• Diagnosis Related Group Clinical Validation…

    Elevance Health (Chicago, IL)
    …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Title:** Diagnosis Related Group Clinical Validation Auditor - RN (CDI, MS-DRG, AP-DRG and APR-DRG)...One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health… more
    Elevance Health (12/09/25)
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  • Nurse Auditor 2

    Humana (Springfield, IL)
    …each day between 6AM and 9AM in their home time zone. **Required Qualifications** + Active Registered Nurse ( RN ) license in the state they reside. + Minimum ... of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record… more
    Humana (12/11/25)
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  • Senior Specialist, Quality Interventions/QI…

    Molina Healthcare (Rockford, IL)
    …Certified Professional in Health Quality (CPHQ) + Active, unrestricted Nursing License ( RN may be preferred for specific roles) + Active, unrestricted Certified ... HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.… more
    Molina Healthcare (11/21/25)
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