- Elevance Health (Smithfield, RI)
- Nurse Audit Lead - Carelon Payment Integrity **Location:** The ideal candidate will live within 50 miles of one of our pulse point locations and will work on ... is determined to recover, eliminate, and prevent unnecessary medical-expense spending. The ** Nurse Audit Lead ** is responsible for leading a team of… more
- Elevance Health (Smithfield, RI)
- …coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate … more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …The RN Clinical Provider Post Service Review Manager , led by a Registered Nurse , is responsible for a team of provider correspondence associates who research and ... and NCQA requirements which is required to identify opportunities to mitigate audit risk and/or implement innovative solutions for processing efficiencies. The role… more
- Veterans Affairs, Veterans Health Administration (Boston, MA)
- …recruitment will result in the hiring of one of the following disciplines: Nurse Practitioner or Physician Assistant. All interested Nurse Practitioners must ... PAs at the PA-III grade are at the full performance level and lead and organize patient care independently, practice within multi-disciplinary teams, and coordinate… more
- Veterans Affairs, Veterans Health Administration (Brockton, MA)
- …recruitment will result in the hiring of one of the following disciplines: Nurse Practitioner or Physician Assistant. All interested Nurse Practitioners must ... PAs at the PA-III grade are at the full performance level and lead and organize patient care independently, practice within multi-disciplinary teams, and coordinate… more
- Veterans Affairs, Veterans Health Administration (West Roxbury, MA)
- …recruitment will result in the hiring of one of the following disciplines: Nurse Practitioner or Physician Assistant. All interested Nurse Practitioners must ... PAs at the PA-III grade are at the full performance level and lead and organize patient care independently, practice within multi-disciplinary teams, and coordinate… more