registered nurse arizona travel paid Jobs in Arizona

registered nurse arizona travel paid

rn medical claim review nurse remote

Molina Healthcare

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 Job Description
 
 
 
 
 Job Summary
 
 
 
 The Medical Claim Review Nurse provides support for medical claim review activities. Responsible for ensuring timely claims payment processes, providing counsel to members regarding coverage and benefit interpretation, and appropriate level of care for provision of member services in alignment with state, federal, accrediting, and billing/coding guidelines and regulations. Contributes to overarching strategy to provide quality and cost-effective member care.
 
 
 For this position we are seeking an RN with previous Inpatient Hospital, Skilled Nursing Facility experience, and outpatient coding experience including diagnosis. Candidates with knowledge of CPT/HCPCS codes, record review, chart audit, provider disputes, appeals, and 1500 &amp; UB04 claim experience are highly preferred. Ability to apply state and federal regulations based on specific state and line of business. Must be able to work in a fast paced environment with frequent updates to reviews and processes. Further details to be discussed during the interview process.
 
 
 Remote position
 
 
 Work hours: Monday - Friday 8:00am - 5:00pm.
 
 
 
 Essential Job Duties
 
 
 
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 Performs clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in which an appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims processing.
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 Validates member medical records and claims submitted/correct coding to ensure appropriate reimbursement to providers.
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 Identifies and reports quality of care issues.
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 Assists with complex claim review including diagnosis-related group (DRG) validation, itemized bill review, appropriate level of care, inpatient readmission, and any opportunity identified by the payment Integrity analytical team; makes decisions and recommendations pertinent to clinical experience.
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 Facilitates document management, clinical reviews, bill audit findings and audit details in the database.
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 Provides supporting documentation management for denial and modification of payment decisions.
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 Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of all relevant and applicable federal and state regulatory requirements and guidelines, knowledge of Molina policies and procedures, and individual judgment and experience to assess the appropriateness of service provided, length of stay and level of care.
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 Reviews medically appropriate clinical guidelines and other appropriate criteria with medical directors on denial decisions.
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 Supplies criteria supporting all recommendations for denial or modification of payment decisions.
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 Serves as a clinical resource for utilization management, chief medical officers, physicians and member/provider inquiries/appeals.
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 Provides training and support to clinical peers.
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 Identifies and refers members with special needs to the appropriate Molina program per applicable policies/protocols.
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 Collaborates and/or leads special projects.
 
 
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 Required Qualifications
 
 
 
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 At least 2 years clinical nursing experience, preferably in a hospital setting, including at least 1 year of utilization review, medical claims review, claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience.
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 Registered Nurse (RN). License must be active and unrestricted in state of practice.
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 Experience working within applicable state, federal, and third-party regulations.
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 Strong analytic and problem-solving abilities.
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 Strong organizational and time-management skills.
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 Ability to multi-task and meet deadlines.
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 Attention to detail.
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 Critical-thinking and active listening skills.
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 Common look proficiency.
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 Decision-making and problem-solving skills.
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 Strong verbal and written communication skills.
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 Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs.
 
 
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 </ul>
 
 Preferred Qualifications
 
 
 
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 Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ) or other health care certification.
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 Nursing experience in critical care, emergency medicine, medical/surgical or pediatrics.
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 Billing and coding experience.
 
 
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 </ul>
 To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
 
 
 Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
 
 
 Pay Range: $26.41 - $61.79 / HOURLY
 
 
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 Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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</div>

RN Medical Claim Review Nurse Remote

NEHCR Staffing LLC

Board certified Family and Adult Nurse Practitioners 1099 needed to perform Compensation and Pension Examinations on Veterans, to assistin their VA Benefits Claims. Great Supplemental Income Opportunity. $400 - $800+ / day Flexible Part Time Opportunity Must own and operate own ADA/OSHA compliant practice Two years+ NP Experience (some prior VA work is ideal). NP mustbe computer savvy and be able to work on their own personal laptop. NPshould have either experience with, or take it upon themselves to becomefamiliar with a goniometer (expect to use daily while performing exams,instrument provided) <ul> <li> Earn additional income with direct payments twice monthly </li> <li> Maintain complete control over your schedule and availability </li> <li> Deal with minimal administrative work </li> <li> Serve veterans while potentially acquiring new patients </li></ul> Role: Complete a thorough review of digital medical records,conduct a physical assessment based of specific disability claims, and submitinformation gathered though an online portal for the VA to review as part of acompensation/pension claim. All exams will take place at approvedfacility with proper equipment and internet access provided. Collaborative Physician, General Liability, ProfessionalLiability covered by company

Family Practice/Primary Care Nurse Practitioner

Advenio Medical Staffing

Registered Nurse needed for a Day Shift Leadership position in Labor and Delivery. Conveniently located South of Tucson. Qualifications: BSN or Master's Degree. Current/Active Arizona RN License or licensure in process. CPR Certification is required. Three years experience in Labor and Delivery with a minimum one year of Healthcare Supervisory experience as a Manager or Charge Nurse is desired. Bilingual Skills will be a plus. This opportunity is in a progressive, beautiful Southern Arizona community known as a warm, hospitable community which offers great food options. The city's median age range is 35 years of age. The city is South of Tucson and North of the Mexico Border. Submit your CV and/or call for further discussion.

