
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.

Location
remote, United States
Salary
$65k – $104k/yr
Commitment
Full Time
Level
Junior (<2 years)
The RN Transfer Center Specialist coordinates patient transfer logistics using workflows identified by client to assist with patient acceptance and bed placement. This RN understands cases are related to ensuring patient care is accepted in an environment that can facilitate a higher level or care or capability as well as continuity of care. Performs functions based on defined standards of performance and practice to meet or exceed operational expectations. The position works collaboratively to foster relationships with referring facilities, physicians, and hospital staffs in representation of Conduit Health Partners Mission and Values. Works closely through collaboration with clinical, medical staff and leadership teams to identify, trend, and report barriers to patient access and throughput. Professional, clinical standards, policy and evidence-based research will guide practice and service delivery. Participates in professional development, peer development and evaluation as well as shared leadership. Assistance with data collection for quality purposes will be expected.
We are currently Interviewing RN's for future opportunities available across all shifts - days, evenings, and nights. Schedules are set and follow a six-week rotation, which includes an every-other-weekend requirement.
There is also an on-call component and a rotating holiday requirement for all positions. Once you're placed into a schedule, you'll be expected to work that set schedule for at least six months before any schedule change request is considered.
Please note that while schedule change requests are reviewed every six weeks, they are not guaranteed and are evaluated based on our established standard operating procedures.
During orientation, you will follow the schedule of 8am - 4:30pm ET for three weeks and on the 4th week of orientation you will work your assigned shift and align with a preceptor during that week.
Hours subject to change based on need of operations
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.
Must have a designated workspace with a locked door, per HIPAA regulations. Associates are encourages to also identify a secondary work location, meeting HIPAA regulations in case of power outages as well.
Minimum internet speed of primary and secondary work locations is:
Minimum: $32.36 Maximum: $51.78
With a legacy that spans over 150 years, Bon Secours is a network that is dedicated to providing excellent care through exceptional people. At every level, everyone on our teams have embraced the call to provide compassionate care. Here, you can work with others who share common values, and use your skills to help extend care to all of our communities.
As a Bon Secours associate, you're part of a Mission that matters. We support your well-being—personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.
All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com.

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.

St. Luke's University Health Network
Answer and triage patient calls, following clinical protocols. Verify and update patient demographic information in the electronic health record. Provide clinical support and advice to team members and manage escalated patient messages.

CareSource
Process medical necessity reviews for healthcare service authorization, assist with discharge planning, and coordinate care for members. Engage with medical directors for clinical expertise, monitor healthcare service delivery, and refer quality issues to Quality Improvement.

CareMore Health
Coordinate and manage care for members with complex medical needs, developing individualized care plans. Collaborate with interdisciplinary teams to monitor patient progress and revise care plans as necessary.

Highmark Health
Perform clinical review and data abstraction of patient records to support compliance with quality initiatives. Abstract key clinical findings accurately and timely, perform data entry for databases, and identify outliers.

NorthLakes Community Clinic
Provide triage and health advice via phone, following clinical guidelines. Process prescription refill requests and connect patients to community resources. Facilitate access to medical providers and conduct medication reconciliation.

Trinity Health
Assess and triage patient needs via phone and in-office visits. Provide clinical guidance, patient education, and care coordination. Manage medication refills, test results, referrals, and prior authorizations. Collaborate with healthcare partners and support chronic disease management.