2 claims nurse jobs at 2 companies in Berkeley, CA

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Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)
Denver or Atlanta or Costa Mesa or Hanover or Walnut Creek or Chicago or Las Vegas or Mendota Heights or New York City or Seattle
$87k-$156k/yr RemoteFull Time
Elevance Health
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
10+ YOEActive unrestricted RN license; 10 years in claims auditing, quality assurance, or clinical documentation improvement; 5 years with ICD-9/10-CM and DRG systems. Preferred coding or documentation credentials.
ICD-9, ICD-10-CM, MS-DRG, AP-DRG, APR-DRG
1mo
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Risk Management Specialist
Saint Helena or Roseville or Sacramento or Hawaii
$85k-$128k/yr OnsiteFull Time
Adventist Health
Adventist Health: Faith-based healthcare provider offering hospital and clinical services.
3+ YOERequired RN licensure in state of practice, 3+ years nursing or risk management experience; BSN and leadership experience preferred; familiarity with professional liability/claims handling preferred.
Event Reporting System, E-Verify