Student Nurse jobs at Community Health Systems

RN Tele Travel and Local Contracts This role provides direct clinical patient care with Tenet's in-house contingent Pool, Trusted Resource Associates. Work directly with Tenet on a Travel Contract, Local Contract or PRN. With this in-house assignment you will be part of the contingent workforce pool, yet, a W-2 Tenet employee and wear a Tenet employee badge so you blend in as staff and are not outstanding as a Contractor. You will have direct access to Tenet's hiring managers and, if you ever turn permanent at a Tenet hospital, you will have built up tenure. *For a faster reply, email your resume: ******************************* Job Description and Requirements Specialty: Tele Discipline: RN Start Date: ASAP Duration: 13 Weeks 36 Hours per week Shift: 12 Hours Night Employment Type: Travel Contract and Local Contracts TRA RN Tele: The Registered Nurse will assume responsibility for assessing, planning, implementing direct clinical care to assigned patients on a per shift basis, and unit level. The role is responsible for supervision of staff to which appropriate care is delegated. The role is accountable to support facility CNO to ensure high quality, safe and appropriate nursing care, competency of clinical staff, and appropriate resource management related to patient care. Requirements: - BLS, ACLS, and CPI required for Tele - Must have 2 years of nursing experience with a minimum one-year current experience in your specialty Benefits Weekly pay Housing and Per Diem stipend for Travel Contracts Guaranteed Hours (For Travel Contracts) Preferred Booking Agreement (for Local Contacts) Referral bonus (TRA Active Employees) Education: Required: Graduate of an accredited school of nursing. Preferred: Bachelor's or master's degree. Experience: Required: 2 years of current experience in their specialty. Certifications: Required: Currently licensed, certified, or registered to practice profession as required by law, regulation in state of practice or policy; AHA BLS, and if applicable by corporate policy for unit of hire, AHA ACLS and/or PALS and/or NRP. Physical Demands:

HealthTrust Workforce Solution External is seeking a travel nurse RN Med Surg for a travel nursing job in Fort Wayne, Indiana. Job Description & Requirements Specialty: Med Surg Discipline: RN Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel 🏥 Lutheran Hospital ◾ Fort Wayne, IN 💵 Gross Weekly: $2,311.45 | 💵 Hourly: $29.60 💵 Weekly Stipends: $1,245.85 ⌚ Shift: 3x12 Nights (7p - 7a) 💻 Charting: Cerner 📜 Requirements & Experience: 2+ Years Experience BLS & ACLS (AHA) NIHSS

HealthTrust Workforce Solution External is seeking a travel nurse RN Telemetry for a travel nursing job in Fort Wayne, Indiana. Job Description & Requirements Specialty: Telemetry Discipline: RN Duration: 10 weeks 48 hours per week Shift: 12 hours, days, nights Employment Type: Travel JA3 AUTO OFFER POSITION Lutheran Hospital RN / NeuroSpine Medical Surgical / Telemetry Duration: 13 weeks Shift: 7p-7a, Holidays and every other weekend required, block scheduling approved, call requirements are voluntary GH: 72 or 96 bi-weekly RTO max: 1 week Certifications required: BLS, ACLS, NIHSS Scope of role: Higher Med-Surg acuity with diagnoses of stroke, seizures, post-op Neuro/spinal surgeries, level 2 trauma patients and level 1 trauma post-ICU care, and other diagnoses like DKA, renal failure, and general post-op care Required years of experience: 2 years Required skills: Expertise in Neuro assessments, critical thinking skills, drain management and post-surgical care, chest tube, groin site management post-IR Numbers of beds in unit: 24 Patient ratio: 1:5, 1:6 Dept scrub color: Navy EMR: Cerner Floating is required

