- Humana (Frankfort, KY)
- …a part of our caring community and help us put health first** The Nurse Auditor 2 will perform acute inpatient Short Stay Reviews/clinical audits considering ... is complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and frequently require interpretation and… more
- Humana (Frankfort, KY)
- …of our caring community and help us put health first** The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to ... and to prevent and detect fraud, waste, and abuse. The Compliance Nurse 2 work assignments are varied and frequently require interpretation and independent… more
- Elevance Health (Louisville, KY)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... onboarding and skill development. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure… more
- GE Aerospace (Madisonville, KY)
- …experience interacting with senior DCMA (ACO, DACO, CACO) and DCAA (supervisory auditor , Branch Manager, Regional Audit Manager). + Experience with FPRP and ICS ... and prescription drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance Program, providing 24/7 confidential… more