Posted Job Title Company Location

Looking to hire? Post your job today!

Featured Job Postings from the Web
May 28 Audit Manager/Sr. Internal Auditor BioMarin Pharmaceutical Novato, CA

agreed upon scope and time estimate Perform quality self-review of work for accuracy, clarity, completeness, and adherence to program and audit techniques employed Ensure... more

May 25 Medical / Nurse Quality Auditor and Trainer AIG Farmington, CT

Administers HDi's Quality Management / Improvement activities in support of the Company's ... degree or equivalent experience and valid RN license. CCM preferred. 3-5 years case... more

May 17 Sr Quality Assurance Auditor I3 Princeton, NJ

such as in the investigation of serious quality issues, providing advice for general ... To work with minimum supervision within the Quality Assurance team and to provide support... more

May 14 Clinical Fraud & Abuse Auditor UPMC Moosic, PA

for a full-time Clinical Fraud & Abuse Auditor to help support the Compliance ... of case/care management, provider chart quality reviews, or performing fraud, waste... more

Apr 11 RN - HEDIS Project Manager - Managed Care Nurse Resolutions Texas

of internal medical record databases and quality assurance processes; oversight of the ... corrective actions; and oversight of HEDIS auditor medical record submissions. HEDIS... more

Apr 03 RN Clinical Care Manager / 3369 APS Healthcare Bethesda Charleston, WV

system to improve health, optimize clinical quality, and reduce associated costs. Our ... Must have an unrestricted and valid RN license in the state of West... more

Oct 25 RN-Medical Management Auditor Nurse Resolutions Indianapolis, IN

tools related to: authorizations, appeals, quality events, and case management in CCMS; ... longevity." Job Function:?Registered Nurse- Medical Management Auditor City:... more

Sep 14 Nurse Auditor Educator Medical Coding Record Review Associates For Health Placement Boston, MA

action. Supports and participates in quality improvement initiatives. Resource and educator to internal and external customers. Provides ongoing review and communication of new... more

More Job Postings from the Web
May 25 Medical / Nurse Quality Auditor and Trainer American Insurance Group (aig) Farmington, CT

Administers HDi's Quality Management / Improvement activities in support of the Company's ... degree or equivalent experience and valid RN license. CCM preferred. 3-5 years case... more

May 23 Medical / Nurse Quality Auditor and Trainer American International Group Farmington, CT

Administers HDi's Quality Management / Improvement activities in support of the Company's ... degree or equivalent experience and valid RN license. CCM preferred. 3-5 years case... more

May 21 Hlth Info Mgmt Quality Auditor- Time Limited Wake Forest Health Winston-Salem, NC

(CCS) preferred; Registered Nurse (RN), Licensed Practical Nurse (LPN) Skills & ... and procedures. Contributing to the overall quality of services. Assuming responsibility... more

May 17 Sr Quality Assurance Auditor Pharmanet-i3 Princeton, NJ

such as in the investigation of serious quality issues, providing advice for general ... To work with minimum supervision within the Quality Assurance team and to provide support... more

May 12 Claims QA Auditor Kaiser Permanente Denver, CO

Description Responsible for Audit the Auditor on both the OPA and Random findings ... Essential Functions: Performs Audit the Auditor on designated percentage of work for... more

May 10 Data Quality Auditor Kaiser Permanente Walnut Creek, CA

Data Quality Auditor( Job Number: 134904) At Kaiser Permanente Northern California, youll ... Service (CMS), National Committee for Quality Assurance (NCQA)). Actively... more

May 09 Nurse Auditor Advisor Dell Oakdale, LA

Nurse Auditor Advisor Oakdale, LA Clinical Case Manager Function: Business Process ... planning processes preferred. Skills: RN required. CPR certified. Excellent... more

May 09 Quality Coord. Abstractor-(RN) FT days Crestwood Medical Center Huntsville, AL

The Quality Coordinator-Abstractor/Auditor will be responsible for ongoing review of medic ... with established nationally recognized quality patient outcomes (Core Measures).This... more

May 07 Nurse Auditor Dignity Health Phoenix, AZ

and preventing avoidable denials. The Nurse Auditor examines government reimbursement ... or Certified Professional in Healthcare Quality (CPHQ) or CMAS certification... more

May 03 Bilingual (Spanish/English) RN Clinical Administrative Auditor UnitedHealth Group Houston, TX

reviewing and evaluating appeals, quality of care concerns (grievances)); * ... of procedures. * Performs internal Quality Control reviews on processes and... more

Mar 22 QA Nurse Auditor CGI Group Cleveland, MN

OH for a Nurse Auditor to join the Quality Assurance Training & Development ... the payment adjustment. Accordingly, the Quality Assurance Nurse Auditor will assist... more

Oct 27 Quality Nurse (RN / LVN) - Chart Reviews, Auditor Managed Care Resources Chino, CA

Records Management (Documentation), ICD-9 Auditor a PlusAbout the Agency:Managed Care ... Management, Utilization Management / Review, Quality Management / Assurance and... more

Jobs by Simply Hired Job Search