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Sep 30 Trainer-Auditor (Clinical) Centene Saint Louis, MO

* License/Certification: RN or LPN license ... **Preferred Education/Experience:** * RN preferred. * Managed care experience. * Case Management or Utilization experience. ##... more

Sep 27 Quality Improvement Auditor (Clinical) Centene Sacramento, CA

care through clinical case reviews. * Lead clinical audits for provider medical records ... Licenses/Certifications: Current state's RN license... more

Sep 26 Traine -Auditor (Clinical) Centene Lafayette, LA

* Conduct auditing of work performed by clinical staff and present findings and ... Licenses/Certifications: Current RN or LPN license... more

Sep 24 Provider Auditor Sr Indianapolis, IN

potential abuse. Mentors and trains Provider Auditor as needed. Drafts department policies ... would provide an equivalent background. RN preferred and medical coding certification... more

Sep 23 Clinical Quality Assurance Auditor - Reassessment Healthfirst New York City, NY

The Clinical Quality Assurance Auditor will review all clinical documentation submitted by ... systems: Basic Adobe Reader or Writer; CareEnhance Clinical Management Software... more

Sep 23 Clinical Nurse Auditor, Government Programs Huntington Hospital Pasadena, CA

Clinical Nurse Auditor, Government Programs Department Revenue Integrity Schedule Full ... The Clinical Nurse Auditor will also act as a liaison and point of contact to/for PFS, Car... more

Sep 22 Clinical Auditor HCA Mason, OH

Title: Clinical Auditor Location: United States-Ohio-Mason-PAS-Cincinnati Other Locations: ... services provided at facilities supported by clinical documentation. 1. Responsible for... more

Sep 22 Clinical Compliance Auditor Beth Abraham Bronx, NY

Clinical Compliance Auditor Department: CLHC-ADM COMPLIANCE Schedule: Full Time Shift: Day ... * JOB PURPOSE: The Clinical Compliance Auditor helps to ensure that CenterLight... more

Sep 18 Clinical Trainer/Auditor (RN) Maxim Staffing Solutions Westmont, IL

awareness and commitment to each niche of clinical administrative healthcare. ... a full time position as a Clinical Trainer/Auditor for a one of the largest managed care... more

Sep 17 Traveling RN Home Health Auditor CSI Companies Nashville, TN

BILLING CLIENTS BILLING AUDITS ANSWER ANY CLINICAL QUESTIONS FROM CLIENTS OR POTENTIAL ... NOT IMMEDIATELY KNOWN ASSIST DIRECTOR OF CLINICAL SERVICES IN THE FORMULATION OF... more

Sep 16 Medical Records Auditor – Licensed Vocational Nurse (LVN) / Registered Nurse (RN) Healthcare Scouts San Antonio, TX

As a Medical Records Auditor – Licensed Vocational Nurse (LVN) / Registered Nurse (RN) you ... The ideal Medical Records Auditor – Licensed Vocational Nurse (LVN) / Registered Nurse (RN... more

Sep 15 Clinical Nurse Auditor Mjhs Brooklyn, NY

Clinical Nurse Auditor Req #: 105990 Agency: Elderplan Job Locations: US-NY-Brooklyn ... plan Responsibilities: Clinical Nurse Auditor is responsible for quality assurance,... more

Sep 11 Clinical Quality Auditor (Cerritos Caremore Health Plan Downey, CA

or regulatory purposes. Monitors health plan clinical activities and identifies ... equivalent background. Current LPN, LVN, or RN license in applicable state(s) required. more

Sep 11 Clinical Compliance Auditor Centerlight Health Bronx, NY

JOB PURPOSE: The Clinical Compliance Auditor helps to ensure that CenterLight Health ... to the corporate Compliance Program. The Auditor executes audits as directed,... more

Sep 09 Denial Management Coordinator - RN St. Joseph Mercy Oakland Pontiac, MI

the appeal process. As front-line auditor, reviews cases denied and makes ... that improve and optimize care delivery, clinical outcomes, and patient and nurse... more

Sep 09 Clinical Trial Research Nurse Manager(266348) Kaiser Permanente Vallejo, CA

variety of clinical, regulatory and research functions. Additional Duties: Collaborates ... of overall clinical plans for the conduction of multiple clinical trials. Develops and... more

Sep 05 CLINICAL CODING AUDITOR Sentara Healthcare Norfolk, VA

Clinical Coding Auditor Central Billing Sentara Medical Group Job Summary/Purpose: The Cli ... audit process are managed by the Clinical Auditor. Follows audit plan, completing... more

Sep 05 Nurse Auditor-RN Almost Family Corporate Louisville, KY

developed a culture that fosters innovation, clinical excellence, and integrity. Why ... requirements required. 6. Sound knowledge of clinical practice and leadership abilities. more

Sep 04 RN Clinical Auditor BMC Healthnet Plan Boston, MA

Job Summary:The Clinical Auditor I performs detailed, retrospective chart audit review, ... with paid charges. The Clinical Auditor I is a liaison and resource between... more

Aug 27 RN, Auditor Lifelung Los Angeles, CA

Seeking a RN Auditor for Los Angeles CA. "Under direction, performs specialized ... license as a Registered Nurse. Five years of clinical experience as a Registered Nurse,... more

Jul 19 RN - Clinical Trainer - Managed Care Nurse Resolutions Long Beach, CA

Evaluate the clinical staff skill level and competency in the delivery of the clinical pro ... www.NurseResolutions.com clinical trainer, auditor, auditing, quality... more

Jul 07 Revenue Auditor/RN Humboldt County Entities Eureka, CA

Revenue Auditor/RN - (14003805) National Geographic Traveler calls Humboldt County one of ... for Health Information Management, The Nurse Auditor manages assigned functions to improve... more

Jul 04 Clinical Auditor 1 2 or Senior Danbury Hospital Danbury, CT

and billing. (All levels) CT RN license. Clinical experience, Nursing ... the Network. Supports Manager and Senior Clinical Auditor in performing risk-based... more

Jun 04 Revenue Integrity Auditor Med-call Healthcare Chicago, IL

Auditor Profession: Revenue Integrity Auditor - Medical Coder Specialty: Medical ... SIMILAR POSITIONS * Revenue Integrity Auditor in Chicago IL HOT JOBS * RN -... more

Jan 03 Long Term Care Surveyor/Auditor (RN) Execu|search Group Islip, NY

Long Term Care Surveyor/Auditor (RN) Long Term Care Surveyor/Auditor (RN) Location: Islip, ... In addition, the Long Term Care Surveyor/Auditor will: Assess clinical intervention... more

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