• Diagnosis Related Group Clinical Validation…

    Elevance Health (FL)
    …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work...One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health… more
    Elevance Health (06/04/25)
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  • Medical Auditor

    BayCare Health System (Clearwater, FL)
    …Associates - Nursing; Preferred - Bachelors - Nursing **Credentials:** + Required - RN ( Registered Nurse ) - State of Florida **Experience:** + Required - 2 years ... FL (Hybrid) **Status:** Full Time, Exempt **Shift Hours:** 8 hours **The Medical Auditor is responsible for:** + Compare the detailed charges on a bill to… more
    BayCare Health System (05/29/25)
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  • Nurse Aide Evaluator QA Coordinator

    Kelly Services (Lake Mary, FL)
    …NAE Quality Assurance Auditor , and indirect supervision of Nurse Aide Evaluators (NAEs). **Qualifications:** Education/Experience: + Registered nurses ... programs across the United States. **Important Requirements:** + Must possess a Registered Nurse (RN) license in good standing, with a compact or multi-state… more
    Kelly Services (05/29/25)
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  • System CDI Quality & Compliance Team Leader

    AdventHealth (Altamonte Springs, FL)
    …**LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** . Current active State license as a Registered Nurse , Nurse Practitioner, or Physician's Assistant . ... practitioners, nursing, care management and quality abstracters. The Quality Auditor Manager adheres to strict departmental and organizational goals, objectives,… more
    AdventHealth (06/06/25)
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  • Senior Regulatory Guidance and Assurance Analyst

    Highmark Health (Tallahassee, FL)
    …Information Systems Auditor (CISA) + Juris Doctor (JD) + PharmD + Registered Nurse (RN) **SKILLS** + Demonstrate knowledge of business and technology ... processes, risk and control frameworks, and assessment methodologies, particularly as applied to healthcare (payer and provider) business processes + Knowledge of relevant regulatory guidelines, vendor management, sourcing and procurement, and completing… more
    Highmark Health (05/13/25)
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