HealthTrust Workforce Solution External is seeking a travel nurse RN Telemetry PCU - Progressive Care Unit for a travel nursing job in Fort Wayne, Indiana. Job Description & Requirements Specialty: Telemetry PCU - Progressive Care Unit Discipline: RN Start Date: 01/05/2026 Duration: 13 weeks 48 hours per week Shift: 12 hours, nights Employment Type: Travel 🏥 Lutheran Hospital ◾ Fort Wayne, IN 💵 Gross Weekly: $3,169.85 | 💵 Hourly: $37 | OT: $55.50 | 💵 Weekly Stipends: $1,245.85 ⌚ Shift: 4x12 Nights (7p - 730a) 💻 Charting: Cerner (Exp Preferred) 📜 Requirements & Experience: 2+ Years Experience BLS & ACLS (AHA) NIHSS Neuro & Spine MedSurg/Tele Patients

Inova Health is looking for a dedicated Registered Nurse (RN) Clinical Documentation Denials Auditor to join the team. This role will be fully-time remote, Monday-Friday, regular business hours 8:00 AM - 4:30 PM (flexible). Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Featured Benefits: Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: Inova matches the first 5% of eligible contributions - starting on your first day. Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans. Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost. Work/Life Balance: offering paid time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities. Registered Nurse (RN) Clinical Documentation Denials Auditor Job Responsibilities: Evaluates specificity and completeness of physician documentation to ensure optimal coding (e.g. mortality outcomes using APR-DRG, SOI and ROM, appropriate reduction of complications based on PSI and HAC, revenue assurance outcomes based on reimbursement DRG (MS-DRG), documentation of significant chronic conditions affecting resource utilization based on HCC). Summarizes audit findings for individual records along with specific documentation guidelines to improve expected clinical outcomes for an individual physician, physician practice, or specialty. Conducts follow-up audits (i.e. concurrent or post-discharge) with routine feedback until documentation practice comes into line with expected clinical outcomes. Works with Clinical Documentation Improvement (CDI) Director and Lead Auditor on other work related to physician audits and education programs. Demonstrates proficiency with Cobius to access external audit work, record summary results and upload appeal letters. Demonstrates proficiency with Encompass 360 and HDM audit functions to review electronic medical records with advanced functions (i.e. ex, auto-suggest and search) and record detail coding audit results. Showcases proficiency in reviewing records in Epic electronic medical records - which may be the only option for audits of older records. Demonstrates proficiency in writing effective appeal letters that include appropriate coding guidelines and medical references. Identifies trends in external audit findings related to coding quality and physician documentation. Prepares educational communications related to these findings. Evaluates physicians' documentation, diagnostic reports, and clinical findings for validation of diagnoses. Processes the requests for second opinion reviews when clinical validity is not supported or in question. May perform additional duties as assigned. Minimum Qualifications: Certification: Certified Coding Specialist / Certified Clinical Documentation Specialist; ACDIS/AHIMA certification, CCDS or CDIP Licensure: Registered Nurse Upon Start Current RN license and eligible to practice in VA or MD Experience: Seven years of recent CDI, DRG validation or coding audit experience in an acute hospital setting with clinician training as RN, BSN, NP, PA or MD; Coding certification CCS and CDI certification CCDS or CDIP Education: Associate Degree in Nursing or Medicine. Preferred Qualifications: Experience: Recent coding experience. Clinical background and coding + denials knowledge. Experience writing denials & appeals. Outpatient and/or inpatient experience. Knowledge to identify clinical indicators (example: sepsis). EPIC experience. Certifications: CCDS Skills: presenting Remote Eligibility: This position is eligible for remote work for candidates residing in the following states - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV

