• Audit Nurse

    City of New York (New York, NY)
    …develops and oversees the Division's continuum of programming and services. JJPS is seeking an Audit Nurse who will ensure that youth in ACS care and/or custody ... receive the best possible medical care. In doing so, the Audit Nurse will work closely with operations and oversight staff within DYFJ's program areas to conduct… more
    City of New York (04/25/25)
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  • Internal Audit Data Analyst

    GE Aerospace (Norwalk, CT)
    …as a data analyst helping to make business decisions or at headquarters on a larger audit team, we have an opportunity for you. You'll work with data sets of various ... career growth opportunities. Reporting to the Senior Manager, Internal Audit Data Analytics, GE Aerospace, this role will focus...drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance Program,… more
    GE Aerospace (05/13/25)
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  • Associate Compliance Officer (ACO) Clinical…

    Nuvance Health (Danbury, CT)
    *Description* *Summary:* *Associate Compliance Officer ("ACO"), Clinical Audit , Quality and Revenue Cycle* Consistent with legal requirements and compliance program ... according to the requirements by Joint Commission; 3.Performs moderately complex clinical audit activities and work assignments under the direction of the the SACO.… more
    Nuvance Health (04/17/25)
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  • Registered Nurse 1

    New York State Civil Service (Hawthorne, NY)
    …HELP Yes Agency People With Developmental Disabilities, Office for Title Registered Nurse 1 Occupational Category Health Care, Human/Social Services Salary Grade 18 ... Zip Code 10532 Duties Description POSITION DESCRIPTION:As a Registered Nurse 1 on an assigned shift, you will provide...your caseload, completes review of medical section ISP, medication audit (each home)* Keeps up to date regarding changes… more
    New York State Civil Service (05/17/25)
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  • RN Medical Claim Review Nurse

    Molina Healthcare (Yonkers, NY)
    …decision making pertinent to clinical experience + Documents clinical review summaries, bill audit findings and audit details in the database + Provides ... **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare… more
    Molina Healthcare (05/21/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Yonkers, NY)
    …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases ... + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management… more
    Molina Healthcare (05/16/25)
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  • Research Nurse - Ambulatory

    Northwell Health (New York, NY)
    …catheters and patient assessment/questionnaire completion. + Participates in related audit preparation and facilitation, including FDA, IRB and related internal ... of job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. + Oncology… more
    Northwell Health (05/17/25)
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  • Physician Assistant Floating

    MTA (New York, NY)
    …other clinical staff members as needed for medical review and quality assurance and audit activities Work with clinical nurse as needed to perform diagnostic ... testing such as audiometry, EKGs, vision testing . Perform CDL medical examinations. Assist with case management of injured/sick employees. Qualifications Must have a valid Physician Assistant License. Must have excellent clinical experience and judgment for… more
    MTA (03/19/25)
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  • Senior DT Auditor

    GE Aerospace (Norwalk, CT)
    …dimension of the Senior DT Auditor role will be to coordinate with the Internal Audit Manager and other team members to execute the audit process, including risk ... assessment, audit planning, audit execution and reporting results for GE Aerospace. *...drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance Program,… more
    GE Aerospace (05/13/25)
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  • Attending Physician

    Genesis Healthcare (Danbury, CT)
    …among residents of skilled nursing and senior living facilities. Our physicians, nurse practitioners (NPs) and physician assistants (PAs) are supported by a clinical ... the Compliance Officer via the Reach Out Line. Cooperate with monitoring and audit functions and investigations. Qualifications MD or DO required. Board Certified in… more
    Genesis Healthcare (04/26/25)
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