• Clinical Trainer (Medicaid)

    Humana (Columbus, OH)
    …+ Bachelor's degree in social work, psychology, behavioral Health or related field, **OR** Registered Nurse ( RN ) or Licensed Practical Nurse (LPN) ... documented procedures/regulations/professional standards with some interpretation + Supports the Audit and Process Improvement teams by providing feedback to Care… more
    Humana (08/08/25)
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  • Clinical Fraud Investigator Senior

    Elevance Health (Mason, OH)
    …background. **Preferred Skills, Capabilities, and Experiences:** + Coding Certificate or Registered Nurse preferred. Please be advised that Elevance Health ... as appropriate regarding approved interventions such as recovery of overpayment, pre-payment audit of claims or putting providers on notice. + Trains new associates.… more
    Elevance Health (08/08/25)
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  • Disability Clinical Specialist

    Sedgwick (Columbus, OH)
    …discuss employee's clinical status, progress and work status. + Achieves appropriate quality audit scores on a consistent basis. + Acts as clinical resource to ... **QUALIFICATIONS** **Education & Licensing** Bachelor's degree or equivalent preferred. RN , LVN, CRC, LPC and/or LCSW preferred. Current license, registration… more
    Sedgwick (07/31/25)
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