Responsible for reviewing medical records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient, by improving the quality of the physicians' clinical documentation. Exhibits a sufficient knowledge of clinical documentation requirements, MS-DRG Assignment, and clinical conditions and/or procedures. Educates members of the patient care team regarding documentation guidelines, including the following: attending physicians, allied health practitioners, nursing, and case management. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. 1. Record Review: •Completes initial medical records reviews of patient records within 24-48 hours of admission for a specified patient population to: (a) evaluate documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate MS-DRG assignment, risk of mortality and severity of illness; and (b) record in business partner designated CDI tool and/or host medical record system. •Conducts follow-up reviews of patients every 24-48 hours or as needed up through discharge to support assigned working MS-DRG assignment upon patient discharge, as necessary. •Formulate physician queries regarding missing, unclear, or conflicting health record documentation by requesting and obtaining additional documentation within the health record, as necessary. •Collaborates with providers, case managers, nursing staff and other ancillary staff regarding documentation and to resolve physician queries prior to discharge. 2.CDI •Communicates/Completes Clinical Documentation Integrity (CDI) activities and coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up, provider education and DRG Miss-Match reconciliation. •Assists with Provider education, rounding and communication regarding open queries for resolution. 3. Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD10-CM and PCS coding. Attends CDI Boot camp, CDI/coding trainings annually and quarterly for inpatient coding. Attends monthly education lecture series (MELS) and all CDI/coding assigned learn share modules as well as any additional required CDI education. 4. Assist in training department staff new to CDI 5. Performs other duties as assigned KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. CDI Specialist must display teamwork and commitment while performing daily duties Must demonstrate initiative and discipline in time management and medical record review. Travel may be required to meet the needs of the facilities. Proficient knowledge of disease pathophysiology and drug utilization Intermediate knowledge of MS-DRG classification and reimbursement structures Critical thinking, problem solving and deductive reasoning skills. Effective written and verbal communication skills Excellent computer skills including MS Word/Excel Knowledge of coding compliance and regulatory standards Excellent organizational skills for initiation and maintenance of efficient workflow Regular and reliable attendance Capacity to work independently in facility on-site setting. Capacity to work independently in a virtual office setting if required for specific assignment. Exhibit flexibility as needed to meet program needs. Understand and communicate documentation strategies. Recognize opportunities for documentation improvement. Formulate clinically, compliant credible queries. Ability to successfully comply to robust auditing and CDI program monitoring Ability to apply coding conventions, official guidelines, and Coding Clinic advice to health record documentation. Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. Preferred: Acute Care nursing and/or Provider relevant experience Zero (0) to two (2) years CDI experience Two (2) plus years' nursing experience - Medical/Surgical/Intensive Care and/or Case/Utilization Review Two (2) plus years' Provider experience - Medical/Surgical/Intensive Care and/or Case/Utilization Review Graduate from a Nursing program, BSN, or graduate program; OR Graduate from Medical Doctor and/or Foreign Medical Doctor Program CERTIFICATES, LICENSES, REGISTRATIONS Active state Registered Nurse license; OR Graduate MD and/or FMD license Preferred: CDIP or CCDS PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Ability to sit for extended periods of time. Ability to stand for extended periods of time. Must be able to efficiently use computer keyboard and mouse. Good visual acuity WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. OTHER Must be able to travel as needed, not to exceed 10%. Compensation and Benefit Information Compensation • Pay: $34.86-$52.29 per hour. Compensation depends on location, qualifications, and experience. • Position may be eligible for a signing bonus for qualified new hires, subject to employment status. • Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: • Medical, dental, vision, disability, and life insurance • Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. • 401k with up to 6% employer match • 10 paid holidays per year • Health savings accounts, healthcare & dependent flexible spending accounts • Employee Assistance program, Employee discount program • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. • For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.

HealthTrust Workforce Solution External is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Fort Wayne, Indiana. Job Description & Requirements Specialty: Med Surg / Telemetry Discipline: RN Start Date: 12/29/2025 Duration: 13 weeks 48 hours per week Shift: 12 hours, nights Employment Type: Travel 🏥 Lutheran Hospital ◾ Fort Wayne, IN 💵 Gross Weekly: $3,169.85 | 💵 Hourly: $37 - OT: $55.50 | 💵 Weekly Stipends: $1,245.85 ⌚ Shift: 4x12 Nights (7p - 7a) 💻 Charting: Cerner 📜 Requirements & Experience: 2+ Years Experience BLS & ACLS (AHA) NIHSS

