Top 598 Charge nurse Jobs in Clive, Ia

Medical Review Nurse (AIMRR) 2
EPATHUSA INC —Clive, IA
- $76,875 - $97,375 a year
- Full-time
- Remote
- Nursing
- RN License
- Bachelor of Science in Nursing
8d
Staff Nurse - Chemotherapy
Mission Cancer + Blood, part of University of Iowa Health Care —Des Moines, IA
- Full-time
- Nursing
- Blood sampling
- RN License
- Disability insurance
- Dental insurance
Quick Apply
Physician Aligned Nurse
Mission Cancer + Blood, part of University of Iowa Health Care —Des Moines, IA
- Weekends as needed
- Background check
- Nursing
- Vital signs
Quick Apply
RN- First Shift & Second Shift
Integro Asset Management —Des Moines, IA
- From $35 an hour
- Part-time
- 18 years or older
- CPR Certification
- RN License
- Health insurance
- Dental insurance
Quick Apply
Clinical Nurse Specialist - Pain Management - CMA/LPN/RN
Metro Anesthesia & Pain Management —West Des Moines, IA
- $25 - $38 an hour
- Full-time
- Background check
- CPR Certification
- Nursing
- Health insurance
- Dental insurance
Quick Apply
8d
Registered Nurse
DTN Staffing —Des Moines, IA
- $1,922 - $2,066 a week
- Full-time
- RN License
- Driver's License
- LPN
- Health insurance
- Dental insurance
Quick Apply
Nurse Mentor
Western Home Communities —Madrid, IA
- Full-time
- CPR Certification
- Nursing
- RN License
- Dental insurance
- Paid time off
Quick Apply
RN - Med/Surg & ED - Full-time Weekend Package (Fri, Sat & Sun; 6p-6a)
Dallas County Hospital and Family Medicine Clinics —Perry, IA
- From $31.64 an hour
- Full-time
- Acute care
- Nursing
- Management
- Health savings account
- Health insurance
Quick Apply
$10,000 Hiring Bonus! RN Nights Adolescent/Young Adult Complex Medical Care (Full-Time)
ChildServe —Johnston, IA
- Full-time
- RN License
- Writing skills
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply
Cath Lab Registered Nurse(RN) Contract - 1327445
Capstone Healthcare Staffing —Des Moines, IA
- $3,315 a week
- Travel nursing
- Background check
- Medication administration
- RN License
- Health savings account
- Health insurance
Quick Apply
10h
RN/LPN - Nights - Pediatric Complex Medical (Full-Time)
ChildServe —Johnston, IA
- Full-time
- RN License
- Writing skills
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply
Operating Room Registered Nurse(RN) Travel/Local- 1329314
Capstone Healthcare Staffing —Des Moines, IA
- $3,014 a week
- Weekends as needed
- Surgery
- Up to 50% travel
- RN License
- Health savings account
- Health insurance
Quick Apply
2d
Charge Nurse RN/LPN
Altoona Nursing and Rehab —Altoona, IA
- CPR Certification
- Nursing
- Vital signs
- Disability insurance
- Health insurance
Quick Apply
Home Health RN, Visit Nurse
WesleyLife —Urbandale, IA
- RN License
- Pass drug screening
- Mid-level
- Health insurance
Quick Apply
Part-time Registered Nurse
Ankeny Integrative Health PLLC —Ankeny, IA
- $28 - $35 an hour
- Part-time
- RN License
- Mid-level
- Clinic
Quick Apply
Nurse Practitioner
418 Holdings LLC —West Des Moines, IA
- $600 a day
- Part-time
- Mid-level
- Outpatient experience
- Clinic
- Paid training
- Flexible schedule
Quick Apply
Registered Nurse (RN)
Resource 1 Homecare Staffing, LLC. —West Des Moines, IA
- $75,000 - $85,000 a year
- Weekends as needed
- RN License
- Mid-level
- Driver's License
- Mileage reimbursement
- Health savings account
Quick Apply
3d
Licensed Practical Nurse (LPN)
Western Home Communities —Madrid, IA
- Weekends as needed
- CPR Certification
- Nursing
- BLS Certification
- Dental insurance
- Paid time off
Quick Apply
RN Team Lead Weekends Pediatric Complex Care (Full-Time)
ChildServe —Johnston, IA
- Weekends as needed
- Nursing
- RN License
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
Emergency Room Registered Nurse (ER RN) in Des Moines, IA - Local or Travel - 13 Weeks
SnapCare —Des Moines, IA
- $1,944 - $2,235 a week
- Rotating weekends
- RN License
- Mid-level
- Travel
12d

