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Registered Nurse - Recovery Audit Contractor

Job ID 11360168 Date posted 03/27/2019
Description

About CarolinaEast Medical Center

CarolinaEast Health System is dedicated to quality and compassionate care across the Coastal Carolina region. The flagship of the health system is a 350 bed full service medical center housing a completecompliment of inpatient and outpatient services with the latest technology. CarolinaEast Health System employs 2,500 dedicated team members. We have physician practices in various specialties spanning four counties. Our employees create a culture of excellence that connects our patients to the same level of care that is usually found at larger medical centers while maintaining a friendly, community feel throughout our facilities. CarolinaEast offers a comprehensive benefits package to all full time employees as well as benefits to part time plus and part time employees. CarolinaEast Medical Center is the only continuous 5-star rated hospital by CMS in North Carolina.

Job Summary: Primarily responsible for providing support to the RAC Department in medical record review and/or denial review.

Minimum Requirements: Minimum of an Associate's degree in nursing. Prefer a Bachelor of Science in Nursing. Minimum five years' hospital clinical experience. Must possess strong clinical knowledge of patient care techniques, treatment modalities, and disease processes. Knowledge of utilization review, denial concepts and reimbursement methodologies. Ability to communicate effectively with interdisciplinary team (Physicians, Nursing, RAC Manager, Care Coordinators, Billing and Finance). Proficient in Microsoft Word, Excel, and selected RAC tracking software.


Schedule: PRN
Shift: Day shift, Mon-Fri 8:00 a.m.-4:30 p.m.
Education:
License or Experience: Licensure Required
Location: CarolinaEast Medical Center
Department: Recovery Audit Contractor

About Nursing Jobs

By being hired into one of our Nursing jobs at CarolinaEast Health System, you’ll be a key member of the CarolinaEast Health System team. Professionals in Nursing careers come from a variety of backgrounds, bringing an assortment of knowledge and skills to every area of our business. Please click on your desired Nursing job below to learn more about the exact qualifications. A job in Nursing at CarolinaEast Health System may be waiting for you!