Auditor, Clinical Services

Position OverviewThe Clinical Access Program's Facility Site Review team is dedicated to ensuring that all MediCal members receive access to safe and high-quality healthcare providers. The Clinical Nurse Auditor, Consultant will report directly to the Clinical Training and Auditing Manager. In this capacity, you will evaluate physical site locations to...

Position OverviewThe Clinical Access Program's Facility Site Review team is dedicated to ensuring that all MediCal members receive care from safe and high-quality providers. The Clinical Nurse Auditor, Consultant will report directly to the Clinical Training and Auditing Manager. In this capacity, you will evaluate physical site locations to confirm adequate...

Position OverviewThe Clinical Access Program's Facility Site Review team is dedicated to ensuring that all MediCal members receive care from safe and high-quality providers. The Clinical Nurse Auditor, Consultant will report directly to the Clinical Training and Auditing Manager. In this capacity, you will assess physical site locations to confirm adequate...

Position OverviewThe Clinical Access Program's Facility Site Review team is dedicated to ensuring that all MediCal members receive access to safe and high-quality healthcare providers. The Clinical Nurse Auditor, Consultant will report directly to the Clinical Training and Auditing Manager. In this capacity, you will evaluate physical site locations to...

About the RoleWe are seeking a highly skilled Clinical Nurse Auditor Consultant to join our team at Blue Shield of California. As a key member of our Clinical Access Program's Facility Site Review team, you will play a critical role in ensuring that all MediCal members have access to safe, high-quality providers.Key ResponsibilitiesConduct thorough clinical...

Job OverviewEssential Knowledge, Skills, and Abilities Conducts monthly evaluations of registered nursing and various clinical operations within Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health Management (HM), and/or Disease Management (DM). Monitors key clinical personnel to ensure adherence to NCQA, CMS, State, and...

Job OverviewEssential Knowledge, Skills, and Abilities Conducts monthly evaluations of registered nursing and various clinical operations within Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health Management (HM), and/or Disease Management (DM). Oversees key clinical personnel to ensure adherence to NCQA, CMS, State, and...

Job OverviewEssential Knowledge, Skills, and Abilities Conducts monthly evaluations of registered nursing and various clinical operations within Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health Management (HM), and/or Disease Management (DM). Ensures adherence of key clinical personnel to NCQA, CMS, State, and Federal...

Job Description - Senior Internal Auditor (00014152) Senior Internal Auditor California Resources Corporation is a publicly traded oil and natural gas exploration and production company and the largest oil and natural gas producer in California. We operate our world-class resource base exclusively within the State of California, applying complementary and...

About the RoleWe are seeking a highly skilled Clinical Nurse Auditor Consultant to join our team at Blue Shield of California. As a key member of our Clinical Access Program's Facility Site Review team, you will play a critical role in ensuring that all MediCal members have access to safe, high-quality providers.Key ResponsibilitiesConduct clinical reviews...

Job DescriptionJob DescriptionWe are seeking experience in Quality to join our team as Inspectors, Auditors or Process Specialist! You will conduct tests to determine the quality of materials and finished products as well as identify areas of improvement to increase efficiency.Responsibilities of Quality Control Inspectors / Quality Technical...

Your Role The Internal Audit Services team performs internal audits and advisory services to provide assurance on specific internal control objectives and emerging risk areas. The Internal Audit Principal will report to the Internal Audit Senior Director. In this role, you will be leading and managing financial, operational, and integrated audits and...

Job SummaryThe Night Auditor plays a critical role in ensuring the accuracy and integrity of guest accounts by performing a thorough audit of all transactions. This includes verifying the correctness of guest folios, posting room and tax charges, and reconciling revenue reports.Key ResponsibilitiesTransaction Verification: Thoroughly review and verify all...

Exciting Career OpportunityJoin our dedicated team at California Healthcare Clinical Employee as a Clinic Director, where your expertise will make a significant impact.Attractive Compensation and Benefits Package OfferedSalary Range: $95,000 to $115,000 annually + Quarterly Performance Incentives up to 15% of Salary + Comprehensive Benefits3 Weeks of Paid...

Join Our TeamWe are seeking a committed and skilled Physical Therapist to take on the role of Clinic Director at California Healthcare Clinical Employee.Attractive Compensation and Benefits Package OfferedSalary Range: $95,000 to $115,000 annually + Quarterly Performance Bonus up to 15% of Salary + Comprehensive Benefits3 Weeks of Paid Time Off + Holidays +...

Job DescriptionJob DescriptionCalifornia Rehabilitation and Sports Therapy is looking for a full-time, licensed PT Clinic Director to lead our outpatient ortho clinic in Long Beach.Salary Range: Negotiable and highly competitive! Salary Range $95,000 to $115,000 annually + Quarterly Incentive up to 15% of Salary + Full Benefits.Individual salaries dependent...

Job DetailsJob Location Carolina Beach NC - Carolina Beach, NC Position Type Full Time / Part Time Job Shift Mornings / Second Shift / Evening DescriptionCompany: Parking Management Company - PMC Job Title: Lot Auditor / Lot Attendant Position Type: Full-time and Part-time Pay: Hourly Parking Management Company is Hiring: Lot Attendants / Lot Auditors!...

Overview Are you a detail-oriented individual who thrives in a fast-paced environment? Join our team as a Night Auditor and play a crucial role in ensuring the smooth operation of our hotel during the night hours. We are seeking a dedicated and responsible individual who is passionate about providing exceptional guest experiences and is ready to take...

Description Join the SpringHill Suites by Marriott New Smyrna Beach, a Strand Hospitality managed hotel! We offer many competitive benefits for our valued employees! Full time Strand Hospitality associates have the option to enroll in Aetna medical, dental, and vision plans. They also have paid time off. Everyone (including part time associates) can join a...

Property Description: Wave Resort, located in the picturesque beachfront community of Long Branch, New Jersey, is seeking passionate individuals to join our team! As a job applicant, you'll have the opportunity to work in a luxurious resort that offers unparalleled service and unforgettable experiences to our guests. With positions available in hospitality,...