- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that ... rendered is complete, compliant, and accurate to support optimal reimbursement. The Nurse Auditor 2 's work assignments are varied and frequently require… 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
- Trinity Health (Fresno, CA)
- …Day Shift **Description:** Reporting to the Nurse Manager*, Cath Lab, the Nurse Auditor performs thorough chart review of Electronic Medical Records (EMR) ... or combination of equivalent experience and education is required. 2 . Current licensure as a Registered Nurse (RN) with the state of California is required. 3.… 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 ... nursing in the State of California and a valid Public Health Nurse Certificate.(*Proof required.) + Candidates may substitute experience offering specific and… more
- Dignity Health (Rancho Cordova, CA)
- …Professional (CCP), Certified Professional in Healthcare Quality (CPQH), Certified Healthcare Auditor (CHA) preferred. - 2 years managed care experience ... ensuring all relevant documentation is presented to the Medical Director. The nurse must meticulously track and document all appeal activities, guaranteeing timely… more