TacomaRecruiter Since 2001
the smart solution for Tacoma jobs

Medical Management Auditor

Company: Health Net, Inc.
Location: Tacoma
Posted on: September 13, 2019

Job Description:

Description: Position Purpose: Responsible for the auditing of corporate, health plan, and specialty company staff related to clinical systems entry and/or processes * Develop and maintain the audit process and tools related to: authorizations, appeals, quality events, and case management in CCMS; interrater reliability related to InterQual; and data entry into the credentialing subsystem * Develop and maintain the audit schedule * Audit staff as outlined in the system auditing policies * Train audit staff at the health plan in the use of audit process and tools * Facilitate compliance with the auditing process * Act as a consultant related to system auditing to others in the unit, department and health plan * Work with staff to identify and resolve authorization load error report system problems * Coordinate auditing outcomes with the Trainer to identify, develop and publish corrective actions/educational material related to audit errors * Coordinate auditing outcomes and system maintenance with the Sr. Clinical Systems Specialist to resolve or enhance clinical systems * Ability to travel

Keywords: Health Net, Inc., Tacoma , Medical Management Auditor, Healthcare , Tacoma, Washington

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Healthcare Jobs


PRN Hospital - Nurse Liaison
Description: Description HCR ManorCare provides a range of services, including skilled nursing care, assisted living, post-acute medical and rehabilitation care, hospice care, home health care and rehabilitation therapy. (more...)
Company: HCR ManorCare
Location: Tacoma
Posted on: 09/19/2019

School Speech Language Pathologist
Description: Job Description Princeton Solutions is working with a school district who is looking for an SLP or CFY to work with their team. Schedule: The typical schedule
Company: Princeton Staffing Solutions
Location: Lacey
Posted on: 09/19/2019

Registered Nurse - RN.
Description: HCR ManorCare provides a range of services, including skilled nursing care, assisted living, post-acute medical and rehabilitation care, hospice care, home health care and rehabilitation
Company: HCR ManorCare
Location: Lacey
Posted on: 09/19/2019


Registered Nurse (RN) - Full-Time, Days (RN #)
Description: Company Introduction As a nurse with Correct Care Solutions CCS , you will have the opportunity to practice patient care the way you've always wanted. Our nurses enjoy competitive pay and benefits in (more...)
Company: WellPath
Location: Olympia
Posted on: 09/19/2019

Burn Unit RN Travel Nurse
Description: Nationwide Travel Nurse Jobs - Burn Unit RN Are you looking for a new nursing job Would you like to spend the season somewhere you've never been Hospitals nationwide are looking for qualified registered (more...)
Company: HCEN
Location: Tacoma
Posted on: 09/19/2019

ED Nurse/Emergency Room RN - $20K loan forgiveness
Description: Job Description At MultiCare, we've been investing in healing and healthy futures for more than 130 years. Now we're making a huge investment in the RNs who care for our patients. If you have school-related (more...)
Company: MultiCare
Location: Tacoma
Posted on: 09/19/2019

Manager, Healthcare Analytics
Description: Manager, Healthcare Analytics - West Position Purpose: The Manager, Healthcare Analytics drives the execution of analytics strategy through the discovery, development, and implementation of leading-edge (more...)
Company: Centene
Location: Tacoma
Posted on: 09/19/2019

Registered Nurse (RN) Charge Nurse with Sign On
Description: br 7500 Sign On for Full Time RN br br Applications are now being accepted for an RN Registered Nurse Charge Nurse to join us at Alaska Gardens. This is an amazing center, with caring
Company: EmpRes Healthcare Management
Location: Tacoma
Posted on: 09/19/2019

Anesthesiologist Locum Opportunity in Olympia, Washington (Physician #
Description: Anesthesiologist Locum Opportunity in Washington Location: Olympia, WA Duration: ongoing while recruiting for a perm Board Certification: Board Certified Schedule: Full time
Company: Tiva Healthcare
Location: Olympia
Posted on: 09/19/2019

Emergency Medicine Physician (Physician #296945)
Description: SCP Health SCP is a clinical company. At our core we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, (more...)
Company: SCP Health
Location: Olympia
Posted on: 09/19/2019

Log In or Create An Account

Get the latest Washington jobs by following @recnetWA on Twitter!

Tacoma RSS job feeds