- Humana (Harrisburg, PA)
- …where your clinical expertise and passion for accuracy will make a meaningful impact. As the Nurse Audit Manager , you will spearhead audit and validation ... relevant coding. + Identifies the root cause analysis of audit findings and submits recommendations for appropriate change management....skills to make an impact** **Required Qualifications** + Registered nurse (RN). + 5 or more years of clinical… more
- Fresenius Medical Center (Enola, PA)
- …and any other treatmentrelated data into systems. + Ensures regulatory, compliance, and audit activities are accomplished on time. + Orients and supports new staff ... and provides ongoing education, ensuring compliance with all risk management initiatives, including in-center staff. + Participates in Business Unit initiatives, projects, and audits as directed. + Performs other related duties as assigned. **PHYSICAL DEMANDS… more
- Genesis Healthcare (Camp Hill, PA)
- Overview POSITION SUMMARY: Under the direction of the RN Nursing Supervisor, Unit Manager , ADON or ADON - Unit, or Director of Nursing ( Nurse Leader), the ... within the scope of practice defined by the State Nurse Practice Act and delegates aspects of patient care...via the Integrity Hotline. 4. Cooperates with monitoring and audit functions and investigations. 5. Participates, as requested, in… more
- CVS Health (Harrisburg, PA)
- …travel if a plan sponsor requests pharmacist attendance for an onsite visit/assessment/ audit . The Pharmacy Program Manager role includes: -Collaborate with an ... with heart, each and every day. The Pharmacy Program Manager is an individual contributor (non-people manager )...interdisciplinary care management team ( nurse case managers, medical directors, dietitians, social workers) to… more
- Highmark Health (Harrisburg, PA)
- …meets with all compliance, regulatory and contractual requirements. Conducts ongoing audit review programs, develops tools to assess current outcomes and trends ... Systems functions. Responsible for after-action items as outcome of Quarterly State Audit Reviews, Annual MERCER Review and NCQA Review. Develops ongoing educational… more