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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 .....
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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..
... 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..
... Audit (QA) Risk Management Professional 2-Remote, US in Atlanta Georgia Description ... The Risk Management Professional 2 work assignments are varied and frequently ... areas. Makes decisions regarding own..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in ... in Atlanta Georgia Description The Nurse Auditor 2 performs clinical audit/validation ... audit/validation processes to ensure..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for ... for performing clinical audits on medical record documentation for quality and ... support the submitted charges. Comprehensive medical..
... Program Delivery Professional (Medicaid) - Remote, US in Atlanta Georgia 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:..
... The Senior Quality Compliance Professional work assignments involve moderately complex to ... Senior Quality Compliance Professional completes medical records reviews for Coordination of ... corrective actions as needed. Reviews..
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..
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..
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..
Description The RN Clinical team is looking for ... looking for a dynamic Registered Nurse to join the team working ... to join the team working remote anywhere in the..
... Clinical Strategy and Practice Professional work assignments involve moderately complex to ... guidelines and policies and completing medical necessity review and level of care review for requested services. Educate..
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..
... health process improvements. They will work closely with the Quality Director, ... improvement. Senior Quality Improvement Professional work assignments involve moderately complex to ... needed (based on analysis above)..
... 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..
