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Nurse Claims Auditor: Compliance & Quality Review
Job in
Tulsa, Tulsa County, Oklahoma, 74145, USA
Listed on 2026-08-22
Listing for:
CommunityCare HMO Inc.
Full Time
position Listed on 2026-08-22
Job specializations:
-
Healthcare
Healthcare Management
Job Description & How to Apply Below
Community Care HMO Inc. in Tulsa, OK is seeking a Medical Review Examiner Nurse to audit provider and facility claims and identify issues related to non-compliance and potential fraud, waste, and abuse in billing practices.
The role requires RN or LPN licensure in Oklahoma, with several years of hospital, clinic, or health plan clinical operations experience. The position emphasizes independence, accuracy, and collaboration with medical leadership, and includes standard benefits.
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