- Ochsner Health (Meridian, MS)
- …of related healthcare experience with a master's degree. **Certifications** Required - Current registered nurse ( RN ) license in state of practice. Preferred ... has never changed - our commitment to serve, heal, lead , educate,** **and innovate. We believe** **that every award...work from the following areas are not eligible for remote work position_ _: Colorado, California, Hawaii, Illinois, Maryland,… more
- Centene Corporation (New York, NY)
- …state of New York.** **HEDIS experience highly preferred.** **Position Purpose:** Lead medical record audits, monitor and analyze clinical documentation, and modify ... provider performance and quality of care through clinical case reviews. + Lead clinical audits for provider medical records both remotely via electronic medical… more
- Centene Corporation (Salem, OR)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Lead , monitor and evaluate the performance of national delegated vendors ... according to CMS, NCQA, Federal and State requirements. **(This is a remote position. 30 hours per week).** + Manage, audit, and monitor both internal and external… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... NYS DOH, CMS, NCQA, and HEDIS, serving as internal auditor within the group. + Responsible for all aspects...Associates degree required. Bachelor's degree preferred. + Active NYS RN or Registered Dietician or Physical Therapist… more
- Molina Healthcare (Vancouver, WA)
- …continuous improvement of intervention processes and outcomes. Acts as a lead specialist within the department and/or collaboratively with other departments. **Job ... Duties** + Acts as a lead specialist to provide project, program, and/or initiative related...Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified… more
- Ochsner Health (New Orleans, LA)
- …Works with the clinical providers , on- site case management team, as well as LPN/ RN or Nurse Auditor in the Pre-Service department. + Performs Pre-Service ... has never changed - our commitment to serve, heal, lead , educate,** **and innovate. We believe** **that every award...work from the following areas are not eligible for remote work position_ _: Colorado, California, Hawaii, Illinois, Maryland,… more