Inova Mt Vernon Hospital is seeking an experienced Emergency Room RN to join our Emergency Dept. Eligible Nurses will qualify for sign on & relocation bonuses. Full-Time, Night shift (7pm - 7am). During orientation will rotate through all shifts (Days, Mids, and Nights). Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Inova Mount Vernon Hospital is home to the nationally recognized Inova Joint Replacement Center and Inova Rehabilitation Center. Both are ranked among the top orthopedic and rehabilitation programs in the country. It also is the administrative and clinical home for the Inova Wound Healing Center, the region's largest and most experienced. Inova Mount Vernon Hospital has again been awarded a grade of "A" for hospital safety by The Leapfrog Group. We have earned this important recognition every year since 2014. The Veatch Family Emergency Department is a state-of-the-art facility featuring 35 all-private treatment rooms, new “fast track” rooms to treat less serious injuries, improved ambulance access, new cardiac emergency rooms and a specialized pediatric treatment area among its many amenities. Featured Benefits: Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: Inova matches the first 5% of eligible contributions - starting on your first day. Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans. Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost. Work/Life Balance: offering paid time off, paid parental leave, and flexible work schedules. Emergency Room Nurse Responsibilities: Provide knowledgeable and caring clinical practice and care coordination through an understanding of patient, family, nurse, and healthcare delivery team. Conduct all patient care in a patient and family-centered manner. Use an integrated approach toward patient outcomes Utilize standards, guidelines, and pathways for care delivery. Minimum Qualifications: Experience: Requires a minimum of one year of Registered Nurse clinical experience in the acute care setting. . Education: BSN from an accredited school of nursing. If RN has an Associates Degree (ADN); must complete BSN within 5 years of start date. License: Must be RN licensed, or eligible to practice in the Commonwealth of Virginia as an RN. Certification: BLS from American Heart Association Proficient in English. Strong verbal and written communication skills. Exceptional interpersonal skills and the ability to display a caring demeanor toward others Proficient computer skills required. Preferred Qualifications: Strongly prefer 2 year plus of ED RN experience. CEN/ACLS certification desired

Inova Primary Care is looking for a dedicated LPN to join the team. This role will be full-time, Monday- Friday, day shift hours. Sign on bonus and relocation assistance available for eligible candidates. Schedule: M-F: 8:00 am - 5:00 pm Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Featured Benefits: • Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. • Retirement: Inova matches the first 5% of eligible contributions - starting on your first day. • Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans. • Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost. • Work/Life Balance: offering paid time off, paid parental leave. The Licensed Practical Nurse (LPN) - Outpatient provides basic therapeutic nursing care according to established standards of practice under the direction and supervision of the Registered Nurse (RN). Provides care to patients whose care requirements are routine/standardized and with predictable outcomes. Assists the healthcare team in achieving desired patient outcomes. Participates in quality and performance improvement initiatives. Job Responsibilities Provides direct patient care utilizing the nursing process under the direction and supervision of the RN. Maintains and reviews patient medical records, notes and physician orders while documenting all patient care activities in accordance with documentation standards. Participates on unit teams, work groups and/or committees. Participates in quality and performance improvement initiatives. Performs other duties as assigned. Requirements Certification - Basic Life Support upon start Licensure - Licensed Practical Nurse or eligible for licensing in the commonwealth of Virginia as a Licensed Practical Nurse upon start Experience - None Required Education - Vocational/Technical Nursing KSAs - Technology use; Effective relationships/Interpersonal skills; Collaboration; Effective communication Preferred Qualifications: 1-2 years of experience in ambulatory setting as Medical Assistant.

