- Humana (Denver, CO)
- …where your clinical expertise and passion for accuracy will make a meaningful impact. As the Nurse Audit Manager , you will spearhead audit and validation ... relevant coding. + Identifies the root cause analysis of audit findings and submits recommendations for appropriate change management....skills to make an impact** **Required Qualifications** + Registered nurse (RN). + 5 or more years of clinical… more
- Elevance Health (Denver, CO)
- **Telephonic Nurse Case Manager Senior** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager Senior** is responsible for care management within… more
- CVS Health (Denver, CO)
- …travel if a plan sponsor requests pharmacist attendance for an onsite visit/assessment/ audit . The Pharmacy Program Manager role includes: -Collaborate with an ... with heart, each and every day. The Pharmacy Program Manager is an individual contributor (non-people manager )...interdisciplinary care management team ( nurse case managers, medical directors, dietitians, social workers) to… more
- Elevance Health (Denver, CO)
- …coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate … more
- State of Colorado (Grand Junction, CO)
- …If any step pay increases are available, your HRBP will work with you to audit your step pay/time-in-series upon an offer. We will also be accepting any registered ... nurse applicants at this time. Starting LPN salary: $68,532/annually...be invited to schedule an interview with the hiring manager . E-Verify: CDPHE uses e-Verify, an Internet-based system, to… more
- University of Colorado (Aurora, CO)
- …Conducts quarterly enrollment audits and provides feedback to the ED, Operations Manager , and O/E team. + Reviews agreements and MOUs as assigned. **Financial ... Supports 340B Pharmacy compliance by providing fiscal analysis and participating in audit processes. + Attends FQHC finance-related meetings to ensure awareness of… more