- St. Luke's University Health Network (Allentown, PA)
- …coding determination made by the government or commercial payors, or their auditor representative. + Facilitate clinical chart reviews to assist with supporting ... + Participate in Administrative Law Judge (ALJ) hearings and/or formal meetings with auditor or payor representatives in defense of coding appeals, as needed. +… more
- GE Vernova (Schenectady, NY)
- …standards and codes such as from ASTM, ASME etc + ISO Lead auditor certified by 3rd party registrar or accepted internal GE training/certification program + ... drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance Program,...access to Health Coach from GE Vernova, a 24/7 nurse -based resource; and access to the Employee Assistance Program,… more
- GE Vernova (Charleroi, PA)
- …Characteristics** + Ability to audit suppliers, process, quality systems or equivalent Auditor certification + Ability to develop and motivate suppliers and internal ... drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance Program,...access to Health Coach from GE Vernova, a 24/7 nurse -based resource; and access to the Employee Assistance Program,… more
- HCA Healthcare (San Antonio, TX)
- …true discrepancy and complete incident reports as required. You will review RX Auditor report and generate investigation reports for nurse managers/directors to ... 54 beds,12 ORs,27 private patient rooms and eight VIP rooms with private nurse stations, Methodist Hospital | Landmark delivers a true concierge experience. With… more
- Clark County, NV (Las Vegas, NV)
- …Pharmacy Benefits (30, 90-day retail or mail order fills) + 24/7 Telephone Advice Nurse - no employee cost + Teledoc, Doctoroo, and Dispatch Health + Retiree ... have received relative to this position. + Certified Public Accountant + Certified Internal Auditor + Certified Fraud Examiner + Licensed Social Worker + I do not… more
- CDPHP (Latham, NY)
- …Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, Geriatrics, etc.) to ensure continuity and ... are being met, such as NYS DOH, CMS, NCQA, and HEDIS, serving as internal auditor within the group. + Responsible for all aspects of the Case Management department… more
- HCA Healthcare (San Antonio, TX)
- …true discrepancy and complete incident reports as required. You will review RX Auditor report and generate investigation reports for nurse managers/directors to ... review. You will perform accurate audits of narcotic overrides, anesthesia documentation, etc. as assigned. + You will work with Inventory Manager, IV room and utilizes EXP reports to reduce expirations and waste in the ADC and central pharmacy. You will… more
- GE Aerospace (West Melbourne, FL)
- …experience interacting with senior DCMA (ACO, DACO, CACO) and DCMA (supervisory auditor , Branch Manager, Regional Audit Manager) leaders. + Strong cost accounting ... and prescription drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance Program, providing 24/7 confidential… more
- GE Aerospace (Chicago, IL)
- …experience interacting with senior DCMA (ACO, DACO, CACO) and DCAA (supervisory auditor , Branch Manager, Regional Audit Manager). + Strong cost accounting background ... and prescription drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance Program, providing 24/7 confidential… more
- GE Vernova (Albany, NY)
- …root cause analysis) and quality management systems such as ISO 9001:2015) lead auditor training. + You are someone who is proactive, not easily discouraged, humble, ... drug coverage; access to Health Coach from GE Vernova, a 24/7 nurse -based resource; and access to the Employee Assistance Program, providing 24/7 confidential… more