The CRC Auditor, conducts coding and documentation quality reviews and generates responses for cases that have been denied by commercial and government payors to ensure hospital inpatient, outpatient, and pro-fee claims, were coded and billed in accordance with nationally recognized coding guidelines, standards, regulations and regulatory requirements, as well as payor and billing guidelines. The responses generated by the Auditor may include system documentation of findings and / or a formal appeal letter. The Auditor will escalate trends to CRC leadership, Conifer Quality & Performance leadership and Conifer Compliance as warranted. The Auditor will perform analysis on clinical documentation, evidenced based criteria application outcome, physician documentation, physician advisor input and complete review of the medical record related to clinical denials. Assures appropriate action is taken within appeal time frames. Communicates identified denial trends and patterns to the CRC leadership. Provides expert application of evidence based medical necessity review criteria tool. Works collaboratively to review, evaluate and improve the denial appeal process. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Formulates and submits letters of appeal. Creates an effective appeal utilizing relevant and effective clinical documentation from the medical record; supported by current industry clinical guidelines and coding guidelines, evidence-based medicine, community and national medical management and coding standards and protocols. Performs reviews of accounts denied for DRG validation and DRG downgrades. Documents in appropriate denial tracking tool (ACE). Maintains and distributes reports as needed to leadership. Identifies payment methodology of accounts including Managed Care contract rates, Medicare and State Funded rates, Per-Diems, DRG's, Outlier Payments, and Stop Loss calculations. Collaborates with Physician Advisors and CRC leadership when documentation-specific areas of concern are identified. Maintains expertise in clinical areas and current trends in healthcare, inpatient coding and reimbursement methodologies and utilization management specialty areas. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Effectively organizes work priorities Demonstrates compliance with departmental safety and security policies and practices Demonstrates critical thinking, analytical skills, and ability to resolve problems Demonstrates ability to handle multiple assignments and carry out work independently with minimal supervision Demonstrates quality proficiency by maintaining accuracy at unit standard key performance indicator goals Possesses excellent written and verbal communication skills Detail oriented and ability to work independently and in a team setting Moderate skills in MS Excel and PowerPoint, MS Office Ability to research difficult coding and documentation issues and follow through to resolution Ability to work in a virtual setting under minimal supervision Ability to conduct research regarding state/federal guidelines and applicable regulatory guidelines related to government audit processes Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Includes minimum education, technical training, and/or experience required to perform the job. Education Minimum Required: Completion of BSN Degree Program or three years of experience and completion of BSN within five years of employment RN License in the State of Practice Current working knowledge of clinical documentation and inpatient coding, discharge planning, utilization management, case management, performance improvement and managed care reimbursement. Preferred/Desired: Completion of BSN Degree Program CCDS certification or inpatient coding certification Experience Minimum Required: Three to Five years Clinical RN Experience Three to Five years of Clinical Documentation Integrity experience Must have expertise with Interqual and/or MCG Disease Management Ideologies Strong communication (verbal/written) and interpersonal skills Knowledge of CMS regulations Knowledge of inpatient coding guidelines 1-2 years of current experience with reimbursement methodologies Preferred/Desired: Experience preparing appeals for clinical denials related to DRG assignment. Strong understanding of rules and guidelines, including AHA's Coding Clinics, American Association of Medical Audit Specialists (AAMAS), National Commission on Insurance Guidelines and Medicare Billing Guidelines (CMS), State Funded Billing Regulations (Arizona, California, Nevada) and grievance process; working knowledge of billing codes such as RBRVS, CPT, ICD-10, HCPCS CERTIFICATES, LICENSES, REGISTRATIONS Required: RN, CCDS or other related clinical documentation specialist certification, and/or AHIMA or AAPC Coding Credential CCS, CCA, CIC, CPC or CPMA Preferred: BSN PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Ability to lift 15-30lbs Ability to travel approximately 10% of the time; either to client sites, National Insurance Center (NIC) sites, Headquarters, or other designated sites Ability to sit and work at a computer for a prolonged period of time conducting medical record quality reviews WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Characteristic of typical office environment requiring use of desk, chair, and office equipment such as computer, telephone, printer, etc. OTHER Interaction with facility HIM and / or physician advisors Must meet the requirements of the Conifer Telecommuting Policy and Procedure As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation Pay: $56,784.00 - $85,176.00 annually. Compensation depends on location, qualifications, and experience. Management level positions may be eligible for sign-on and relocation bonuses. Benefits Conifer offers the following benefits, subject to employment status: Medical, dental, vision, disability, life, and business travel insurance Paid time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked. 401k with up to 6% employer match 10 paid holidays per year Health savings accounts, healthcare & dependent flexible spending accounts Employee Assistance program, Employee discount program Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.