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charge nurse jobs near clive, ia

Medical Review Nurse (AIMRR) 2

EPATHUSA INC -
Clive, IA

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Job Details

Full-time
$76,875 - $97,375 a year
8 days ago

Qualifications

Utilization review
RN License

Full Job Description

Seeking Registered Nurse for fully remote role to perform complex medical record and claim reviews (Standard or Program Integrity) to make coverage determinations based on applicable Medicare coverage policies and payment rules, coding guidelines, National and Local Coverage Determinations, utilization/practice guidelines, clinical review judgment and when appropriate, monitor for potential indicators of fraud, waste, and abuse. Provides professional assessment, planning, coordination, implementation, and reporting of complex data to support the Medical Review Accuracy Contract (MRAC).

Essential Functions

Perform complex medical record and claims review in accordance with all State and Federal mandated regulations/guidelines.
Accurately enter medical review data into the medical review system.
Apply clinical review judgment, based on clinical experience when applicable and review completeness of documentation to determine if documentation supports claim as billed.
Reasonably determines appropriateness to consult a Subject Matter Expert (SME) for clarification.
When performing Program Integrity (PI) reviews, assess investigative allegations and medical review findings, and/or other claims data to determine patterns and detect potential indicators of fraud, waste and abuse (FWA).
Accurately identify additional findings in the review of evidence of potential FWA not detected by the Medical Review Contractor.
Consistently meet or exceed productivity and accuracy standards of 98% minimum IRR established by the customer and/or the Company.

Registered Nurse, with a current unobstructed license to practice nursing in the United States. Graduate of a Board approved Registered Nursing program.
A Bachelor’s Degree in Nursing (BSN) or other related field is preferred.
Certification in coding highly preferred.
A minimum of five (5) years clinical experience in an acute care hospital, skilled nursing facility, and/or an office/clinic-based medical practice.
A minimum of three (3) or more years’ experience in medical/utilization medical record review particularly with Medicare and/or Medicaid.
Minimum of 2 (two) years’ experience in the medical review processes of MACs, SMRC, CERT, QICs and/or BFCC-QIOs.
Desired experience performing medical review for fraud, waste, and abuse (FWA) investigations.
Knowledgeable of ICD-9-CM, ICD-10, CPT-4 and HCPCS coding.
One year or more of utilizing InterQual and/or Milliman guidelines against inpatient services experience is preferred.

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Refine Your Search

charge nurse jobs in clive, ia

Medical Review Nurse (AIMRR) 2

Staff Nurse - Chemotherapy

Physician Aligned Nurse

RN- First Shift & Second Shift

Clinical Nurse Specialist - Pain Management - CMA/LPN/RN

Registered Nurse

Nurse Mentor

RN - Med/Surg & ED - Full-time Weekend Package (Fri, Sat & Sun; 6p-6a)

$10,000 Hiring Bonus! RN Nights Adolescent/Young Adult Complex Medical Care (Full-Time)

Cath Lab Registered Nurse(RN) Contract - 1327445

RN/LPN - Nights - Pediatric Complex Medical (Full-Time)

Operating Room Registered Nurse(RN) Travel/Local- 1329314

Charge Nurse RN/LPN

Home Health RN, Visit Nurse

Part-time Registered Nurse

Nurse Practitioner

Registered Nurse (RN)

Licensed Practical Nurse (LPN)

RN Team Lead Weekends Pediatric Complex Care (Full-Time)

Emergency Room Registered Nurse (ER RN) in Des Moines, IA - Local or Travel - 13 Weeks

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