- US Tech Solutions (Newark, NJ)
- …months contract with potential extends or Convert** **Job Description:** + The HEDIS Nurse Auditor is responsible for conducting quality audits related to state ... experience, preferably in the healthcare industry. + **Active New Jersey Registered Nurse (RN) License required.** **Skills:** + Knowledge of managed care principles… more
- GE Aerospace (Hooksett, NH)
- …include medical , dental, vision, and prescription drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance ... a corporate holding of GE Aerospace, as a Reinsurance Auditor and lead audits that drive transparency, innovation, and...term care insurance claim experience + Working knowledge of medical terminology and medical impairments related to… more
- Centene Corporation (Jefferson City, MO)
- …Mental Health Counselor (LMHC), Licensed Professional Counselor (LPC), Registered Nurse (RN), or Licensed Practical Nurse (LPN) Pay Range: $55,100.00 ... one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national… more
- Henry Ford Health System (Detroit, MI)
- …most respected academic medical centers and is leading the Future of Health : Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic ... lab. PRINCIPLE DUTIES AND RESPONSIBILITIES: 1. Conducts audits of daily electronic medical records for accuracy of implants, surgical and recovery time stamps. 2.… more
- AdventHealth (Orlando, FL)
- …role you'll contribute:** The Clinical Documentation Integrity Manager is a Registered Nurse and/or a Registered Health Information Administrator with a high ... + Additional Licenses and Certifications Current active State license as a Registered Nurse , Nurse Practitioner, Physicians Assistant, Medical Physician, or… more
- Molina Healthcare (Bronx, NY)
- …and process audits as needed. * Audits for clinical gaps in care from a medical and/or behavioral health perspective to ensure member needs are being met. * ... Performs audits in utilization management, care management, member assessment, behavioral health , and/or other clinical teams, and monitors clinical staff for… more
- Naven Health (Nashville, TN)
- …**Preferred Qualifications & Interests (PQIs)** + Previous experience as a Quality Assurance Nurse or Chart Review Auditor + Knowledge and understanding of TJC ... infusion experience, everywhere. Delivering on our unyielding commitment, always.** Naven Health is a nationwide home infusion nursing network and clinical platform… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Work, Behavioral Health , Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, Geriatrics, etc.) to ensure continuity ... activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS),...NYS DOH, CMS, NCQA, and HEDIS, serving as internal auditor within the group. + Responsible for all aspects… more
- Baystate Health (Springfield, MA)
- …below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the ... employees. Minimum - Midpoint - Maximum $16.68 - $20.39 - $25.36 **Baystate Health , a nationally recognized leader in healthcare quality and safety, is looking for… more
- Baystate Health (Springfield, MA)
- …below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the ... employees. Minimum - Midpoint - Maximum $16.68 - $20.39 - $25.36 **Baystate Health , a nationally recognized leader in healthcare quality and safety, is looking for… more