- Elevance Health (Cincinnati, OH)
- **Diagnosis Related Group Clinical Validation Auditor-** ** Registered Nurse ** **Location:** This position will work a hybrid model (remote and office). Ideal ... and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a… more
- Humana (Lawrenceburg, IN)
- …to make an impact** **Required Qualifications** + **Must reside in Indiana.** + Licensed Registered Nurse ( RN ) in the state of Indiana without restrictions ... + At least one (1) year of experience in providing case management or similar health care services + Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook. + Exceptional communication and interpersonal skills with the… more
- Veterans Affairs, Veterans Health Administration (Cincinnati, OH)
- …relevant patient information. Completed work should need only a general review by a registered nurse ( RN ) or physician (MD/DO) for appropriateness and ... setting under the direction and clinical supervision of a registered nurse or provider. He/she will be...(ie, Puerto Rico), of the United States or the District of Columbia. Grade Determinations: In addition to the… more
- Elevance Health (Mason, OH)
- ** Nurse Auditor Senior - Carelon Payment Integrity** **Location:** Alternate locations may be considered. This position will work in a hybrid model (remote and ... to recover, eliminate, and prevent unnecessary medical-expense spending. The ** Nurse Auditor Senior** is responsible for identifying, monitoring, and analyzing… more
- Veterans Affairs, Veterans Health Administration (Cincinnati, OH)
- …follow up patients, as well as working in conjunction with the Heart Failure RN and nurse practitioner. The multidisciplinary team assists with requests for left ... State, Territory, or Commonwealth of the United States, or in the District of Columbia. Residency Training: Physicians must have completed residency training,… more