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CareerBuilder Apply Only
CAREERBUILDER APPLY
4w
4 weeks ago

Full-Time

Our Leading Global Health Service Provider is looking for Case Managers for a leading global health service provider. Major Medical, Dental, Vision, PTO, and 401K Benefits available. Direct Patient Care Duties: Will travel to PCP offices throughout the da...

Philadelphia, PA

CAREERBUILDER APPLY

Full-Time | Pay: $50k - $62k/year

MEDICAL COMPLIANCE AUDITOR The Medical Compliance Auditor is responsible for auditing the financial reports of corporate, health plan, and specialties related to clinical systems entry and/or processes. The Health Compliance Auditor will develop and maint...

Columbia, SC

CAREERBUILDER APPLY

Full-Time

Job Summary : The Nurse auditor is responsible for day to day review, coordination and management of Clinical denials requiring background and understanding from a provider operational and payer logistical perspective. Auditor must work with a diverse gro...

Santa Fe Springs, CA

CAREERBUILDER APPLY

Full-Time

We are currently looking for a Registered Nurse to work as a Cost Outlier Auditor in Manhattan. This is a Full-time position. Monday through Friday. 9am -5pm. Position Summary: The Cost Outlier Nurse will be conducting Hospital billing audits to identify...

Manhattan, NY

Full-Time

Excellent Nurse Auditing Opportunity with a Leader in Home Healthcare: Recognized for Excellence by Forbes and Fortune Magazine.Almost Family, Inc. (NASDAQ: AFAM) is a leading provider of home health nursing, rehabilitation and personal care services. Our...

Louisville, KY

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CAREERBUILDER APPLY

Full-Time | Pay: $65k - $78k/year

UTILIZATION REVIEW TEAM LEAD / REGISTERED NURSE Reviews healthcare service delivery and provides standardized training programs for plan staff to improve quality, control medical costs and ensure compliance with all state and federal regulations and guide...

Maitland, FL

CAREERBUILDER APPLY

Full-Time

Staff Audit Nurse – Registered Nurse “RN" – Relocate to Nome, Alaska! Job Description – (Registered Nurse – Staff Audit) Ensure long-term care facility department compliance with state and federal regulations. Provide patient and family focused care. Esse...

Norton Sound Health Corporation

Sioux Falls, SD

View 2 more

Full-Time

Medical City Alliance Registered Nurse Educator – RN Educator Emergency Department Educator – Quality Nurse Full-time – FT Days Medical City Alliance is a 55-bed, acute care hospital thatopened in February 2015. The three-story,155,000 square foot full-se...

Fort Worth, TX

CAREERBUILDER APPLY

Full-Time | Pay: $61k - $85k/year

CONCURRENT REVIEW RN SUPERVISOR The Concurrent Review RN Supervisor is responsible for auditing the financial reports of corporate, health plan, and specialties related to clinical systems entry and/or processes. The Health Compliance Auditor will develop...

Orlando, FL

Full-Time

Carewise Health helps organizations improve the personal health of employees and control healthcare costs. Our industry-leading health and wellness programs help members build the skills they need to achieve and sustain optimum health. Medical Bill Review...

Carewise Health

Louisville, KY

6d
6 days ago

Full-Time

POSITION SUMMARY: This position is responsible to: audit patient medical and billing records to determine that documentation and items billing are appropriate; represent Children's in external billing audits with payors; and identify potential billing, ch...

Dallas, TX

CAREERBUILDER APPLY
2w
2 weeks ago

Full-Time

The Clinical Auditor (RN/LVN) will conduct routine oversight, monitoring and auditing, of all internal business functions within CalOptima, as well as externally delegated functions to ensure compliance with state, federal, and accreditation standards. Po...

Orange, CA

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CAREERBUILDER APPLY

Full-Time

Growing managed Care Company seeking a fulltime Medical Management Auditor for the Columbia, South Carolina facility. ThisNurse is responsible for the auditing of corporate, health plan, and specialtycompany staff related to clinical systems entry and/...

Columbia, SC

CAREERBUILDER APPLY

Full-Time

The Professional Review Nurse provides analysis of medicalservices to determine appropriateness of charges on multiple types of medicalbills and review of medical reports to determine appropriateness of medicalcare. Clinical and/or technical expertise...

CorVel Corporation

N16W23217 Stone Ridge Drive
Waukesha, WI

1w
1 week ago

Full-Time

Overview: We’re a Little Different Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. We don’t believe in jobs at Mercy, we believe in careers that match the unique gifts of unique individuals...

Saint Louis, MO

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CAREERBUILDER APPLY

Full-Time

I love PsychiatricNursing! Expand your careerinto a Psychiatric Nursing leadership position! Eastern Shore Hospital Center is a state inpatient mentalhealth facility providing the highest quality services for adults age 18 andolder. The hospital has 3...

Eastern Shore Hospital Center

Cambridge, MD

CAREERBUILDER APPLY

Full-Time | Pay: $50k - $62k/year

Job description Position Purpose: Responsible for the auditing of corporate, health plan, and specialty company staff related to clinical systems entry and/or processes Develop and maintain the audit process and tools related to: authorizations, appeals,...

Columbia, SC

Full-Time

Excellent Corporate Opportunity with a Leader in Home Healthcare: Recognized for Excellence by Forbes and Fortune Magazine.Almost Family, Inc (NASDAQ: AFAM) is a leading provider of home health nursing, rehabilitation and personal care services. Our Senio...

Louisville, KY

Full-Time

Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge sc...

Atlanta, GA

Full-Time

Position Purpose: Responsible for developing and conducting a variety of training programs and auditing tools. Conduct training needs analyses to determine specific training needs for clinical staff Identify, select, or develop appropriate training progra...

Chesterfield, MO

CAREERBUILDER APPLY
3w
3 weeks ago

Full-Time

Equianis a leading provider of technology-enabled, data-driven solutionsensuring payment integrity across the healthcare and property andcasualty industries. We seek to attract, develop and retain associatessharing our commitment to innovation, contin...

300 Union Boulevard
Lakewood, CO

CAREERBUILDER APPLY
3d
3 days ago

Full-Time

This position entails reviewing and reconciling hospital claims, performing pre-audits on all accounts scheduled for defense audits by external auditors, performing concurrent audits on accounts meeting established payor and dollar criterion, and as reque...

El Paso, TX

Full-Time

$5,000 sign-on bonus! There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to...

McAllen, TX

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CAREERBUILDER APPLY

Full-Time

On-Call Hospice Registered Nurse (RN) is responsible for providing skilled nursing care and the oversight of care provided by home health/hospice aide and homemaker staff. The RN is responsible for the coordination of all patient care services. The On Cal...

Newburyport, MA

CAREERBUILDER APPLY

Full-Time

Job Description Our Ideal candidate will possess the following skills: Has a current licensed as a Registered Nurse HEDIS knowledge working in a Managed Care environment Records review/abstraction experience Job Summary The Senior Specialist, Quality Impr...

Syracuse, NY

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