- Providence (Beaverton, OR)
- …best people, we must empower them._** **Providence Health Plan is calling a Clinical Nurse Auditor , HEDIS who will:** + Be responsible for conducting clinical ... + This posting is for multiple openings of a Nurse Auditor , HEDIS + This position is...fill in for staff vacancies. **_Providence Health Plan welcomes remote work for applicants who reside in:_** + Washington… more
- Rising Medical Solutions (Chicago, IL)
- …business was born - and continues to thrive. Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark in the world of medical cost ... maximize client savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee...any deposition or litigation cases a plus Benefits + Remote position + Employment within a firm committed to… more
- Baystate Health (Springfield, MA)
- …in the region is looking for an experience **RN, Provider** **Clinical Compliance Auditor ** to join the Baystate Medical Practice Revenue Integrity Team **Full Time ... - Remote Opportunity - (** **Current States eligible for ...supervision of the Manager, the **RN, Provider** **Clinical Compliance Auditor ** for Baystate Medical Practices, reviews and responds to… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is looking for an Intermediate Clinical Auditor /Analyst to join the Quality Assurance team! This role will work standard daylight hours, Monday - ... Steel Tower, however, this role may work remotely. The Intermediate Clinical Auditor /Analyst is an integral part of the Quality Assurance and Operational Integrity… more
- UPMC (Pittsburgh, PA)
- **UPMC Corporate Finance is hiring a full-time Compliance Auditor , Intermediate. This position will be based out of Forbes Tower in Pittsburgh, PA. This position ... will have the possibility of working remote 1-2 days per week.** **Responsibilities:** + Conduct UPMC...Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder (CPC) + Certified… more
- Providence (OR)
- …in AK, WA, MT, OR, CA, TX or NM are encouraged to apply.** The Nurse Auditor is responsible for providing patient focused, standardized, compliant revenue cycle ... **Description** **Revenue Cycle Auditor RN \* Remote * Candidates residing...St **Work Location:** Providence Administrative Offices-Earl Street **Workplace Type:** Remote **Pay Range:** $See Posting - $See Posting The… more
- Molina Healthcare (Jackson, MS)
- **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), ... them. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN) Program and Associate's or bachelor's degree in Nursing OR… more
- Vanderbilt University Medical Center (Nashville, TN)
- …negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC-Registered Nurse - Licensure-Others **Work Experience:** Relevant Work ... Experience **Experience Level:** 5 years **Education:** Graduate of an approved discipline specific program Vanderbilt Health recognizes that diversity is essential for excellence and innovation. We are committed to an inclusive environment where everyone has… more
- GE Vernova (Wilmington, NC)
- **Job Description Summary** The Nuclear Programs Quality Lead Auditor will be responsible for managing internal and external quality assessments to ensure and ... capabilities to comply with industry standards and regulations. The Quality Lead Auditor has working knowledge of applicable industry regulations and standards; has… more
- Ascension Health (Glendale, WI)
- …some flexibility)** + **Hospital: AW Glendale Corporate Office** + **Location: Remote ** **RN License REQUIRED.** **Candidate MUST reside in Wisconsin.** **Benefits** ... savings potential. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Wisconsin Board of Nursing obtained prior to… more
- SSM Health (MO)
- **It's more than a career, it's a calling** MO- REMOTE **Worker Type:** Regular **Job Highlights:** At SSM Health, we believe in providing our employees with a ... preferred.. + Epic and Vizient experience preferred. We are hiring for remote workers in Alabama, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky,… more
- MD Anderson Cancer Center (Houston, TX)
- …systems outside laboratory data for protocol patients and ensures PI and research nurse are notified in a timely fashion. Performs ongoing and concurrent review of ... data or biospecimen-related roles and tasks. Schedules internal and external auditor /monitor visits for team. Assists with annual reviews, updates, and response… more
- Molina Healthcare (Ypsilanti, MI)
- **JOB DESCRIPTION** _For this position we are seeking a (RN) Registered Nurse who must live and have a current active unrestricted RN license in the state of MI_ ... _Quality Improvement RN will work in remote setting supporting Maternity Medicaid population. Connect with Medicaid members to ensure all gaps of care or required… more
- AdventHealth (Orlando, FL)
- …_Full Time, Days_ **Shift** : _7:00am - 3:00pm - flexible schedule_ **Location:** Remote **The community you'll be caring for:** _AdventHealth Orlando_ + Located on ... in a related role, such as a clinical research coordinator, monitor, auditor , clinical data analyst, or research budget development + Experience developing metrics… more