• Medical Claim Review Nurse ( RN )

    Molina Healthcare (Columbus, GA)
    …Billing and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (09/06/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Diagnosis Related Group Clinical Validation Auditor- RN (CDI, MS-DRG, AP-DRG...are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical … more
    Elevance Health (09/23/25)
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  • Nurse Audit Senior (Operating Room)

    Elevance Health (Atlanta, GA)
    ** Nurse Audit Senior (Operating Room)** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... to recover, eliminate and prevent unnecessary medical-expense spending." The ** Nurse Audit Senior** is responsible for identifying, monitoring, and analyzing… more
    Elevance Health (09/30/25)
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