- Virtua Health (Mount Laurel, NJ)
- …benefits for full-time and part-time colleagues, including, but not limited to: medical /prescription, dental and vision insurance; health and dependent care ... At Virtua Health , we exist for one reason - to...in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in… more
- 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
- 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 ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....IN MISSOURI **Ideal candidate will be a Licensed Practical Nurse (LPN)** **Education/Experience:** Bachelor's degree in related field or… 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
- Baystate Health (Springfield, MA)
- **Baystate Health , a nationally recognized leader in healthcare quality and safety, is looking for a Part Time Operations Associate/Cardiac Monitor Technician to ... OF WORKING WITH BAYSTATE!** + Excellent Compensation High-quality, low-cost medical , dental and vision insurance + Generous PTO -...but are not limited to mental, physical, and financial health + Pet, home, auto and personal insurance +… more
- Baystate Health (Springfield, MA)
- **Baystate Health , a nationally recognized leader in healthcare quality and safety, is looking for a Full Time Operations Associate to join our team in Springfield, ... rotating holidays required **LOCATION** : + Baystate Main Campus, Medical /Neuro ICU Unit + Springfield, MA **THE ADVANTAGES OF...but are not limited to mental, physical, and financial health + Pet, home, auto and personal insurance +… more
- SSM Health (MO)
- …Summary:** Performs as a vital member of the interdisciplinary care team member, an auditor , and an educator ensuring medical records are complete and clinical ... documentation comprehensively represents the current health status of network patients against ever-changing risk adjusted models. Responsible for achieving improved… more
- Medical Mutual of Ohio (OH)
- Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million ... members through our high-quality health , life, disability, dental, vision and indemnity plans. We...data documentation, compilation, reconciliation, and research.Works directly external HEDIS/NCQA auditor to resolve any items on Issue Log. +… more
- Trinity Health (Livonia, MI)
- …Maintains productivity standards Maintains compliance with regulatory requirements Assist Nurse Auditor and/or Coordinator with denial coordination process; ... Revenue Integrity colleagues including areas of opportunity. As a mission-driven innovative health organization, we will become the national leader in improving the … more
- Excellus BlueCross BlueShield (Dewitt, 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