• RN Auditor , Utilization Management…

    Molina Healthcare (Cayce, SC)
    …to resolve/correct them. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and Associate's or ... REGISTERED NURSE Must be licensed for... REGISTERED NURSE Must be licensed for the state of...Disease Management (DM). + Monitors key clinical staff for compliance with NCQA, CMS, State and Federal requirements. May… more
    Molina Healthcare (02/08/25)
    - Save Job - Related Jobs - Block Source
  • Coding Auditor - Inpatient

    BayCare Health System (SC)
    …Carolina. _Sign on bonuses available!_ **Responsibilities** + The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related ... PM + **Days:** Monday - Friday The **Inpatient** **Coding Auditor ** is a full-time remote position. This team member...as the Liaison for coding issues with the BayCare Compliance Department while maintaining a database of all audits… more
    BayCare Health System (01/22/25)
    - Save Job - Related Jobs - Block Source
  • Special Investigation Unit Manager Clinical…

    CVS Health (Columbia, SC)
    …and external partners. Ability to travel for business needs. **Preferred Qualifications:** Registered Nurse ( RN ) Previous leadership experience. AAPC Coding ... CPC's, working closely with internal and external stakeholders and ensuring compliance with regulatory requirements. The Manager develops strategies to manage… more
    CVS Health (12/25/24)
    - Save Job - Related Jobs - Block Source