• Diagnosis Related Group Clinical Validation…

    Elevance Health (Seattle, WA)
    **Diagnosis Related Group Clinical Validation Auditor -** ** Registered Nurse ** **Location:** This position will work a hybrid model (remote and office). Ideal ... and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a… more
    Elevance Health (01/01/25)
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  • RN ( Registered Nurse

    Molina Healthcare (Reno, NV)
    …to resolve/correct them. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and Associate's or ... NEVADA residents preferred. RN licensure for NEVADA required. Pacific Time Zone...Time Zone hours** **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in… more
    Molina Healthcare (12/06/24)
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  • ( RN ) HCS-D, COS-C - Registered

    Northwell Health (Westbury, NY)
    …five (5) years of job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as ... **Req Number** 128397 Job Description Seeking RN - BSN or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS… more
    Northwell Health (12/02/24)
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  • Internal Auditor - Full Time - Days

    Mohawk Valley Health System (Utica, NY)
    … experience Licensure/Certification Requirements REQUIRED: + Certification as an Internal Auditor . PREFERRED: + Registered Nurse Disclaimer Qualified ... Internal Auditor - Full Time - Days Department: PERFORMANCE EXCELLENCE OFFICE Job Summary Become an Internal Auditor at MVHS and play a vital role in improving… more
    Mohawk Valley Health System (11/28/24)
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  • RN Auditor , Clinical Services…

    Molina Healthcare (Columbus, OH)
    For this position we are seeking a ( RN ) Registered Nurse who lives in OHIO or KENTUCY and must be licensed for the state they reside Clinical Auditor ... them. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and Associate's or bachelor's degree… more
    Molina Healthcare (01/24/25)
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  • Nurse Auditor , Days, (OR exp…

    Houston Methodist (Houston, TX)
    …auditing in a surgical or hospital setting **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact ... At Houston Methodist, the Nurse Auditor position is responsible auditing...State Licensure within 60 days **OR** + RN -Temp - Registered Nurse -… more
    Houston Methodist (12/26/24)
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  • Nurse Auditor

    Humana (Pierre, SD)
    …Qualifications - What it takes to Succeed** + Minimum of Associate's Degree + Active Registered Nurse license ( RN ) + Minimum of 2 consecutive years acute ... of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record… more
    Humana (02/04/25)
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  • Clinical Auditor RN - Surgical…

    Providence (Fullerton, CA)
    …best people, we must empower them. **Required Qualifications:** + Upon hire: California Registered Nurse License. + 1 year Operating Room experience. **Why Join ... **Description** Clinical Auditor ( RN ) in our Surgical Services Department at Providence St. Jude Medical Center in Fullerton, CA. This is a full-time position… more
    Providence (01/27/25)
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  • Revenue Integrity Nurse Auditor

    Childrens Hospital of The King's Daughters (Chesapeake, VA)
    + GENERAL SUMMARY + The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete ... as assigned. + LICENSES AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact State… more
    Childrens Hospital of The King's Daughters (01/25/25)
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  • Cardiovascular Nurse Auditor , Cath…

    Trinity Health (Fresno, CA)
    …or combination of equivalent experience and education is required. 2. Current licensure as a Registered Nurse ( RN ) with the state of California is required. ... Reporting to the Nurse Manager*, Cath Lab, the Nurse Auditor performs thorough chart review of Electronic Medical Records (EMR) documentation… more
    Trinity Health (01/18/25)
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