- Humana (Phoenix, AZ)
- …community and help us put health first** The RN , Compliance Nurse 2, Quality Assurance Auditor reviews utilization management activities and documentation ... fraud, waste, and abuse. The RN , Compliance Nurse 2, Quality Assurance Auditor ensures mandatory reporting is completed. Conducts and summarizes compliance… more
- Dignity Health (Phoenix, AZ)
- …of this amazing opportunity! **Qualifications** **Minimum** + Associates Degree. + Completion of RN Program. + (3-5) Three to five years-clinical RN experience. ... Two years Utilization Review Charge Audit Case Management or related experience. + RN + Knowledge of hospital billing and charging processes and understanding of… more
- Humana (Phoenix, AZ)
- …a part of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record ... complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied...depending on business needs. **Required Qualifications** + Active unrestricted RN license + 1+ year or more of inpatient,… more
- Mayo Clinic (Phoenix, AZ)
- …tasks of direct and indirect patient care under the supervision of a registered nurse and/or physicians in Endoscopy. The technician assists with assessment ... assigned or cross-trained to work in the Phoenix Endoscopy Unit + Quality Assurance Auditor + Ensure staff are practicing at the highest level of scope cleaning… more
- Molina Healthcare (Phoenix, AZ)
- …Certified Professional in Health Quality (CPHQ) + Active, unrestricted Nursing License ( RN may be preferred for specific roles) + Active, unrestricted Certified ... HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.… more