- Somatus (Mclean, VA)
- …physical and mental well-being + Community engagement opportunities + And more! The Quality Auditor effectively and efficiently manages a diverse workload in a ... fast- paced, rapidly growing environment. The Quality Auditor provides support to the local...or renal care setting is a must. * Current Registered Nurse compact state licensure and other… more
- Elevance Health (Metairie, LA)
- **Clinical Quality Auditor Sr.** **Location** : The territory for this position is the State of Louisiana. The **Clinical Quality Auditor Sr.** is ... physicians and independent practice groups. + Ensures that both utilization and quality programs meet criteria. + Collects and analyzes data to formulate… more
- Actalent (St. Louis, MO)
- The Quality Improvement Auditor RN will be responsible for leading medical record audits, monitoring and analyzing clinical documentation, and modifying ... field or equivalent experience 3+ years of nursing or quality improvement experience. Licenses/Certifications Current state's RN license About Actalent… more
- Actalent (St. Louis, MO)
- Quality Improvement Auditor ( RN ) Position Purpose: Lead medical record audits, monitor and analyze clinical documentation, and modify business processes to ... field or equivalent experience. 3+ years of nursing or quality improvement experience. Licenses/Certifications: Current states RN license. Work Environment:… more
- LA Care Health Plan (Los Angeles, CA)
- …Computer ease & literacy with Word, Excel, PowerPoint Skills. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Delegation Oversight Clinical Auditor RN II Job Category: Clinical...Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and… more
- Houston Methodist (Cypress, TX)
- …auditing in a surgical or hospital setting **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact ... At Houston Methodist, the Nurse Auditor position is responsible auditing...State Licensure within 60 days **OR** + RN -Temp - Registered Nurse -… more
- Rising Medical Solutions (Chicago, IL)
- …business was born - and continues to thrive. Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark in the world of medical cost ... team and maximize client savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance,… more
- InnovaCare (San Juan, PR)
- …and/or Rehabilitation Centers. EDUCATION AND EXPERIENCE * Bachelor's Degree in Science of Nursing . * Current RN permanent license in Puerto Rico and Collegiate. ... MMM Holdings, Inc.Job Description Inpatient Unit POSITION: Concurrent Review Nurse (CRN) POSITION DESCRIPTION Manages the inpatient utilization of healthcare… more
- Medical Mutual of Ohio (OH)
- … & Sr. Clinical Auditor ** **Education and Experience** + Graduate of a registered nursing program approved by the Ohio State Nursing Board.Bachelor's ... provide peace of mind to more than 1.2 million members through our high- quality health, life, disability, dental, vision and indemnity plans. We offer fully insured… more
- Grace Healthcare Services (Edison, NJ)
- …compliance through other clinical quality improvement initiatives. QUALIFICATIONS: NJ Registered Nurse or Licensed Practical Nurse required, Bachelors ... throughout New Jersey. We are dedicated to advancing the quality of hospice care in the communities that we...highest level of dignity and grace. PURPOSE: The Compliance Auditor is an experienced nurse to oversee… more
- Elevance Health (Columbus, OH)
- …would provide an equivalent background. + Requires current, active, unrestricted Registered Nurse license in applicable state(s). **Preferred Skills, ... **Diagnosis Related Group Clinical Validation Auditor ** **Location:** This position will work a hybrid...formulate detailed audit findings letters. + Maintains accuracy and quality standards as established by audit management. + Identifies… more
- Molina Healthcare (Milwaukee, WI)
- …from an Accredited School of Nursing , must have an active, unrestricted Wisconsin Registered Nursing ( RN ) license in good standing **PR** **E** **FE** ... **Job Description** **Job Summary** The Auditor , Eligibility Screening is responsible for providing support...+ Collaborates with the development, process improvement and ongoing quality management of the LTC-FS processes, and complete the… more
- University of Pennsylvania (Philadelphia, PA)
- …actions and training related to research compliance, quality control and quality assurance. The monitor/ auditor will follow all DOCM policies and procedures ... research. Must understand regulatory affairs and their applications to Quality Control and Quality Assurance; understand the...of seven years of experience as a clinical research monitor/ auditor , research nurse or research coordinator with… 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 ... Currently assigned or cross-trained to work in the Phoenix Endoscopy Unit + Quality Assurance Auditor + Ensure staff are practicing at the highest level of scope… more
- MyFlorida (Tallahassee, FL)
- …Nursing or Public Health Nursing Experience + Must be licensed as a Registered Nurse in the state of Florida. Florida Statutes Reference: 464, FS Valid ... REGISTERED NURSING CONSULTANT - 64068083 Date:...Reports findings to management. Must be licensed as a Registered Nurse in the state of Florida.… more
- Blue KC (Workman, MN)
- …or other relevant discipline or equivalent combination of education and experience. + Registered Nursing license. + Two years of healthcare or health insurance ... adoption financial assistance** **Employee discount program** **Job Description Summary:** The Quality Performance Analyst RN provides clinical interpretation of… more
- Baystate Health (Springfield, MA)
- …Team Operations Associate Cardiac Monitor Tech will function in a supportive role to a registered nurse and work collaboratively with the health care team in the ... **Baystate Health, a nationally recognized leader in healthcare quality and safety,** **is looking for an Operations...ADTs. Checks BMD enters new data, and advises Charge Nurse of changes. Checks CIS for discharge orders, follows… more
- Baystate Health (Springfield, MA)
- **Baystate Health, a nationally recognized leader in healthcare quality and safety,** **is looking for a Full Time Operations Associate Cardiac Monitor Technician to ... Springfield, MA **THE ADVANTAGES OF WORKING WITH BAYSTATE!** + Excellent Compensation High- quality , low-cost medical, dental and vision insurance + Generous PTO - up… more
- Providence (OR)
- …software/tools **Preferred qualifications for this position include:** + Clinical background such as Registered Nurse ( RN ), Doctorate of Medicine (MD), or ... and contracted providers/facilities + Support team in peer review and delivery of quality work product, including integrating checks on their own work product +… more
- Molina Healthcare (South Florida, FL)
- …unrestricted Certified Professional in Health Quality (CPHQ) + Active, unrestricted Nursing License ( RN may be preferred for specific roles) + Active, ... **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, and implements new...unrestricted Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you… more