... remote with a CA RN license. PST business hours will be expected. Potential for on-call, weekend ... Knowledge of ICD-10, CPT, HCPCS coding, medical terminology and insurance benefits * Knowledge of ...
... remote with a CA RN license. PST business hours will be expected. Potential for on-call, weekend ... Knowledge of ICD-10, CPT, HCPCS coding, medical terminology and insurance benefits * Knowledge of ...
Utilization Management RN
Bakersfield, CA · On-site +1
$57.37 - $85.33/hr
... remote with a CA RN license. PST business hours will be expected. Potential for on-call, weekend ... Knowledge of ICD-10, CPT, HCPCS coding, medical terminology and insurance benefits * Knowledge of ...
Utilization Management RN
Bakersfield, CA · On-site +1
$57.37 - $85.33/hr
... remote with a CA RN license. PST business hours will be expected. Potential for on-call, weekend ... Knowledge of ICD-10, CPT, HCPCS coding, medical terminology and insurance benefits * Knowledge of ...
Full Stack Developer
San Diego, CA · On-site +1
Description Job type: Full Time / Hybrid (2 days remote, 3 days in office) Location: 3131 Camino ... Engage in code reviews, contribute to CI/CD pipelines, and advocate for automation to improve ...
Full Stack Developer
San Diego, CA · On-site +1
Description Job type: Full Time / Hybrid (2 days remote, 3 days in office) Location: 3131 Camino ... Engage in code reviews, contribute to CI/CD pipelines, and advocate for automation to improve ...
Full Stack Developer
San Diego, CA · On-site +1
Job type: Full Time / Hybrid (2 days remote, 3 days in office) Location: 3131 Camino del Rio N, Ste ... Engage in code reviews, contribute to CI/CD pipelines, and advocate for automation to improve ...
Full Stack Developer
San Diego, CA · On-site +1
Job type: Full Time / Hybrid (2 days remote, 3 days in office) Location: 3131 Camino del Rio N, Ste ... Engage in code reviews, contribute to CI/CD pipelines, and advocate for automation to improve ...
Software Engineering Manager
San Diego, CA · On-site +1
Job type: Full Time / Hybrid (2 days remote, 3 days in office) Office Location: 3131 Camino del Rio ... Engage in code reviews, contribute to CI/CD pipelines, and advocate for automation to improve ...
Software Engineering Manager
San Diego, CA · On-site +1
Job type: Full Time / Hybrid (2 days remote, 3 days in office) Office Location: 3131 Camino del Rio ... Engage in code reviews, contribute to CI/CD pipelines, and advocate for automation to improve ...
Plan, staff and support on-call rotation. * Manage robust incident response and resolution, capture ... Code (Terraform, Pulumi), and CI/CD tools (GitHub Actions, ArgoCD, GitLab CI). * System Design:
Plan, staff and support on-call rotation. * Manage robust incident response and resolution, capture ... Code (Terraform, Pulumi), and CI/CD tools (GitHub Actions, ArgoCD, GitLab CI). * System Design:
Technical Services Engineer, 2nd Shift
Washington, CA · On-site +1
... remote working models. The Federal Risk and Authorization Management Program (FedRAMP) is a US ... Saturdays and Sundays are considered fully online workdays and not an on-call shift. Due to the 24 ...
Technical Services Engineer, 2nd Shift
Washington, CA · On-site +1
... remote working models. The Federal Risk and Authorization Management Program (FedRAMP) is a US ... Saturdays and Sundays are considered fully online workdays and not an on-call shift. Due to the 24 ...
Senior Full Stack Software Engineer
San Francisco, CA · On-site +1
$180K - $210K/yr
... code. * Act as an L3 escalation: Join a genuinely low-volume, third-level on-call rotation. Our ... Remote-first: Work from anywhere in the United States, with the option to work from our San ...
Senior Full Stack Software Engineer
San Francisco, CA · On-site +1
$180K - $210K/yr
... code. * Act as an L3 escalation: Join a genuinely low-volume, third-level on-call rotation. Our ... Remote-first: Work from anywhere in the United States, with the option to work from our San ...
Staff Infrastructure Reliability Engineer - Database & Storage
San Francisco, CA · On-site +1
$67.25 - $89.25/hr
Fully remote is available for highly qualified, US based candidates outside of these locations. The ... You will use and evangelize approved AI code generation tools to document, architect, and create ...
Staff Infrastructure Reliability Engineer - Database & Storage
San Francisco, CA · On-site +1
$67.25 - $89.25/hr
Fully remote is available for highly qualified, US based candidates outside of these locations. The ... You will use and evangelize approved AI code generation tools to document, architect, and create ...