The CRC Auditor, conducts coding and documentation quality reviews and generates responses for cases that have been denied by commercial and government payors to ensure hospital inpatient, outpatient, and pro-fee claims, were coded and billed in accordance with nationally recognized coding guidelines, standards, regulations and regulatory requirements, as well as payor and billing guidelines. The responses generated by the Auditor may include system documentation of findings and / or a formal appeal letter. The Auditor will escalate trends to CRC leadership, Conifer Quality & Performance leadership and Conifer Compliance as warranted. The Auditor will perform analysis on clinical documentation, evidenced based criteria application outcome, physician documentation, physician advisor input and complete review of the medical record related to clinical denials. Assures appropriate action is taken within appeal time frames. Communicates identified denial trends and patterns to the CRC leadership. Provides expert application of evidence based medical necessity review criteria tool. Works collaboratively to review, evaluate and improve the denial appeal process. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Formulates and submits letters of appeal. Creates an effective appeal utilizing relevant and effective clinical documentation from the medical record; supported by current industry clinical guidelines and coding guidelines, evidence-based medicine, community and national medical management and coding standards and protocols. * Performs reviews of accounts denied for DRG validation and DRG downgrades. * Documents in appropriate denial tracking tool (ACE). Maintains and distributes reports as needed to leadership. * Identifies payment methodology of accounts including Managed Care contract rates, Medicare and State Funded rates, Per-Diems, DRG's, Outlier Payments, and Stop Loss calculations. * Collaborates with Physician Advisors and CRC leadership when documentation-specific areas of concern are identified. * Maintains expertise in clinical areas and current trends in healthcare, inpatient coding and reimbursement methodologies and utilization management specialty areas. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Effectively organizes work priorities * Demonstrates compliance with departmental safety and security policies and practices * Demonstrates critical thinking, analytical skills, and ability to resolve problems * Demonstrates ability to handle multiple assignments and carry out work independently with minimal supervision * Demonstrates quality proficiency by maintaining accuracy at unit standard key performance indicator goals * Possesses excellent written and verbal communication skills * Detail oriented and ability to work independently and in a team setting * Moderate skills in MS Excel and PowerPoint, MS Office * Ability to research difficult coding and documentation issues and follow through to resolution * Ability to work in a virtual setting under minimal supervision * Ability to conduct research regarding state/federal guidelines and applicable regulatory guidelines related to government audit processes Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Includes minimum education, technical training, and/or experience required to perform the job. Education * Minimum Required: * Completion of BSN Degree Program or three years of experience and completion of BSN within five years of employment * RN License in the State of Practice * Current working knowledge of clinical documentation and inpatient coding, discharge planning, utilization management, case management, performance improvement and managed care reimbursement. * Preferred/Desired: * Completion of BSN Degree Program * CCDS certification or inpatient coding certification Experience * Minimum Required: * Three to Five years Clinical RN Experience * Three to Five years of Clinical Documentation Integrity experience * Must have expertise with Interqual and/or MCG Disease Management Ideologies * Strong communication (verbal/written) and interpersonal skills * Knowledge of CMS regulations * Knowledge of inpatient coding guidelines * 1-2 years of current experience with reimbursement methodologies * Preferred/Desired: * Experience preparing appeals for clinical denials related to DRG assignment. * Strong understanding of rules and guidelines, including AHA's Coding Clinics, American Association of Medical Audit Specialists (AAMAS), National Commission on Insurance Guidelines and Medicare Billing Guidelines (CMS), State Funded Billing Regulations (Arizona, California, Nevada) and grievance process; working knowledge of billing codes such as RBRVS, CPT, ICD-10, HCPCS CERTIFICATES, LICENSES, REGISTRATIONS * Required: * RN, * CCDS or other related clinical documentation specialist certification, and/or AHIMA or AAPC Coding Credential CCS, CCA, CIC, CPC or CPMA * Preferred: BSN PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to lift 15-30lbs * Ability to travel approximately 10% of the time; either to client sites, National Insurance Center (NIC) sites, Headquarters, or other designated sites * Ability to sit and work at a computer for a prolonged period of time conducting medical record quality reviews WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Characteristic of typical office environment requiring use of desk, chair, and office equipment such as computer, telephone, printer, etc. OTHER * Interaction with facility HIM and / or physician advisors * Must meet the requirements of the Conifer Telecommuting Policy and Procedure As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $56,784.00 - $85,176.00 annually. Compensation depends on location, qualifications, and experience. * Management level positions may be eligible for sign-on and relocation bonuses. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, life, and business travel insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

