BaltimoreRecruiter Since 2001
the smart solution for Baltimore jobs

Clinical Auditor

Company: Corizon Health
Location: Baltimore
Posted on: September 14, 2019

Job Description:

Corizon Health is the pioneer provider of correctional healthcare in the United States. We are a company built on more than 40 years of innovation and expertise in the industry. Our people, our practices, and our commitment to success are the traits that make us the ideal employer as you begin or continue to advance your correctional healthcare career. We have an exceptional opportunity for a Compliance Clinical Auditor Registered Nurse (RN) to join our healthcare team at Baltimore Pre-Trail Facility located in Baltimore, MD. -- Job Summary: -- Under general direction of the Strategic Compliance Manager, the Strategic Compliance Clinical Auditor (RN) collects, organizes, and tabulates information on healthcare services delivered on the health care unit as it pertains to the settlement agreement. -- Responsibilities of the Corizon Health Compliance Clinical Auditor Registered Nurse (RN): In accordance with the settlement agreement executed by plaintiff, gathers, organizes, and tabulates health care services data. -- Performs chart reviews utilizing the EPHR and paper health record. -- Maintain a high level of knowledge and understanding of the settlement agreement, DPSCS and company polices/ procedures including developed processes and clinical protocols. -- Supports the maintenance of audit results and supportive documentation records to comply with all sections of the settlement agreement. -- Collaborate with site leadership and the custody partner to ensure effective and efficient corrective action plans are implemented and monitored with documented outcomes for non-compliant trends. -- Collaborate with other vendors, subcontractors and custody to address trends of pertaining to deficiencies involving clinical care and coordination of services. -- Analyze data and prepare monthly narratives and statistical reports as required by DPSCS. Perform ongoing review of audit documents for accuracy and completeness prior to data submission. -- Ensure all clinical reviews adhere to the specified methodologies. -- Attend MAC, Access to Care and CQI meetings for facilities associated with the settlement agreement as requested by DPSCS. -- Protects confidentiality of information in written and verbal communications and maintain compliance with HIPAA regulations. -- Benefits offered to the Corizon Health Utilization Management Registered Nurse (RN): Paid Time Off Medical, Dental and Vision Insurance Tuition Assistance 401(k) with company match Free online Continuing Education program Comprehensive Onboarding Mentor and Preceptor Programs -- This position--requires a background check, security clearance, and/or drug screening. Qualifications of the Corizon Health Compliance Clinical Auditor Registered Nurse (RN) Must be committed self-starter, possess excellent editing skills, have the ability to multi-task and prioritize in a highly collaborative team environment. -- Must be highly organized and detail oriented, and capable of performing under a variety of requirements and deadlines with minimal supervision. -- Graduate of an Accredited Nursing School required. -- Current, unrestricted, non-probationary status license as a Registered Nurse in the State of Maryland. -- Current Basic Life Support/CPR Certification at the Medical Professional Level with AED Training. American Heart Association is the preferred source, but American Red Cross is acceptable. -- Specialty certification in correctional healthcare (Certified Correctional Health Professional: CCHP, Certified Correctional Health Professional Nurse: CCHP-RN) is desired. -- Experience in principles of Lean and Lean Six Sigma in Healthcare is strongly desired. 3 years clinical healthcare experience required with a minimum of 2 years in a correctional healthcare setting required. -- At least 2 years conducting administrative medical compliance analysis, online document management, developing procedural manuals, preparing statistical and organizational charts and presentations. -- Knowledge of accreditation standards (NCCHC, ACA, and MCCS) as well as experience with quality improvement programs and clinical auditing preferred. -- Authoritative knowledge of Excel, Word, Outlook, SharePoint and PowerPoint required. Must be able to clearly communicate orally and via written and typed correspondence and notes using various forms, records, charts, and electronic media. Corizon Health.Category: Healthcare, Keywords: Clinical Auditor

Keywords: Corizon Health, Baltimore , Clinical Auditor, Healthcare , Baltimore, Maryland

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Healthcare Jobs


RN / Intensive Care Interventional Radiology
Description: The benefits of taking a travel nursing job with Cross Country Nurses include: Free Private Housing or Generous Housing Allowance Comprehensive Health Insurance with Prescription Coverage Dependent
Company: Cross Country Nurses
Location: Harrisburg
Posted on: 09/19/2019

Medical Assistant-FLOAT Trauma and Acute Care Surgery/Specialty practices
Description: CompanyLancaster General HospitalCost Center7223 SOP-Hyperbaric WoundSupervisory OrganizationHyperbaric Wound CenterGradeG07Summary br br 40 hours/week. Day shift. No weekend/holiday br br ATTENTION (more...)
Company: Lancaster General Health
Location: Lancaster
Posted on: 09/19/2019

Phlebotomist I (Security Clearance required)
Description: Job Summary QTC Medical Group has a Phlebotomist opening for an experienced cleared professional seeking a rewarding and challenging opportunity supporting medical services for an Intelligence Community (more...)
Company: QTC Medical Group
Location: Chantilly
Posted on: 09/19/2019


RN / REGISTERED NURSE / MED SURG RN / MEDICAL SURGICAL NURSE
Description: Job Reference Number: 19-804440 br br Located in eastern Pennsylvania, this 500 bed facility has been designated a Magnet
Company: Aureus Medical Group
Location: Lancaster
Posted on: 09/19/2019

Burn Unit RN Travel Nurse
Description: Nationwide Travel Nurse Jobs - Burn Unit RN Are you looking for a new nursing job Would you like to spend the season somewhere you've never been Hospitals nationwide are looking for qualified registered (more...)
Company: HealthCare Travelers
Location: Lancaster
Posted on: 09/19/2019

Adult IP Locums for December in Harrisburg, PA (Physician #17249)
Description: We have an exciting opportunity available in the Greater Harrisburg, PA area. Please see the below practice description and contact me to discuss the opportunity in greater detail. In addition, we also (more...)
Company: Medical Search International
Location: Harrisburg
Posted on: 09/19/2019

LPN Specialist (Security Clearance required)
Description: Job Summary:-- QTC Medical Group has a LPN opening for an experienced professional seeking a rewarding and challenging opportunity supporting medical services for an Intelligence Community customer. Position (more...)
Company: QTC Medical Group
Location: Chantilly
Posted on: 09/19/2019

RN Travel Nurse Emergency Department (ED/ER)
Description: Nationwide Travel Nurse Jobs - Emergency Department RN Are you looking for a new nursing job Would you like to spend the season somewhere you've never been Hospitals nationwide are looking for qualified (more...)
Company: HCEN
Location: Lancaster
Posted on: 09/19/2019

PACU Pre-Op / Post-Op Travel Nurse RN
Description: Nationwide Travel Nurse Jobs - PACU / Pre-Op / Post-Op RN Are you looking for a new nursing job Would you like to spend the season somewhere you've never been Hospitals nationwide are looking for qualified (more...)
Company: HCEN
Location: Harrisburg
Posted on: 09/19/2019

Family Medicine Locum Opportunity in VA (Physician #)
Description: Medical Doctor Associates is seeking a Board Certified Family Medicine Physician for a practice in Northern Virginia.
Company: Cross Country Locums
Location: Leesburg
Posted on: 09/19/2019

Log In or Create An Account

Get the latest Maryland jobs by following @recnetMD on Twitter!

Baltimore RSS job feeds