RN Clinical Quality AuditorVirtualVocations • San Buenaventura, California, United States
RN Clinical Quality Auditor
VirtualVocations • San Buenaventura, California, United States
14 hours ago
Job type
- Full-time
Job description
A company is looking for a Clinical Quality Auditor, RN - Remote.
Key Responsibilities :
Review and audit contracted sub-delegates
Assist with report preparation and records regarding work function activities and projects
Support Medical Management Initiatives with quality improvement across various departments
Required Qualifications :
Current unrestricted RN license
5+ years of clinical experience
1+ years of experience in managed care or the insurance industry
Experience with Medicare and / or Medicaid
Knowledge of clinical standards of care, HEDIS, NCQA, and regulatory agency requirements
Create a job alert for this search
Quality Auditor • San Buenaventura, California, United States
Related jobs
Clinical Trial Manager, Clinical Operations (Early Phase).Location : Thousand Oaks, CA or San Francisco, CA.Reports to : Senior Director, Clinical Operations.
Reporting to the Senior Director, Clinica...Show more
TravelNurseSource is working with Jackson Nurse Professionals to find a qualified ICU / Critical Care RN in Thousand Oaks, California, 91319!.
We're hiring a highly skilled Registered Nurse experience...Show more
The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained thro...Show more
RN Manager of our Care Management team at Providence Cedars-Sinai Tarzana Medical Center in Tarzana, CA.This management position is Full-Time and will work Day shifts.
Providence Cedars-Sinai Tarzan...Show more A company is looking for an RN Manager to lead and manage a team of nurses in a remote clinical environment.Key Responsibilities Oversee day-to-day clinical operations and ensure delivery of safe...Show more A company is looking for a Clinical Audit Lead.Key Responsibilities Supervises teams to ensure compliance with laws, regulations, and organizational policies Implements measures to mitigate risk...Show more A company is looking for a Senior Clinical Administrative Coordinator RN - Remote in MST.Key Responsibilities Manage the initial patient intake process, ensuring timely verification, assessment, ...Show more A company is looking for an RN Utilization Management Reviewer.Key Responsibilities : Conduct pre-certification, concurrent, and retrospective reviews focusing on utilization management and care c...Show more A company is looking for an RN Clinical Review Nurse - Concurrent Review.Key Responsibilities Performs concurrent reviews to determine overall health and appropriate level of care for members Re...Show more A company is looking for a Quality Auditor RN for a 6-month contract.Key Responsibilities Execute chart audits according to established guidelines and complete the required volume of reviews Ide...Show more A company is looking for a Manager of Clinical Review to oversee clinical operations and ensure high-quality patient care.
Key Responsibilities Monitor quality of care and compliance with policies...Show more A company is looking for a Senior Clinical Trial Manager to lead the operational delivery of cell therapy clinical trials.
Key Responsibilities Lead and manage the operational execution of assigne...Show more A company is looking for a Clinical Reviewer of Behavioral Health.Key Responsibilities Review medical records to determine medical appropriateness based on contract requirements Monitor and adju...Show more A company is looking for an RN Quality Assurance Manager.Key Responsibilities Lead the development and execution of the clinical quality assurance program, including chart audits and provider fee...Show more A company is looking for a UM Operations Quality Program Manager.Key Responsibilities Oversee the design, testing, and implementation of AI tools for clinical operations Lead quality and audit p...Show more A company is looking for a DRG Reviewer to join their remote Payment Integrity team.Key Responsibilities Analyze and review inpatient claims for adherence to Official Coding and Reporting Guideli...Show more A company is looking for an Associate, Senior Associate, Manager - Clinical Trial Imaging Operations.Show more 
The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained thro...Show more
Sr. Clinical Trial Manager, Clinical Operations (Early Phase)
Latigo Bio • Thousand Oaks, CA, US
Full-time
Last updated: 30+ days ago • Promoted
Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care in Thousand Oaks, CA
TravelNurseSource • Thousand Oaks, CA, US
Full-time
Last updated: 15 days ago • Promoted
RN
Fresenius Medical Care • Santa Barbara, CA, US
Full-time
Last updated: 9 days ago • Promoted
RN Manager - Care Management
Providence Health and Services • Thousand Oaks, CA, US
Full-time
Last updated: 10 days ago • Promoted
RN Manager - CA, CO, HI, IL, MA, MD, NJ, NM, NY, OR, WA
VirtualVocations • San Buenaventura, California, United States
Full-time
Last updated: 2 days ago • Promoted
State Licensed Clinical Audit Lead
VirtualVocations • San Buenaventura, California, United States
Full-time
Last updated: 1 day ago • Promoted
RN Clinical Coordinator
VirtualVocations • Oxnard, California, United States
Full-time
Last updated: 10 days ago • Promoted
Massachusetts Licensed RN Reviewer
VirtualVocations • Oxnard, California, United States
Full-time
Last updated: 1 day ago • Promoted
New York RN Clinical Review Nurse
VirtualVocations • Oxnard, California, United States
Full-time
Last updated: 2 days ago • Promoted
Licensed Quality Auditor RN
VirtualVocations • San Buenaventura, California, United States
Temporary
Last updated: 2 days ago • Promoted
RN Clinical Review Manager
VirtualVocations • San Buenaventura, California, United States
Full-time
Last updated: 16 hours ago • Promoted • New!
Senior Clinical Trial Manager
VirtualVocations • Oxnard, California, United States
Full-time
Last updated: 22 days ago • Promoted
Licensed Clinical Reviewer
VirtualVocations • Oxnard, California, United States
Full-time
Last updated: 16 hours ago • Promoted • New!
Kentucky Licensed RN QA Manager
VirtualVocations • Oxnard, California, United States
Full-time
Last updated: 1 day ago • Promoted
RN Licensed Quality Program Manager
VirtualVocations • San Buenaventura, California, United States
Full-time
Last updated: 12 hours ago • Promoted • New!
Certified DRG Reviewer
VirtualVocations • Oxnard, California, United States
Full-time
Last updated: 2 days ago • Promoted
Clinical Trial Imaging Manager
VirtualVocations • Oxnard, California, United States
Full-time
Last updated: 2 days ago • Promoted
Outpatient Registered Nurse - RN
Fresenius Medical Care • Santa Barbara, California, US
Full-time
Last updated: 30+ days ago • Promoted