yearThis position is eligible to earn a base compensation rate in the range of $250,000.00 to $290,000.00 annually depending on job-related factors as permitted by applicable law, such as level of experience, geographic location where the work is performed, and/or seniority. Excellent communication skills including speaking, presentation, listening, telephone, negotiation, business and medical writing skills necessary to convey information to supervisors, peers, or customers.
NewClinical - Quality Improvement Coordinator I - 211125 MindlanceClinical - Quality Improvement Coordinator I - 211125Remote-NV, NVRemote$23.57–$25.09 / hourLicensure Required: RN Preferred: Years of experience required: 3+ years of clinical, quality improvement or healthcare experience. Additional qualities to look for: Self driven, fast learner, critical thinker Top 3 must-have hard skills stack-ranked by importance.
Registered Nurse - Utilization Manager ERP InternationalRegistered Nurse - Utilization ManagerNellis AFB, NV$34.26–$60 / hourCollaborates with staff/departments, including, but not limited to: Executive Management, Resource Management, Medical Records, Patient Administration, Group Practice Managers, Health Care Integrator Consultants, Medical Management team, SGH (Chief of Medical Staff), Coders/Coding Auditors, Medical Management, Referral Management, TRICARE Operations, patient care teams, Quality Improvement, and the Managed Care Support Contractors. • Must be able to collect clinical data from inpatient and outpatient sources; provide documentation for appeals or grievance resolution; apply critical thinking skills and expertise in resolving complicated healthcare, social, interpersonal, and financial patient situations; apply problem-solving techniques to articulate medical requirements to patients, families/care givers, medical and non-medical staff in a professional and courteous way.
NewSup, Clinical Quality Mgmt TriWest Healthcare AllianceSup, Clinical Quality MgmtLas Vegas, NVRemoteFull timeThe Supervisor oversees clinical and non-clinical staff supporting CQM programs by overseeing and providing training and onboarding of new staff; determining work assignments; performing audits for clinical records and/or work accuracy; and ensuring effective, consistent and accurate workflow. Technical Skills: Comprehensive knowledge of research methodology; proficient applying appropriate data analysis processes; knowledge of managed care principles and methods; knowledge in the application of clinical criteria; proficient with Microsoft Word, Excel, and PowerPoint.
Nurse Practitioner (Per Diem) ComplexCare SolutionsNurse Practitioner (Per Diem)Reno, Nevada$2,400–$10,000 / yearPer diemAbility to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making sound clinical decisions without direct on-site supervision. Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income.
Community Based Care Manager CareSourceCommunity Based Care ManagerMobile, 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 CareSource Management ServicesCommunity Based Care ManagerNevadaEngage 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. 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.
Consultative Coding Professional Humana IncConsultative Coding ProfessionalNV$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.