• Diagnosis Related Group Clinical Validation…

    Elevance Health (Seattle, WA)
    **Diagnosis Related Group Clinical Validation Auditor -** ** Registered Nurse ** **Location:** This position will work a hybrid model ( remote and office). ... and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a… more
    Elevance Health (01/01/25)
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  • Lead Overreader, HEDIS/Quality Improvement…

    Molina Healthcare (Columbus, OH)
    …+ Performs the lead role of the HEDIS medical record review overreader/ auditor which includes ongoing review of records reviewed and data entered by the ... **Job Description** **Job Summary** Molina's Quality Improvement Lead Overreader conducts oversight and audits of the...**O** **C** **I** **A** **TI** **O** **N** **:** Active RN license for the State(s) of employment **PHY** **S**… more
    Molina Healthcare (01/21/25)
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  • Sr Specialist, Quality Interventions/QI Compliance…

    Molina Healthcare (Hattiesburg, MS)
    …functions: Quality Interventions and Quality Improvement Compliance. + Acts as a lead specialist to provide project-, program-, and / or initiative-related direction ... in Health Quality (CPHQ) + Active, unrestricted Nursing License ( RN may be preferred for specific roles) + Active,...for specific roles) + Active, unrestricted Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you… more
    Molina Healthcare (12/05/24)
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