- Molina Healthcare (Dallas, TX)
- **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management ... Management (HM), and/or Disease Management (DM). + Monitors key clinical staff for compliance with NCQA, CMS,...them. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and… more
- Houston Methodist (Cypress, TX)
- …to accurately support reasons for treatment, billing, payment or operations. The Nurse Auditor position ensures clinical documentation supports all ... At Houston Methodist, the Nurse Auditor position is responsible auditing...or hospital setting **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more