
Intermountain Health
Rn trainer auditor prn
Review medical records for HEDIS audits, abstracting relevant clinical information using a proprietary tool. Perform remote medical record reviews, ensuring compliance with HEDIS, CMS, and STARS measures.

ReviveRX and Ways2Well
·5 days agoReviveRX and Ways2Well
·5 days agoLocation
remote, United States
Salary
$110k/yr
Commitment
Full Time
Level
Junior (<2 years)
Ways2Well is redefining the future of healthcare. As a leader in regenerative and preventive medicine, we empower patients to take control of their health through data-driven, personalized care. We’re breaking away from outdated models—leveraging cutting-edge technology, digital care platforms, and bold thinking to deliver high-impact healthcare at scale.
The Nurse Manager is responsible for leading and supporting a remote clinical support team to ensure exceptional patient service, operational excellence, and consistent adherence to clinical and quality standards. This role oversees day-to-day team performance, provides coaching and mentorship, supports provider workflows, and contributes to continuous improvement initiatives across the organization.
Monday – Friday, 8am–5pm Central
#Ways2Well
$110,000 - $110,000 a year
The best work happens when purpose meets potential. At Ways2Well, you'll work with a passionate, driven team that's redefining what personalized health and wellness can be — with the resources, leadership, and culture to back it up. We offer competitive compensation, strong benefits, and real room to grow, lead, and make your mark.
Ways2Well is committed to providing equal employment opportunities and render affirmative action to all employees and applicants for employment, including individuals who are members of underrepresented groups, without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, or any other status protected by applicable federal, state, or local laws.
To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodation may be made to help enable qualified individuals with disabilities to perform the essential functions.

Intermountain Health
Review medical records for HEDIS audits, abstracting relevant clinical information using a proprietary tool. Perform remote medical record reviews, ensuring compliance with HEDIS, CMS, and STARS measures.

Blue Cross Blue Shield of Massachusetts
Lead a team of DRG validation auditors performing clinical validation and DRG reviews. Oversee pre-payment and post-payment audits, ensuring accuracy in claims reimbursement and compliance with coding guidelines.

UnitedHealth Group
Coordinate the Recovery Audit Contractor (RAC) audit program, ensuring compliance with regulations. Collaborate with various departments to manage audit planning, scheduling, and reporting. Analyze audit findings to identify trends and implement process improvements.

Health Care Service Corporation
Conduct audits and monitor quality improvement activities within the medical management program. Analyze compliance with policies and regulatory requirements, and prepare reports for management. Serve as a resource on quality and utilization issues and contribute to accreditation survey processes.

Ascenti Physio
Lead clinical audits across service lines, ensuring compliance with quality assurance protocols. Evaluate patient experience metrics, treatment effectiveness, and clinical outcomes.

Yale New Haven Health
Educate providers and coding staff on CPT, ICD-10, and HCPC coding. Develop and maintain coding education programs, including training materials and curriculum. Conduct audits to assess risk and implement action plans based on findings.

Cook Children's Health Care System
Conduct coding quality reviews for inpatient and outpatient services, ensuring compliance with ICD-10-CM/PCS and CPT-4 guidelines. Develop and implement coding education and training programs based on audit findings and regulatory updates.