- Humana (Madison, WI)
- …a part of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record ... services rendered is complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and frequently require… more
- Elevance Health (Atlanta, GA)
- ** Nurse Auditor Senior - Payment Integrity Complex and Clinical Audit** **Location:** This role enables associates to work virtually full-time, with the ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Nurse Audit Senior** will be responsible for identifying, monitoring, and… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Clinical Auditor /Analyst Intermediate! The Clinical Auditor /Analyst Intermediate is an integral part of the ... and revises better best practice within the department. The Clinical Auditor /Analyst Intermediate creates, maintains and analyzes auditing reports related to their… more
- Providence (CA)
- …must empower them._** **Providence Health Plan is calling a Coding Quality Auditor , HEDIS who will:** + Be responsible for conducting clinical quality ... Seasonal Role:_** + **This posting is for multiple openings of a Coding Quality Auditor , HEDIS** + **This position is affiliated with Providence Health Plan and will… more
- Elevance Health (Chicago, IL)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records to ensure clinical… more
- Centene Corporation (Jefferson City, MO)
- …RESIDE IN MISSOURI **Ideal candidate will be a Licensed Practical Nurse (LPN) with auditing experience.** **Education/Experience:** Bachelor's degree in related ... (LCSW), Licensed Mental Health Counselor (LMHC), Licensed Professional Counselor (LPC), Registered Nurse (RN), or Licensed Practical Nurse (LPN) Pay Range:… more
- Baystate Health (Springfield, MA)
- …OF WORKING WITH BAYSTATE!** + Excellent Compensation High-quality, low-cost medical, dental and vision insurance + Generous PTO - up to 25 days in the first year, ... and financial health + Pet, home, auto and personal insurance + Life insurance + Reimbursement for...be applicable to this role.** **Summary:** **Reports to the Nurse Manager but daily activities are coordinated by the… more
- Baystate Health (Springfield, MA)
- …OF WORKING WITH BAYSTATE!** + Excellent Compensation High-quality, low-cost medical, dental and vision insurance + Generous PTO - up to 25 days in the first year, ... and financial health + Pet, home, auto and personal insurance + Life insurance + Reimbursement for...be applicable to this role.** **Summary:** **Reports to the Nurse Manager but daily activities are coordinated by the… more
- Baystate Health (Springfield, MA)
- …OF WORKING WITH BAYSTATE!** + Excellent Compensation High-quality, low-cost medical, dental and vision insurance + Generous PTO - up to 25 days in the first year, ... and financial health + Pet, home, auto and personal insurance + Life insurance + Reimbursement for...be applicable to this role.** **Summary:** Reports to the Nurse Manager but daily activities are coordinated by the… more
- Baystate Health (Westfield, MA)
- …OF WORKING WITH BAYSTATE!** + Excellent Compensation High-quality, low-cost medical, dental and vision insurance + Generous PTO - up to 25 days in the first year, ... and financial health + Pet, home, auto and personal insurance + Life insurance + Reimbursement for...applicable to this role.** **Summary** : Reports to the Nurse Manager but daily activities are coordinated by the… more
- City of Long Beach (Long Beach, CA)
- …mayor that is elected at-large. Elected officials also include the City Attorney, City Auditor , and City Prosecutor. The Council Members and the Mayor are subject to ... the State of California and a valid Public Health Nurse Certificate.(*Proof required.) + Candidates may substitute experience offering...city also participates in Social Security. Health and Dental Insurance : The City offers the choice of HMO and… more
- St. Luke's University Health Network (Allentown, PA)
- …APR-DRG for the purpose of appealing proposed DRG and coding changes by insurance providers or their respective auditors JOB DUTIES AND RESPONSIBILITIES: + Conduct ... coding determination made by the government or commercial payors, or their auditor representative. + Facilitate clinical chart reviews to assist with supporting… more
- BJC HealthCare (St. Louis, MO)
- …collaborating within a team setting? BJC Home Care is looking for an licensed practical nurse Scheduler, auditor and field visits to assist our patients and our ... within the scope of practice for the Licensed Practical Nurse . + Under the direction of the Registered ...and financial well-being. + Comprehensive medical, dental, vison, life insurance , and legal services available first day of the… more
- GE Vernova (Greenville, SC)
- …root cause analysis) and quality management systems such as ISO 9001:2015) lead auditor training. + You are someone who is proactive, not easily discouraged, humble, ... and prescription drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance Program, providing 24/7 confidential… more
- GE Vernova (Charleroi, PA)
- …Characteristics** + Ability to audit suppliers, process, quality systems or equivalent Auditor certification + Ability to develop and motivate suppliers and internal ... and prescription drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance Program, providing 24/7 confidential… more
- GE Vernova (Schenectady, NY)
- …standards and codes such as from ASTM, ASME etc + ISO Lead auditor certified by 3rd party registrar or accepted internal GE training/certification program + ... and prescription drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance Program, providing 24/7 confidential… more
- HCA Healthcare (San Antonio, TX)
- …true discrepancy and complete incident reports as required. You will review RX Auditor report and generate investigation reports for nurse managers/directors to ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
- GE Aerospace (Charleston, WV)
- …experience interacting with senior DCMA (ACO, DACO, CACO) and DCAA (supervisory auditor , Branch Manager, Regional Audit Manager). + Strong cost accounting background ... and prescription drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance Program, providing 24/7 confidential… more
- HCA Healthcare (San Antonio, TX)
- …true discrepancy and complete incident reports as required. You will review RX Auditor report and generate investigation reports for nurse managers/directors to ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
- GE Vernova (Grand Forks, ND)
- …(verbal and writing). + Preferable to have an ISO 9001 internal auditor certification and relevant audit experience. + Flexible travelling across LM/GE business ... drug coverage; access to Health Coach from GE Vernova, a 24/7 nurse -based resource; and access to the Employee Assistance Program, providing 24/7 confidential… more