Professional Coding and Documentation Improvement Specialist - PT - Day - Physician Professional Coders Remote NJ PA AL Capital HealthProfessional Coding and Documentation Improvement Specialist - PT - Day - Physician Professional Coders Remote NJ PA ALPARemote$29.27–$38.25 / hourFrequent physical demands include: Occasional physical demands include: Standing, Walking, Climbing (e.g., stairs or ladders), Carry objects, Push/Pull, Twisting, Bending, Reaching forward, Reaching overhead, Squat/kneel/crawl, Wrist position deviation, Pinching/fine motor activities, Keyboard use/repetitive motion, Taste or Smell, Talk or Hear. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity.
Hospital Inpatient Coding and DRG Analyst - FT - Day - HIM Facility Coding Remote Capital HealthHospital Inpatient Coding and DRG Analyst - FT - Day - HIM Facility Coding RemoteNJRemote$64,625.60–$84,448 / yearHospital Coder Inpatient Senior Coder is an expert-level coding professional responsible for accurately reviewing and coding complex inpatient medical records using ICD-10-CM diagnosis codes, ICD-10-PCS procedure codes, and appropriate MS-DRG/APR-DRG grouping methodologies. This role serves as a subject matter expert within the coding department, performing second level reviews, mentoring staff, and collaboration with Clinical Documentation Improvement (CDI), quality, and revenue cycle teams to ensure optimal reimbursement and compliance with regulatory guidelines.
Utilization Management Registered Nurse Humana IncUtilization Management Registered NursePARemote$71,100–$97,800 / yearWork-at-Home Information: 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. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
Registered Nurse, Home Health AccentCare, Inc.Registered Nurse, Home HealthBala Cynwyd, PennsylvaniaRemote$99,000–$110,000 / yearThe Staff Nurse directs CHHAs and CNAs in patient care tasks, performs patient assessments, develops patient care plans, evaluates the plan effectiveness, modifies it as appropriate and documents all patient care provided. The position combines the activities of direct and indirect patient care and provides direct care to pediatric, adolescent, adult, and geriatric patients.
Registered Nurse, Med Surg/Tele Stroke Unit, Part-time Nights, Willingboro Virtua Health IncRegistered Nurse, Med Surg/Tele Stroke Unit, Part-time Nights, WillingboroBurlington, NJRemoteLocation: Remote Type: Employment Type: Employment Classification: Time Type: Work Shift: Total Weekly Hours: Additional Locations: Job Information: Job Summary: The Registered Nurse (RN) is responsible for assessing, planning, implementing and evaluating the delivery of nursing care. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home.
Appeals Registered Nurse Wisconsin Physicians Service Insurance CorpAppeals Registered NurseTrenton, NJRemoteWe are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin. The Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with Medicare regulations and policies.
Registered Nurse (RN) L&D Part Time 7p Virtua Health IncRegistered Nurse (RN) L&D Part Time 7pVoorhees, NJRemoteLocation: Remote Type: Employment Type: Employment Classification: Time Type: Work Shift: Total Weekly Hours: Additional Locations: Job Information: L&D/ OB/ MCH experience required Summary: Responsible for assessing, diagnosing, planning, implementing, and evaluating patient care through outcome identification and evidence-based practice. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home.
NewRevenue Integrity Specialist MindlanceRevenue Integrity SpecialistPhiladelphia, PARemoteThe Revenue Integrity Specialist will coordinate all Revenue Integrity activities on behalf of assigned service line areas; department charge capture education, charge audit activities, charge description master management, and monitoring of charge capture related metrics. • This position will lead, support, and coordinate on-going charge capture improvement initiatives for assigned service line areas; including charge reconciliation activities, new service implementation, and identification of revenue management opportunities.
NewRN Health Care Facility Surveyor Impact Recruiting SolutionsRN Health Care Facility SurveyorWilmington, DelawareRemote$75,000–$90,000The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. RN Health Care Facility Surveyor - Delaware (#1145) CMS’s Long-Term Care Basic Training and SMQT certification are required Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide .
RN Health Care Facility Surveyor Greenlife Healthcare StaffingRN Health Care Facility SurveyorWilmington, DERemoteThe Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
NewRN - Revenue Integrity Specialist Integrated Resources, IncRN - Revenue Integrity SpecialistPhiladelphia, PARemoteLeads revenue cycle assessments, coordinates charge audits, works with Patient Financial Services (PFS), Health Information Management (HIM), and Reimbursement teams to improve charge accuracy and revenue integrity. Support Revenue Analytics team and cross-department collaboration (Internal Audit, Billing Compliance, PFS).
