Claims Quality Audit Manager jobs in Flagstaff, AZ

Claims Quality Audit Manager manages the claims quality auditors and daily activities of quality claims audit function. Reviews and tracks claims quality audit reports and measures performance of auditors. Being a Claims Quality Audit Manager provides assistance in developing claims audit policies and procedures. May provide coaching in complex claims audit. Additionally, Claims Quality Audit Manager typically requires a bachelor's degree. Typically reports to a director or head of a department. The Claims Quality Audit Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Claims Quality Audit Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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Home Health RN Case Manager
  • Quality Home Health Care
  • Prescott, AZ FULL_TIME
  • Contact me today and ask me about the sign-on bonus!

    Nurses Network is under new ownership!!! We are looking for ambitious, outgoing, and bubbly individuals! These dynamic people will fill the role of Home Health RN and will join us in our mission of providing top-notch home healthcare services to our patients in Prescott Valley, AZ and the surrounding areas. If you're looking for a locally owned company where the patient is first, and employees are valued, you've found it!

    Why working here is awesome!
    • Competitive pay with healthcare, dental, and vision, packages available to full-time team members.
    • Support of work/life balance through paid time off and holiday pay for full-time team members.
    • Sick pay accrual for all team members.
    • Employer-matched 401k

    Position Summary:
    Provides services to clients by the State Nurse Practice Act, Agency policy, and accepted professional standards of practice.

    The Registered Nurse provides nursing services utilizing a comprehensive base of nursing theory and nursing process and communicates/documents observations and assessments.

    This is a full-time position, Mon-Fri

    Responsibilities - The great work that you'll do here:
    • Assume responsibility and accountability for the practice of professional nursing by the State Nurse Practice Act and standards for home health nursing.
    • Develop/and or follow an individual Plan of Care that incorporates analysis of data and current scientific findings.
    • Provides skilled interventions with a focus on achieving realistic client outcomes within a specified period.
    • Perform comprehensive assessments of client status, including physical, psychosocial, and environmental parameters.
    • Report significant changes in client status to the physician and other members of the team promptly consistent with client needs.
    • Medication administrations.
    • Consistently demonstrate competency with technical nursing skills according to the personal and legal scope of practice. Assesses skills as applied to the client, family/support system, and environment. Teaches skills according to the client's needs and within the context of the client's environment, value system, and physical/emotional status.
    • Practice nursing with respect for individual, cultural, and spiritual differences.
    • Maintain client records showing systematic assessment, planning intervention, and evaluation.
    • Ensure accuracy, completeness, and timeliness of clinical documentation by Agency policies and procedures, regulatory requirements, and industry standards.
    • Demonstrates knowledge of safety/infection control practices by compliance with policies and procedures and regulatory requirements.
    • Participate in separately compensated on-call rotation.

    Qualifications - Things we'll love about you:
    • Graduate of an accredited school of professional nursing.
    • Current license as a Registered Nurse in AZ.
    • Home Health experience with a thorough knowledge base of OasisĀ 
    • Nursing experience in an acute hospital setting preferred.
    • Compliance with professional standards and practice.
    • Excellent verbal and written communication skills and strong interpersonal skills.
    • Has a knowledge base of the scopes of practice of various disciplines including RN, LPN, PT, OT, ST, and CNA.
    • Knows home care federal and state regulations.
    • Knows reimbursement sources and documentation requirements within home health care.
    • Licensed driver with automobile insured by the Agency and state requirements.
    • Has current CPR and TB test or a signed release from MD (a TB Test can be provided if ne
  • 16 Days Ago

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Audit Merchandiser
  • Footprint Solutions
  • Williams, AZ FULL_TIME
  • Audit Merchandiser - Flexible, Part time, Start now! Hourly Wage: $ 16.50/hr Additional info: Hourly, Variable hours, Non-exempt Compensation and shifts: Part time work Create your own flexible schedu...
  • 21 Days Ago

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RN - Med Surg/Tele
  • Quality Clinicians
  • Prescott, AZ FULL_TIME
  • RN - Med Surg/Tele We're looking for RNs for an immediate travel nurse opening. The right RN should have 2 years or more of recent experience. As a Travel Nurse, you should be prepared to perform the ...
  • Just Posted