Senior Data Engineer [Remote-US]
San Francisco, CA · Remote
$215K - $300K/yr
Contribute to CI/CD pipelines and infrastructure-as-code practices to ensure reliable, repeatable ... in an on-call rotation to support production systems. * Contribute to the data warehouse by ...
Quick apply
Senior Data Engineer [Remote-US]
San Francisco, CA · Remote
$215K - $300K/yr
Contribute to CI/CD pipelines and infrastructure-as-code practices to ensure reliable, repeatable ... in an on-call rotation to support production systems. * Contribute to the data warehouse by ...
Senior Cloud Infrastructure Engineer
San Ramon, CA · On-site +1
$121K - $164K/yr
Develop Infrastructure-as-Code using Ansible, Terraform or Pulumi, with Python/Bash automation ... Participate in on-call rotations, incident response, and root cause analysis. * Collaborate ...
Quick apply
Senior Cloud Infrastructure Engineer
San Ramon, CA · On-site +1
$121K - $164K/yr
Develop Infrastructure-as-Code using Ansible, Terraform or Pulumi, with Python/Bash automation ... Participate in on-call rotations, incident response, and root cause analysis. * Collaborate ...
Senior Software Engineer, Reliability
San Francisco, CA · Remote
$120K - $190K/yr
Senior Software Engineer, Reliability Remote, US About Nametag Nametag is building the future of ... Evolve on-call practices and incident response processes that keep us ahead of customer-impacting ...
Quick apply
Senior Software Engineer, Reliability
San Francisco, CA · Remote
$120K - $190K/yr
Senior Software Engineer, Reliability Remote, US About Nametag Nametag is building the future of ... Evolve on-call practices and incident response processes that keep us ahead of customer-impacting ...
Platform Engineer
San Francisco, CA · On-site +1
$146K - $220K/yr
We are a team of more than 175 people working in a hybrid-remote environment across North America ... Utilize Infrastructure as Code (IaC) principles to automate provisioning, configuration, and ...
Platform Engineer
San Francisco, CA · On-site +1
$146K - $220K/yr
We are a team of more than 175 people working in a hybrid-remote environment across North America ... Utilize Infrastructure as Code (IaC) principles to automate provisioning, configuration, and ...
Cloud Enablement Engineer [Remote-US]
San Francisco, CA · Remote
$155K - $205K/yr
Participate in on-call rotation to provide support for internal developer services. About you ... Experience and understanding of Infrastructure as Code tools such as Terraform or Pulumi.
Quick apply
Cloud Enablement Engineer [Remote-US]
San Francisco, CA · Remote
$155K - $205K/yr
Participate in on-call rotation to provide support for internal developer services. About you ... Experience and understanding of Infrastructure as Code tools such as Terraform or Pulumi.
$98K - $138K/yr
Participate in on-call rotation, providing 24x7 support for incidents and contributing to root ... Proficiency with infrastructure-as-code and automation (Terraform, Ansible, YAML, Python, Bash ...
Quick apply
$98K - $138K/yr
Participate in on-call rotation, providing 24x7 support for incidents and contributing to root ... Proficiency with infrastructure-as-code and automation (Terraform, Ansible, YAML, Python, Bash ...
Site Reliability Engineer II
San Francisco, CA · On-site +1
$98K - $138K/yr
Participate in on-call rotation, providing 24x7 support for incidents and contributing to root ... Proficiency with infrastructure-as-code and automation (Terraform, Ansible, YAML, Python, Bash ...
Site Reliability Engineer II
San Francisco, CA · On-site +1
$98K - $138K/yr
Participate in on-call rotation, providing 24x7 support for incidents and contributing to root ... Proficiency with infrastructure-as-code and automation (Terraform, Ansible, YAML, Python, Bash ...
$98K - $138K/yr
Participate in on-call rotation, providing 24x7 support for incidents and contributing to root ... Proficiency with infrastructure-as-code and automation (Terraform, Ansible, YAML, Python, Bash ...
Quick apply
$98K - $138K/yr
Participate in on-call rotation, providing 24x7 support for incidents and contributing to root ... Proficiency with infrastructure-as-code and automation (Terraform, Ansible, YAML, Python, Bash ...
Tech Lead, Mobile Core Network Engineering
San Francisco, CA · On-site +1
$136K - $273K/yr
Incident Response & On-Call Support: Participate in an on-call rotation, troubleshoot issues, and ... Remote-friendly culture with a collaborative, low-ego engineering organization * Competitive ...
Tech Lead, Mobile Core Network Engineering
San Francisco, CA · On-site +1
$136K - $273K/yr
Incident Response & On-Call Support: Participate in an on-call rotation, troubleshoot issues, and ... Remote-friendly culture with a collaborative, low-ego engineering organization * Competitive ...
