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Loyola University Chicago Marcella Niehoff School of Nursing
Chicago, Illinois
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Dartmouth, Massachusetts
IRIS SDPC (RN) - TMG (Dane County, WI) (Fieldwork/Hybrid) (No Holidays, No Weekends, No After Hours)
Molina Healthcare
Madison, Wisconsin
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Clinical Services Auditor (LVN/ LPN) California
***California residents preferred. **Out of state candidates must be licensed for CA and must be willing to support PACIFIC TIME ZONE business hours. KNOWLEDGE/SKILLS/ABILITIES Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health Management (HM), and/or Disease Management (DM) and monitors key clinical staff for compliance with NCQA, CMS, State and Federal requirements. May also perform non-clinical system and process audits, as needed. Audits for clinical gaps in care from a medical and/or behavioral perspective to ensure member needs are being met. Assesses clinical staff
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