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RN ED - Emergency Department Fort Defiance, AZ
  • Quality Clinicians
  • Fort Defiance, AZ FULL_TIME
  • We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package: Weekly Pay Range: $1440-$2440/week Multiple shift openings Job Description/Responsibilities...
  • Just Posted

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Direct Support Staff
  • Quality Connections
  • Flagstaff, AZ FULL_TIME
  • Benefits: 401(k) Competitive salary Health insurance Opportunity for advancement Paid time off Signing bonus Vision insurance Come work with Quality Connections Turn your passion into a paycheck Trans...
  • 4 Days Ago

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Direct Care Worker
  • Quality Connections
  • Flagstaff, AZ FULL_TIME
  • Direct Care Worker Overview Our care professionals are the heart of our organization who support people with intellectual and developmental disabilities in their homes. Responsibilities Direct Care Wo...
  • 4 Days Ago

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0 Claims Quality Audit Manager jobs found in Flagstaff, AZ area

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Deli Associate
  • Walmart
  • Flagstaff, AZ
  • **Job Description:** As a Deli Associate at Walmart, you will be responsible for providing exceptional service to our cu...
  • 4/24/2024 12:00:00 AM

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Lead Specialty RN
  • Northern Arizona Health
  • Flagstaff, AZ
  • Job Description Job Description OverviewThis JD covers the Registered Nurse Specialty Leader. The Specialty Leader will ...
  • 4/24/2024 12:00:00 AM

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Fleet (Route) Maintenence Supervisor
  • Penske
  • Flagstaff, AZ
  • ResponsibilitiesAs a Penske Maintenance Supervisor you will use your excellent communication, organization, and multitas...
  • 4/24/2024 12:00:00 AM

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12 Volt Installation Technician / Car Stereo Installer Manager
  • Sounds Good Mobile
  • Flagstaff, AZ
  • Job Description Job Description The Install Manager is responsible for ensuring quality installations by overseeing qual...
  • 4/23/2024 12:00:00 AM

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Project Manager - Capital Improvements
  • City Of Flagstaff Az
  • Flagstaff, AZ
  • Salary: $66,289.60 - $99,424.00 AnnuallyLocation : Flagstaff, AZJob Type: Full-Time; Exempt; Benefit EligibleRemote Empl...
  • 4/23/2024 12:00:00 AM

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Experienced - 12 Volt Installation Technician / Car Stereo Installer
  • Sounds Good Mobile
  • Flagstaff, AZ
  • Job Description Job Description As a Car Stereo / 12V Installer at our company, you will be responsible for efficiently ...
  • 4/23/2024 12:00:00 AM

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Mobile Phlebotomist
  • CareSend
  • Flagstaff, AZ
  • CareSend is a technology platform that aims to bridge the gap between physicians, payors, and patients by making care mo...
  • 4/22/2024 12:00:00 AM

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Independent Sales Professional
  • The Patterson Agency
  • Flagstaff, AZ
  • The Patterson Agency is all about the client. We seek to understand their underlying problems and concerns before we mov...
  • 4/22/2024 12:00:00 AM

Flagstaff is a city in and the county seat of Coconino County in northern Arizona, in the southwestern United States. In 2015, the city's estimated population was 70,320. Flagstaff's combined metropolitan area has an estimated population of 139,097. The city is named after a ponderosa pine flagpole made by a scouting party from Boston (known as the "Second Boston Party") to celebrate the United States Centennial on July 4, 1876. Flagstaff lies near the southwestern edge of the Colorado Plateau, along the western side of the largest contiguous ponderosa pine forest in the continental United Sta...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Manager jobs
$92,419 to $124,159
Flagstaff, Arizona area prices
were up 2.5% from a year ago

Claims Quality Audit Manager in Canton, OH
On average, a Bachelor's Degree is the highest level of education for a Claims Quality Audit Manager.
January 04, 2020
Claims Quality Audit Manager in Kennewick, WA
Based on our compensation data, the estimated salary potential for Claims Quality Audit Manager will increase 16 % over 5 years.
January 17, 2020