Site Reliability Engineer
San Mateo, CA · Remote
$65 - $86.25/hr
This position is remote and requires working East Coast business hours (EST). What you\'ll do ... Participate in an on-call rotation and provide operational support for production systems. Your ...
Site Reliability Engineer
San Mateo, CA · Remote
$65 - $86.25/hr
This position is remote and requires working East Coast business hours (EST). What you\'ll do ... Participate in an on-call rotation and provide operational support for production systems. Your ...
Software Engineer, CDN Content
San Francisco, CA · On-site +1
$172K - $258K/yr
If you're located beyond that distance, the role is fully remote. For location-specific details ... Participate in the on-call rotation with support from senior engineers, and contribute to incident ...
Software Engineer, CDN Content
San Francisco, CA · On-site +1
$172K - $258K/yr
If you're located beyond that distance, the role is fully remote. For location-specific details ... Participate in the on-call rotation with support from senior engineers, and contribute to incident ...
On Call Remote Anesthesia Coder information
What is the difference between On Call Remote Anesthesia Coder vs Remote Medical Biller?
| Aspect | On Call Remote Anesthesia Coder | Remote Medical Biller |
|---|---|---|
| Credentials | Certification in medical coding, anesthesia coding experience | Medical billing certification, coding knowledge |
| Work Environment | Remote, flexible hours, healthcare facilities | Remote, healthcare offices, billing companies |
| Industry Usage | Hospitals, surgical centers, anesthesia providers | Clinics, hospitals, insurance companies |
| Primary Tasks | Code anesthesia procedures, ensure compliance | Process insurance claims, manage billing cycles |
While both roles involve medical coding and work remotely, On Call Remote Anesthesia Coders focus specifically on anesthesia procedure coding for healthcare providers, often requiring specialized anesthesia coding certifications. Remote Medical Billers handle broader billing tasks across various medical services, including claims processing and payment follow-up. Understanding these differences helps job seekers identify the right role based on their skills and career goals.
Full-time
This job post has expired today. Applications are no longer accepted.
CommonSpirit Health rating
7.0
Based on 531 frontline employees who took The Breakroom Quiz
416th of 887 rated healthcare providers
Job description
The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health's Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.
One Community. One Mission. One California
As our UM RN (Utilization Management Registered Nurse), you will be responsible for ensuring the integrity of the adverse determination processes and accuracy of clinical decision-making, as it relates to the application of criteria and composition of compliant denial notices, to review medical records, authorize requested services, and prepare cases for physician review based on medical necessity.
Every day you will partner with both the Pre-Service and In-Patient Utilization Management teams. You will ensure to monitor and assure the appropriateness and medical necessity of care as it relates to quality, continuity, and cost-effectiveness. This involves meticulous review of medical records, application of clinical guidelines, and collaborative communication to facilitate optimal patient care while ensuring compliance and fiscal responsibility.
To be successful in your role, you will strategically ensure the integrity and accuracy of utilization management decisions, meticulously reviewing medical records and applying clinical criteria to determine medical necessity. You will demonstrate exceptional clinical judgment, partner effectively with pre-service and in-patient teams, and maintain rigorous oversight of care appropriateness, quality, continuity, and cost-effectiveness, thereby safeguarding both patient well-being and organizational resources.
As a remote employee, we will provide you with the equipment needed to work from home, including a laptop, docking station, dual monitors, and accessories.
This position is remote with a CA RN license. PST business hours will be expected.
Potential for on-call, weekend and holiday shifts.
- Reviews designated requests for referral authorizations either proactively, concurrently or retroactively. Gathering all information needed to make a determination and/or coordinate with the Medical Director as needed.
- Ensure compliance with turnaround times and accuracy standards are met.
- Ensure contracted providers are in place when authorizing.
- Responsible to coordinate with contracting to obtain appropriate contracts as deemed appropriate.
- Identify cases that require additional case management.
- Work with appropriate departments and internal staff to coordinate patient care
Required
- Three (3) years recent clinical experience
- Graduate of an accredited RN program
- Clear and current CA Registered Nurse (RN) license
- Knowledge of nursing theory and ability to apply or modify as appropriate
- Knowledge of ICD-10, CPT, HCPCS coding, medical terminology and insurance benefits
- Knowledge of legal and ethical considerations related to patient information, PHI and HIPPA regulations
Preferred
- Bachelors of Nursing (BSN) preferred
- Previous inpatient Utilization Management (UM) experience strongly preferred
- Experience with MCG strongly preferred
- EZCap experience a plus
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Benefits
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About CommonSpirit Health
Sourced by ZipRecruiter
Industry
Health care and social assistance, hospitals and non-profits
Company size
10,000+ Employees
Headquarters location
Chicago, IL, US