- Molina Healthcare (Columbus, OH)
- For this position we are seeking a ( RN ) Registered Nurse who...and must be licensed for the state they reside Clinical Auditor RN will support ... 5 PM EST **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical ...them. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and… more
- Humana (Columbus, OH)
- …of our caring community and help us put health first** The Compliance Nurse Auditor reviews utilization management activities and documentation to ensure ... to prevent and detect fraud, waste, and abuse. The RN Compliance Nurse 2, Quality Assurance Audit... experience in an acute care, skilled and/or rehabilitation clinical setting + Experience with utilization management, pre- service… more
- Trinity Health (Columbus, OH)
- **Employment Type:** Full time **Shift:** **Description:** ** Nurse Auditor , Revenue Integrity** **Position Purpose:** Responsible for coordinating denials with ... May be require to travel between locations within the Region. **Minimum Requirements:** + Registered Nurse and graduate of an accredited school of nursing plus… more
- CVS Health (Columbus, OH)
- …and external partners. Ability to travel for business needs. **Preferred Qualifications:** Registered Nurse ( RN ) Previous leadership experience. AAPC Coding ... at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors (TM)… more