- Catholic Charities Family Community Services (Rochester, NY)
- ** Nurse Auditor ** **Job Details** **Level** Experienced **Job Location** 1099 Jay Street - Rochester, NY **Position Type** Per Diem **Education Level** ... Hourly **Travel Percentage** Negligible **Job Shift** Day **Description** **General Description** The Nurse Auditor will complete reviews of all medical records… more
- Humana (Albany, NY)
- …of our caring community and help us put health first** The Compliance Nurse Auditor reviews utilization management activities and documentation to ensure ... and detect fraud, waste, and abuse. The RN Compliance Nurse 2, Quality Assurance Audit ensures mandatory reporting is...past 3 years + Experience as a Utilization Management Auditor + Health Plan experience working with large carriers… more
- Northwell Health (Westbury, NY)
- …job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. *Additional ... Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When… more
- Mohawk Valley Health System (Utica, NY)
- … experience Licensure/Certification Requirements REQUIRED: + Certification as an Internal Auditor . PREFERRED: + Registered Nurse Disclaimer Qualified applicants ... Internal Auditor - Full Time - Days Department: PERFORMANCE EXCELLENCE OFFICE Job Summary Become an Internal Auditor at MVHS and play a vital role in improving… more
- GE Vernova (Schenectady, NY)
- …root cause analysis) and quality management systems such as ISO 9001:2015 lead auditor training. + You are someone who is proactive, not easily discouraged, humble, ... and prescription drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance Program, providing 24/7 confidential… more
- GE Vernova (Schenectady, NY)
- …root cause analysis) and quality management systems such as ISO 9001:2015) lead auditor training. + You are someone who is proactive, not easily discouraged, humble, ... and prescription drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance Program, providing 24/7 confidential… more
- GE Vernova (Schenectady, NY)
- …standards and codes such as from ASTM, ASME etc + ISO Lead auditor certified by 3rd party registrar or accepted internal GE training/certification program + ... and prescription drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance Program, providing 24/7 confidential… more
- CVS Health (Albany, NY)
- …Ability to travel for business needs. **Preferred Qualifications:** Registered Nurse (RN) Previous leadership experience. AAPC Coding Certification - Certified ... Professional Biller (CPB), Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk Adjustment Coder (CRC) Licensed Clinical… more