The RN provides high quality, safe, cost effective, total nursing are to all patients. The RN assumes responsibility for overall coordination and integration of patient care based on the nursing process. The RN directs care according to established standards of safety, risk management, QI, Infection Control, with the goal being to discharge the patient with an optimum level of care provided. EDUCATION: Minimum: Graduate of an accredited school of nursing Preferred: BSN, Certification in Wound Care EXPERIENCE: Prior clinical experience in area of expertise preferred. REQUIRED CERTIFICATION/LICENSURE/REGISTRATION: Registered Nurse - licensed in the State of Florida. BLS OTHER QUALIFICATIONS: Preferred member of WOCN #LI-NM1

LifePoint is seeking a travel nurse RN Long Term Acute Care for a travel nursing job in Indianapolis, Indiana. Job Description & Requirements Specialty: Long Term Acute Care Discipline: RN 36 hours per week Shift: 12 hours, days Employment Type: Travel

HealthTrust Workforce Solution External is seeking a travel nurse RN NICU - Neonatal Intensive Care for a travel nursing job in Fort Wayne, Indiana. Job Description & Requirements Specialty: NICU - Neonatal Intensive Care Discipline: RN Start Date: 12/29/2025 Duration: 13 weeks 48 hours per week Shift: 12 hours, nights Employment Type: Travel 🏥 Lutheran Hospital ◾ Fort Wayne, IN 💵 Gross Weekly: $2,974.85 | 💵 Hourly: $33.25 | OT: $49.88 | 💵 Weekly Stipends: $1,245.85 ⌚ Shift: 4x12 Nights (7p - 730a) 💻 Charting: Cerner 📜 Requirements & Experience: 2+ Years Experience BLS - ACLS - NRP (AHA) STABLE Level III NICU or Higher Exp Required

HealthTrust Workforce Solution External is seeking a travel nurse RN Stepdown for a travel nursing job in Fort Wayne, Indiana. Job Description & Requirements Specialty: Stepdown Discipline: RN Duration: 13 weeks 36 hours per week Shift: 12 hours, days Employment Type: Travel 🏥 Lutheran Hospital ◾ Fort Wayne, IN 💵 Gross Weekly: $2,304.25 | 💵 Hourly: $29.40 | 💵 Weekly Stipends: $1,245.85 ⌚ Shift: 3x12 Days (7a - 7p) 💻 Charting: Cerner (Exp Preferred) 📜 Requirements & Experience: 2+ Years Experience BLS & ACLS (AHA) NIHSS

HealthTrust Workforce Solution External is seeking a travel nurse RN CVICU for a travel nursing job in Fort Wayne, Indiana. Job Description & Requirements Specialty: CVICU Discipline: RN Duration: 13 weeks 36 hours per week Shift: 12 hours, days Employment Type: Travel 🏥 Lutheran Hospital ◾ Fort Wayne, IN 💵 Gross Weekly: $2,304.25 | 💵 Hourly: $29.40 | 💵 Weekly Stipends: $1,245.85 ⌚ Shift: 3x12 Days (7a - 7p) 💻 Charting: Cerner (Exp Preferred) 📜 Requirements & Experience: 2+ Years Experience BLS & ACLS (AHA)

HealthTrust Workforce Solution External is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Valparaiso, Indiana. Job Description & Requirements Specialty: OR - Operating Room Discipline: RN Start Date: 12/29/2025 Duration: 13 weeks 36 hours per week Shift: 12 hours, days Employment Type: Travel 🏥 Porter Hospital◾ Valparaiso, IN 💵 Gross Weekly: $2,442.85 | 💵 Hourly: $33.25 | 💵 Weekly Stipends: $1,245.85 ⌚ Shift: 3x12 Days (645a - 715p) ◾Charting: Cerner 📜 Requirements & Experience: 1+ Years Experience BLS 2 Days Max of RTO PREFERRED GENERAL SURGERY EXPERIENCE, GYN, ORTHO, NEURO, PODIATRY, DAVINCI ROBOT

