• Compliance Auditor , Associate

    UPMC (Pittsburgh, PA)
    …Health Information Administrator (RHIA) + Registered Health Information Technician (RHIT) + Licensed Professional Nurse (LPN) or + Registered Nurse ... **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented and passionate about...non-physician practitioners based on audit results. These sessions will provide education specific to the issues found during audits… more
    UPMC (07/24/25)
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  • Clinical Documentation Specialist Auditor

    UNC Health Care (Chapel Hill, NC)
    …certification - RN (Registered Nurse ) license - LPN ( Licensed Practical Nurse ) license - Advance Practice Provider (NP or PA) license- Medical Doctor ... and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and...education and training related to results. 2. Monitor and provide feedback to new-hire CDS, as they progress through… more
    UNC Health Care (07/29/25)
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  • Registered Nurse Specialist

    MyFlorida (Alachua, FL)
    …Preferred Qualifications: + Pediatric Nursing or Public Health Nursing Experience + Must be licensed as a Registered Nurse in the state of Florida. Florida ... REGISTERED NURSE SPECIALIST - 64082415 Date: Jul 24, 2025...with special health care needs. Your Specific Responsibilities: + Provide technical assistance and consultation to guide the effective… more
    MyFlorida (07/26/25)
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  • Case Manager, RN or Licensed Behavioral…

    Excellus BlueCross BlueShield (Rochester, NY)
    …Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, Geriatrics, etc.) to ensure continuity and ... Advocacy (CAU), Customer Service (CS), Special Investigations Unit (SIU), Provider Relations (PR), or Sales & Marketing. + Ensuring...NYS DOH, CMS, NCQA, and HEDIS, serving as internal auditor within the group. + Responsible for all aspects… more
    Excellus BlueCross BlueShield (06/27/25)
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  • RN Clinical Review Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …Current license required. . TRAINING AND EXPERIENCE: Minimum five (5) years RN/ licensed provider experience in adult inpatient medical-surgical or critical care ... established benchmarks for productivity while maintaining quality. + Identify and provide feedback, including identification of trends, to the Network Coding and… more
    St. Luke's University Health Network (07/08/25)
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  • Clinical Documentation Specialist RN

    Providence (Portland, OR)
    …empower them. **Required Qualifications:** + Education sufficient for licensure. + Oregon Registered Nurse License upon hire. + Must be licensed in states ... be residing in Oregon **Job Description:** The Clinical Documentation Specialist, Registered Nurse (RN) is responsible for quality review of all OASIS admission… more
    Providence (07/29/25)
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