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Loyola University Chicago Marcella Niehoff School of Nursing
Chicago, Illinois
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University of Illinois Chicago College of Nursing
Chicago, Illinois
University of Illinois Chicago College of Nursing
Chicago, Illinois
University of Illinois Chicago College of Nursing
Chicago, Illinois
Planned Parenthood of Southern New England
Providence, Rhode Island
University of Massachusetts Dartmouth
Dartmouth, Massachusetts
IRIS SDPC (RN) - TMG (Dane County, WI) (Fieldwork/Hybrid) (No Holidays, No Weekends, No After Hours)
Molina Healthcare
Madison, Wisconsin
Molina Healthcare
Milwaukee, Wisconsin
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Investigator, SIU RN-Must reside in Kentucky
JOB DESCRIPTIONJob SummaryThe Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to make medical determinations as necessary, and applies clinical knowledge to assess the medical necessity, level of services, and/or appropriateness of care in cases. The SIU Investigator is also responsible for recognizing and adhering to national and local coding and billing guidelines in order to m
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