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. **Applicants for this role have the flexibility to work remotely from their home anywhere in the United States. This position does require an Oregon RN or LPN license. The work schedule for the position is Monday - Friday, 8am - 5pm Pacific, with occasional weekends and holidays.** Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care. Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care Coordinates as appropriate with healthcare providers and interdepartmental teams, to assess medical necessity of care of member Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of care Assists with service authorization requests for a member's transfer or discharge plans to ensure a timely discharge between levels of care and facilities Collects, documents, and maintains all member's clinical information in health management systems to ensure compliance with regulatory guidelines Assists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to members Provides feedback on opportunities to improve the authorization review process for members Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing and 2 - 4 years of related experience. Clinical knowledge and ability to analyze authorization requests and determine medical necessity of service preferred. Knowledge of Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. License/Certification: LPN - Licensed Practical Nurse - State Licensure required Pay Range: $26.50 - $47.59 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Benefits As an Registered Nurse (RN) at Lutheran Medical Group you'll join a team and be a part of a culture that's dedicated to providing top quality care to our patients. Our full-time employees enjoy a robust benefits package which may include health insurance, 401(k), licensure/certification reimbursement, tuition reimbursement, and student loan assistance for eligible roles. Job Summary The Registered Nurse (RN) in the clinic setting provides high-quality patient care through routine nursing duties, clinical assessments, and collaboration with healthcare providers. This role involves administering treatments, performing diagnostic testing, triaging patient concerns, and delivering patient education. The RN demonstrates professionalism, ethical clinical behavior, and respect for patient rights while maintaining confidentiality and adhering to HIPAA regulations. Strong critical thinking, communication, and time management skills are essential for success in this role. Essential Functions Assesses patients during the intake process, documenting symptoms, medical history, and medications in the electronic medical record while identifying potential concerns and initiating appropriate care plans. Administers medications and treatments, including vaccines, oral medications, and inhalation therapies, adhering to protocols and safety standards. Performs diagnostic ancillary testing such as lab draws and EKGs and assists providers during medical and surgical procedures. Triages patient concerns via telephone or in-person interactions, providing recommendations or escalating concerns to the appropriate care team member. Communicates effectively with patients, families, and healthcare team members to ensure seamless care delivery and a supportive patient experience. Creates and delivers patient education on disease processes, treatment plans, and medication management to promote understanding and adherence. Maintains a sanitized clinical environment by adhering to infection control protocols and properly disposing of hazardous materials such as needles and medications. Reviews and updates clinic logs, including sample, narcotics, expiration, refrigerator, and vaccine logs, ensuring compliance with clinic policies. Coordinates follow-up care by responding to patient portal messages, returning phone calls, and addressing test results such as labs, imaging, or medication refills by the end of each day. Collaborates with interdisciplinary healthcare teams to develop and implement care plans, advocating for patient health and well-being. Responds to emergencies or urgent clinical situations, ensuring appropriate resources and actions are mobilized to address patient needs. Participates in quality improvement initiatives to enhance care delivery, patient outcomes, and operational efficiency. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications 0-2 years of nursing experience in a clinical or outpatient setting required Knowledge, Skills and Abilities Strong clinical knowledge and ability to assess, plan, and implement patient care. Effective communication and interpersonal skills to collaborate with patients, families, and healthcare teams. Proficiency in using electronic medical records for accurate documentation. Knowledge of infection control protocols, clinic safety standards, and quality improvement practices. Critical thinking and problem-solving skills to manage complex patient care situations. Time management and organizational skills to handle multiple tasks efficiently. Empathy, compassion, and professionalism in patient interactions. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure required BCLS - Basic Life Support obtained from the American Red Cross or American Heart Association required Health Services\ACLS preferred