Case Manager RN CVS Health CorpCase Manager RNPARemote$60,522–$129,615 / yearJoin our Case Management team and make a meaningful impact by guiding members toward better health outcomes through personalized care planning, advocacy, and coordination. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Advanced Practice Provider - Telemedicine Cooper University HospitalAdvanced Practice Provider - TelemedicineCamden, New JerseyRemoteFull timeThe Advanced Practice Nurse will function within the scope of practice as defined by the state nurses practice act, delineation of privileges set forth by the practice setting and the American Nurses’ Association Code of Ethics. As licensed independent providers, APPs practice autonomously and in consultation with a collaborating/supervising physician and health care professionals to assess, diagnose, treat and manage the patients’ health problems/needs.
Patient Education Liaison, Community - East (NJ, PA, VA, MD, NC, SC, DE) SanofiPatient Education Liaison, Community - East (NJ, PA, VA, MD, NC, SC, DE)Philadelphia, PARemote$122,250–$176,583.33 / yearThe PEL will be building expertise for 7 brands, 5 therapeutic areas, understanding market conditions that impact the patient journey, understanding rare competitive products, engage in account strategy and planning with galaxy and constellation teams, advise the cross functional teams on the patient perspective, consider the account direction when making execution decisions, and developing skills sets that will allow them to compliantly bring patient insights back to leadership reducing the need for external insights gathering. Collaborate effectively, building and maintaining strong relationships with the Strategic Account Management cross-functional team (including Commercial, Medical, Marketing, and Case Management) to exchange insights and foster innovative ideas that enhance strategies for key account success.
Patient Education Liaison, Community - East (Nj, PA, VA, MD, NC, SC, DE) SanofiPatient Education Liaison, Community - East (Nj, PA, VA, MD, NC, SC, DE)Philadelphia, PARemote$122,250–$176,583.33 / yearThe PEL will be building expertise for 7 brands, 5 therapeutic areas, understanding market conditions that impact the patient journey, understanding rare competitive products, engage in account strategy and planning with galaxy and constellation teams, advise the cross functional teams on the patient perspective, consider the account direction when making execution decisions, and developing skills sets that will allow them to compliantly bring patient insights back to leadership reducing the need for external insights gathering. Collaborate effectively, building and maintaining strong relationships with the Strategic Account Management cross-functional team (including Commercial, Medical, Marketing, and Case Management) to exchange insights and foster innovative ideas that enhance strategies for key account success.
Urgent Care Nurse Practitioner Included Health IncUrgent Care Nurse PractitionerPennsylvania, PARemoteIn this role, you'll deliver virtual comprehensive care to patients of all ages across a wide range of conditions, while working closely with our provider and support teams. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care.
NewAdvanced Practice Provider Telemedicine Cooper University Health CareAdvanced Practice Provider TelemedicineCamden, NJRemoteThe Advanced Practice Nurse will function within the scope of practice as defined by the state nurses practice act, delineation of privileges set forth by the practice setting and the American Nurses' Association Code of Ethics. As licensed independent providers, APPs practice autonomously and in consultation with a collaborating/supervising physician and health care professionals to assess, diagnose, treat and manage the patients' health problems/needs.
Ambulatory Nurse II - HUP Penn MedicineAmbulatory Nurse II - HUPPhiladelphia, PARemoteLeadership: The nurse effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Penn Medicine. If providing telehealth (video or phone) or direct patient care to individuals residing outside Pennsylvania, the employee must obtain and maintain an appropriate multistate compact license or individual state licenses as required prior to service delivery.
Ambulatory Nurse II - Med HUP EPS Lab Penn MedicineAmbulatory Nurse II - Med HUP EPS LabPhiladelphia, PARemoteLeadership: The nurse effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Penn Medicine. If providing telehealth (video or phone) or direct patient care to individuals residing outside Pennsylvania, the employee must obtain and maintain an appropriate multistate compact license or individual state licenses as required prior to service delivery.
Clinical Education Specialist EssityClinical Education SpecialistPhiladelphia, PennsylvaniaRemoteCollaborative and Caring Culture | Empowerment & Engaged People | Work with Impact and A Powerful Purpose | Individual Learning & Career Growth | Health & Safety Priority | Sustainable Value Together| Innovation| Sustainable Working Life | Total Reward. The Clinical Resource Manager will be responsible for developing/delivering educational services and value-added resources to support both internal and external customers.