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... Professional requires being both a nurse/RN and a certified Coder nurse as this position will be ... will be cross trained to review DRG (Diagnosis Related Group) audits .....
Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager, Telephonic Nurse 2 work assignments are varied and frequently ... courses of action. Responsibilities..
Description The Nurse Auditor 2 performs clinical audit/validation ... audit/validation processes to ensure that medical record documentation and diagnosis coding ... to support optimal reimbursement. The Nurse Auditor 2 work..
... the team with a Senior Nurse Auditor roles! This is a ... The team floats to the work, as assigned, and helps their ... should strongly consider the Senior..
Description The Nurse Auditor 2 performs clinical audit/validation ... audit/validation processes to ensure that medical record documentation and diagnosis coding ... support optimal reimbursement. Responsibilities The Nurse Auditor 2 validates..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in ... in Dover Delaware Description The Nurse Auditor 2 performs clinical audit/validation ... audit/validation processes to ensure..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional ... in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional ... of variable factors. Responsibilities The RN, Senior Stars..
... Program Delivery Professional (Medicaid) - Remote, US in Dover Delaware Description ... Senior Quality Program Delivery Professional work assignments involve moderately complex to ... quality strategy and implementation approach...
... Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the ... team of 20-25 nurses and medical professionals that performs the following ... that performs the following functions:..
Description The Nurse Auditor 2 will work on the clinical research and ... clinical lab audit concepts. The Nurse Auditor 2 will perform clinical ... and validation processes to ensure..
... Audit (QA) Risk Management Professional 2-Remote, US in Dover Delaware Description ... The Risk Management Professional 2 work assignments are varied and frequently ... areas. Makes decisions regarding own..
... medication cost and utilization and nurse support. Location : Remote USA Travel: Up to 40% ... client and branches (i.e., utilization review calls, clinical education, IDG, etc.) ... utilization..
