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Role Overview We’re seeking experienced Utility Management Nurses to support a client’s healthcare product development by leveraging expertise in insurance coding and hospital revenue management workflows. This role involves collaborating with hospital systems to align medical documentation with insurance policies, ensuring accurate coding and optimal reimbursement outcomes. ### Key Responsibilities - Insurance Coding & Revenue Cycle Alignment: Review, audit, and optimize insurance coding practices across hospital systems to ensure compliance and maximize reimbursement accuracy. - Workflow Analysis: Evaluate existing revenue management workflows and recommend improvements tailored to client’s AI-driven documentation tools. - Clinical Data Interpretation: Translate complex clinical notes into standardized coding formats (ICD-10, CPT, HCPCS) aligned with payer policies. - Policy Matching: Assess coding accuracy against insurance guidelines and payer documentation requirements. - Product Development Collaboration: Work closely with client’s engineering and product teams to refine AI models that automate or assist with medical coding and documentation. - Compliance & Quality Assurance: Ensure alignment with HIPAA, CMS, and payer-specific coding regulations. ### Required Qualifications - Licensure: Registered Nurse (RN) or equivalent clinical background. - Experience: Minimum 3–5 years in medical coding, clinical documentation improvement (CDI), or revenue cycle management. - Certifications: CPC, CCS, or CRC certification preferred. - Domain Expertise: Familiarity with hospital billing systems, payer policy interpretation, and coding audit procedures. - Analytical Skills: Strong understanding of clinical documentation standards and payer logic. - Tech Savvy: Comfortable working with EHR systems (Epic, Cerner, Meditech) and documentation review software. ### Preferred Qualifications - Experience working within hospital revenue integrity teams or insurance utilization management. - Exposure to AI-powered healthcare documentation tools or automated coding systems. - Ability to identify and flag edge cases or policy exceptions in automated workflows. - Strong collaboration skills with cross-functional (engineering, compliance, and data) teams. ### Engagement Model - Contract / Part-time (Remote/In person) — Flexible hours with collaboration during U.S. business hours. In person in San Francisco is a plus

Registered Nurse (RN) | Utilization Review Location: White Plains, NY Agency: GQR Healthcare Pay: Competitive weekly pay (inquire for details) Shift Information: Days Contract Duration: 2 Weeks Start Date: ASAP About the Position Case Manager RN Job Location: White Plains, NY Profession: Registered

Successful completion of Nurses Technical Training. Communicate problems or concerns to the Inpatient Program Manager, appropriately credentialed physician, patient hospital primary nurse and others as indicated. Review and comply with the Code of Business Conduct and all applicable company policies

Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. Valid State Of Connecticut Registered Nurse License. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator.

Review and approve contracts, change orders, and invoices.

Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. Valid State Of Connecticut Registered Nurse License. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator.

Our client is a well-established and growing construction firm based in South Carolina, specializing in high-quality multi-family developments.With a strong reputation for delivering complex projects on time and within budget, the company prides itself on long-term relationships, a local focus, and

Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervise

At Monarch, we are proud to provide our residents with exceptional services and amenities.Our dedicated and friendly team is focused on creating a remarkable experience, taking great pride in everything they do.We offer spacious Assisted Living and Memory Care apartments, ensuring that each resident

Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervise

Participates in utilization review of medical records as assigned. Participates in peer review and performance improvement as assigned.

Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervise

Registered Nurse Care Manager / Case Management (RN) at Centers Healthcare summary:. The Registered Nurse Care Manager at Williamsbridge Center is responsible for providing comprehensive care and support to residents in a skilled nursing facility. Williamsbridge Center is hiring a Registered Nurse (

Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. Valid State Of Connecticut Registered Nurse License. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator.

Current State Registered Nurse RN License. Registered Nurse, Case Management, Skilled Nursing, Patient Care, Healthcare, Long-Term Care, Medication Administration, Infection Control, Multidisciplinary Team, Bronx NY. Registered Nurse Care Manager / Case Management (RN) at Centers Healthcare summary:

Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervises Individual Patient Care On A Nursing Unit/Department According To Uni

Current licensure in NYS as a Registered Professional Nurse or Licensed Practical Nurse,. Registered Nurse Unit Manager, RN will communicate to the Interdisciplinary Team members any pertinent resident findings. Registered Nurse Unit Manager, RN will assist other staff members in completion of their

Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervise

As a Registered Nurse (RN), Provide advice & support to the Residents and their families. Current State Registered Nurse RN License. Registered Nurse, Case Management, Skilled Nursing Facility, Resident Care, Long-Term Care, Infection Control, Healthcare, Team Collaboration, Patient Support, Rehabil

Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervise

Registered Nurse, RN, reports findings of ongoing observations/assessments to the designated Charge Nurse, Nursing Supervisor, &/or Unit Manager. Registered Nurse, RN prepares resident assignments considering the category of needs of the patient & competency of personnel, monitor/evaluate the flow o

Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervise

Registered Nurse, Case Management, Nursing Care, Skilled Nursing Facility, Resident Care, Healthcare, Infection Control, Medication Administration, Patient Support, Team Collaboration. Registered Nurse Care Manager / Case Management (RN) at Centers Healthcare summary:. The Registered Nurse Care Mana

Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervises Individual Patient Care On A Nursing Unit/Department According To Uni

Participates in utilization review of medical records as assigned. Participates in peer review and performance improvement as assigned.

Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervise

Registered Nurse Care Manager / Case Management (RN) at Centers Healthcare summary:. As a Registered Nurse Care Manager at Williamsbridge Center, I provide essential support and care to residents in a skilled nursing facility, ensuring their health and well-being through medication administration an

Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. EXPERIENCEN/ALICENSUREValid State Of Connecticut Registered Nurse LicenseSPECIAL SKILLSBLS Required Additional Information Smilow Ambulatory Multispe

Registered Nurse, RN, reports findings of ongoing observations/assessments to the designated Charge Nurse, Nursing Supervisor, &/or Unit Manager. Registered Nurse, RN prepares resident assignments considering the category of needs of the patient & competency of personnel, monitor/evaluate the flow o

Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. Valid State Of Connecticut Registered Nurse License. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator.

Participates in utilization review of medical records as assigned. Participates in peer review and performance improvement as assigned.

Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. EXPERIENCEN/ALICENSUREValid State Of Connecticut Registered Nurse LicenseSPECIAL SKILLSBLS Required. Works Under The Supervision Of The Nurse Manager

You're a licensed Registered Nurse (RN). You have at least two years of experience as a nurse in an acute care setting (ER, ICU, Med-Surg or similar). Restore is seeking an outgoing, experienced Nurse to join our team of wellness professionals on a mission to help people feel better so they can do m

Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervise

We are a fast growing Private Practice practice and we are looking to add another Nurse Practitioner or Physician Assistant to our amazing team. We are looking for a Full Time or Part-Time Nurse Practitioner or Physician Assistant that can assist us in maintaining this high standard of care. Nurse P

Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. EXPERIENCEN/ALICENSUREValid State Of Connecticut Registered Nurse LicenseSPECIAL SKILLSBLS Required Additional InformationMed/Surg RN experience requ

Current licensure in NYS as a Registered Professional Nurse or Licensed Practical Nurse,. Registered Nurse Unit Manager, RN coordinates resident care in accordance with State DOH regulations. Registered Nurse Unit Manager, RN will organize, oversee and supervise assigned unit activities and staff as

Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. Valid State Of Connecticut Registered Nurse License. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator.

Current licensure in NYS as a Registered Professional Nurse or Licensed Practical Nurse,. Registered Nurse Unit Manager, RN Job Summary. Registered Nurse Unit Manager, RN perform professional supervision, guidance and direction to staff in both clinical and personnel issues on the Sub-Acute (Short T

Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervise

At Monarch, we are proud to provide our residents with exceptional services and amenities.Our dedicated and friendly team is focused on creating a remarkable experience, taking great pride in everything they do.We offer spacious Assisted Living and Memory Care apartments, ensuring that each resident

Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. Valid State Of Connecticut Registered Nurse License. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator.

Registered Nurse, Case Management, Skilled Nursing Facility, Long-Term Care, Resident Care, Patient Advocacy, Healthcare, Nursing, Infection Control, Team Collaboration. Registered Nurse Care Manager / Case Management (RN) at Centers Healthcare summary:. As a Registered Nurse Care Manager at William

The RN practices professional nursing as a registered nurse within the legal and ethical framework established by the Connecticut Nurse Practice Act, American Nurses Association Scope and Standards for Nursing Practice, ANA Code of Ethics for Nurses and the YNHHS Professional Practice Model. Registe

Current licensure in NYS as a Registered Professional Nurse or Licensed Practical Nurse,. Registered Nurse Unit Manager, RN will communicate to the Interdisciplinary Team members any pertinent resident findings. Registered Nurse Unit Manager, RN will assist other staff members in completion of their

The RN practices professional nursing as a registered nurse within the legal and ethical framework established by the Connecticut Nurse Practice Act, American Nurses Association Scope and Standards for Nursing Practice, ANA Code of Ethics for Nurses and the YNHHS Professional Practice Model. Registe

Current licensure in NYS as a Registered Professional Nurse or Licensed Practical Nurse,. Registered Nurse Unit Manager, RN will assist other staff members in completion of their duties. Registered Nurse Unit Manager, RN Job Summary.

The RN practices professional nursing as a registered nurse within the legal and ethical framework established by the Connecticut Nurse Practice Act, American Nurses Association Scope and Standards for Nursing Practice, ANA Code of Ethics for Nurses and the YNHHS Professional Practice Model. All new