Manager - RN for L&D (Day Shift)

ATC West Healthcare Services

Job descriptionRegistered Nurse L&D Needed in Flagstaff, AZ, USA. Make $2,256/WeekWork Type: TravelPay:$2,256/WeekLocation: Flagstaff, AZTitle: Registered Nurse Labor & DeliveryCertifications: AHA BLS, ACLSStart Date: ASAPShift: Nights.Shift Schedule: 12 hour shiftsAssignment Length: 13 Weeks2 years RN L&D experience, CA License.The qualified candidate will be required to submit the following documents by email<ol><li>Current Work History/Resume Please indicate month & year chronologically (Required Immediately )</li></ol>For more information, please email ATC Healthcare Services, LLC is an Equal Opportunity Employer. All applicants will be considered for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran or disability status or any other category protected by Federal, State or local law. EOE

Registered Nurse Labor & Delivery - Make $2,256/week in Flagstaff, AZ

CommonSpirit Health

Job Summary and Responsibilities <ul><li> Assist with the inpatient/outpatient management of orthopedic patients including preoperative, perioperative and postoperative care. </li><li> First assist in orthopedic surgeries. </li><li> Consult on ER patients, providing diagnosis, appropriate plan of care and referrals as appropriate. </li><li> Order, interpret and analyze diagnostic tests. </li><li> Prescribe and administer medications and physical therapy as necessary. </li><li> Participants in quality assurance and quality improvement for patient care. </li><li> Works within a multidisciplinary team. </li><li> Additional duties as assigned by leadership. </li></ul> Job Requirements <ul><li> PA Requirements: <ul><li> Degree as a Physician Assistant (PA-C) </li><li> Graduation from an accredited Physician Assistant program </li><li> Must hold and maintain: a.) AZ Regulatory Board of Physician Assistants License, b.) NCCPA - National Commission on Certification of Physician Assistant. </li><li> Valid DEA registration. </li><li> Must meet credentialing criteria for medical staff </li></ul> NP Requirements: <ul><li> Master's Degree in Nursing (MSN) </li><li> Graduate of accredited program for Nurse Practitioners </li><li> Compact state or Arizona RN license </li><li> Arizona Advanced Practice Nurse license </li><li> Must hold and maintain National Certificate as a nurse practitioner in area of specialty under AZ regulations: a.) NP-AACN, b.) NP-AANP, c.) NP-ANCC </li><li> Valid DEA registration </li><li> RNFA </li><li> Must meet credentialing criteria for medical staff </li></ul></li></ul> Where You'll Work Dignity Health Medical Group is the employed provider group of Dignity Health Arizona. Dignity Health Medical Group (DHMG) employs approximately 350 providers and 850 support staff who cover a wide variety of specialties. The medical group has had tremendous success over the past few years and now provides more than 73 sub-specialty services. The physicians and APPs provide clinical services in their areas of specialty and many serve in pivotal academic research and leadership roles. DHMG is also heavily involved in preparing tomorrow's healthcare providers. Clinical services are complemented with translational and bench research to augment medical education for residents and students. If you are committed to social justice, health equity, and prepared to deliver care in new, innovative ways, you belong with us. We are seeking a highly motivated and compassionate Orthopedic Surgery Nurse Practitioner or Physician Assistant to join our team in Gilbert, Arizona . You will play a crucial role in providing comprehensive acute care to patients with orthopedic conditions, including but not limited to the following. Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible employees may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit GROUP DESCRIPTION: Dignity Health, one of the largest healthcare systems in the nation, is a growing organization with well-resourced, modern facilities and diverse practice opportunities. With more than 39 acute care hospitals in three states and 9,000 physicians, Dignity Health touches the lives of thousands of people and provides nearly $2 billion in charity care to the communities it serves. Dignity Health Medical Group is the employed physician group serving the Arizona Service Area. Covering over 45 practice sites, complementing clinical services with translational and bench research, our integrated medical group employs in excess of 250 healthcare providers throughout the valley. Dignity Health Medical Group is continuously expanding in order to meet the needs of the growing patient population in Arizona. With a unified vision of becoming an organization where physicians, care teams and staff come to do their best work and patients come for the best care Dignity Health Medical Group is searching for exceptional talent that is patient focused and team-oriented, who can become a part of our mission-driven organization. COMPENSATION We offer a competitive salary and generous benefits package, including premium-free insurance options, a matched 403b, employer-funded pension plan, relocation allowance for applicable physicians, CME benefits, and malpractice insurance. Dignity Health is consistently named an outstanding workplace and one of Arizona's healthiest employers. Grow your career with one of Arizona's Most Admired Companies . Look for us on Facebook , LinkedIn , Instagram, YouTube , Pinterest , and follow us on Twitter . Pay Range $54.12 - $78.47 /hour

Family Practice/Primary Care Physician Assistant

Explore 96+ Rn medical claim review nurse remote in Arizona this November. Find roles across top companies and apply now to boost your career.

96 rn medical claim review nurse remote jobs IN Arizona

RN Medical Claim Review Nurse Remote

Family Practice/Primary Care Nurse Practitioner

Family Practice/Primary Care Nurse Practitioner

Family Practice/Primary Care Nurse Practitioner

Manager - RN for L&D (Day Shift)

Registered Nurse Labor & Delivery - Make $2,256/week in Flagstaff, AZ

Family Practice/Primary Care Physician Assistant