Talent.com
No longer accepting applications
RN Clinical Auditor

RN Clinical Auditor

VirtualVocationsMission Viejo, California, United States
6 days ago
Job type
  • Full-time
Job description

A company is looking for an RN Clinical Auditor.

Key Responsibilities

Perform clinical audit reviews for government and commercial payers to ensure compliance and quality standards

Analyze medical records and data to identify trends and discrepancies, preparing audit materials as needed

Collaborate with healthcare providers and educate staff on audit outcomes and best practices

Required Qualifications

Associates or Bachelor's Degree in Nursing

Registered Nurse (RN) license required

3 years of regulatory audit experience, utilization review, or clinical validation preferred

Experience with electronic medical records (EMR) systems

Ability to manage time and adapt to changing regulations in a production-based environment

Create a job alert for this search

Auditor • Mission Viejo, California, United States

Related jobs
  • Promoted
California Licensed Health Plans Auditor

California Licensed Health Plans Auditor

VirtualVocationsHuntington Beach, California, United States
Full-time
A company is looking for a Specialty Health Plans Auditor III, Claims.Key Responsibilities Lead planning, execution, reporting, and corrective action monitoring for claims processing compliance a...Show moreLast updated: 1 day ago
  • Promoted
Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $1,863 to $2,066 per week in Upland, CA

Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $1,863 to $2,066 per week in Upland, CA

TravelNurseSourceUpland, CA, US
Full-time
TravelNurseSource is working with LRS Healthcare to find a qualified ICU / Critical Care RN in Upland, California, 91786!. Ready to start your next travel adventure? LRS Healthcare offers a full benef...Show moreLast updated: 4 days ago
  • Promoted
Virginia Licensed Lead Clinical Reviewer

Virginia Licensed Lead Clinical Reviewer

VirtualVocationsOceanside, California, United States
Full-time
A company is looking for a Lead Clinical Reviewer to join their team.Key Responsibilities Review medical records against criteria to determine medical appropriateness Guide team members and supp...Show moreLast updated: 2 days ago
  • Promoted
RN / LVN Regional Clinical Liaison - Anaheim, CA

RN / LVN Regional Clinical Liaison - Anaheim, CA

Skilled Wound CareAnaheim, CA, US
Full-time
These are some of Skilled Wound Care's core values; we are seeking the absolute best people in healthcare to help us change the way that care is delivered. Skilled Wound Care is looking for a.RN / L...Show moreLast updated: 30+ days ago
  • Promoted
RN / LVN Regional Clinical Liaison - Cypress, CA

RN / LVN Regional Clinical Liaison - Cypress, CA

Skilled Wound CareCypress, CA, US
Full-time
These are some of Skilled Wound Care's core values; we are seeking the absolute best people in healthcare to help us change the way that care is delivered. Skilled Wound Care is looking for a.RN / L...Show moreLast updated: 30+ days ago
  • Promoted
Manager II, Clinical TrialsIrvine, California, United States

Manager II, Clinical TrialsIrvine, California, United States

TarsanetIrvine, CA, US
Temporary
Thanks for your interest in this position.Please review the details and if it's something that could match your career goals, connect with your current manager and HRBP to discuss if your experienc...Show moreLast updated: 30+ days ago
  • Promoted
Clinical Nurse Manager - ICU

Clinical Nurse Manager - ICU

Tri-City Medical CenterOceanside, CA, US
Full-time
Tri-City Medical Center has served San Diego County's coastal communities of Carlsbad, Oceanside and Vista, as well as the surrounding region for more than 60 years and is one of the largest employ...Show moreLast updated: 14 days ago
  • Promoted
RN - IR - Fountain Valley - Per Diem Rotate

RN - IR - Fountain Valley - Per Diem Rotate

University of California - Irvine HealthFountain Valley, CA, United States
Full-time
University of California, Irvine, and the only academic health system based in Orange County.UCI Health is comprised of its main campus,. UCI Health Community Network in Orange and Los Angeles count...Show moreLast updated: 30+ days ago
  • Promoted
RN / LVN Regional Clinical Liaison - Orange, CA

RN / LVN Regional Clinical Liaison - Orange, CA

Skilled Wound CareOrange, CA, US
Full-time
These are some of Skilled Wound Care's core values; we are seeking the absolute best people in healthcare to help us change the way that care is delivered. Skilled Wound Care is looking for a.RN / L...Show moreLast updated: 30+ days ago
  • Promoted
Travel ICU RN

Travel ICU RN

Fusion Medical StaffingAnaheim, CA, US
Full-time
Facility in Anaheim, California.Fusion Medical Staffing is seeking a ICU RN for a 13-week travel assignment in Anaheim, California. As a member of our team, you'll have the opportunity to make a...Show moreLast updated: 30+ days ago
RN Supervisor

RN Supervisor

Virco TalentWhittier, California, United States
Full-time
Quick Apply
Whittier, California (with local travel to AIS sites).We are seeking a confident and compassionate.Registered Nurse (RN) Supervisor. This leadership role is based at our.Ambulatory Infusion Suite (A...Show moreLast updated: 30+ days ago
  • Promoted
Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $2,132 per week in Pomona, CA

Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $2,132 per week in Pomona, CA

TravelNurseSourcePomona, CA, US
Full-time
TravelNurseSource is working with Magnet Medical to find a qualified ICU / Critical Care RN in Pomona, California, 91767!. Purpose of the Position : Responsible for the delivery of direct patient care ...Show moreLast updated: 4 days ago
  • Promoted
Clinical Appeals RN - Remote in EST or CST Time Zone

Clinical Appeals RN - Remote in EST or CST Time Zone

UnitedHealth GroupCypress, CA, United States
Remote
Full-time
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people ...Show moreLast updated: 30+ days ago
  • Promoted
RN / LVN Regional Clinical Liaison - Fullerton, CA

RN / LVN Regional Clinical Liaison - Fullerton, CA

Skilled Wound CareFullerton, CA, US
Full-time
These are some of Skilled Wound Care's core values; we are seeking the absolute best people in healthcare to help us change the way that care is delivered. Skilled Wound Care is looking for a.RN / L...Show moreLast updated: 30+ days ago
  • Promoted
Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $2,721 per week in Pomona, CA

Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $2,721 per week in Pomona, CA

TravelNurseSourcePomona, CA, US
Full-time
TravelNurseSource is working with GO Healthcare Staffing to find a qualified ICU / Critical Care RN in Pomona, California, 91767!. The ideal candidate must have at least 2 years of experience, with ac...Show moreLast updated: 4 days ago
  • Promoted
Clinical Nurse Auditor - HB Patient Financial Services - FT Days

Clinical Nurse Auditor - HB Patient Financial Services - FT Days

University of California - Irvine HealthAnaheim, CA, United States
Full-time
University of California, Irvine, and the only academic health system based in Orange County.UCI Health is comprised of its main campus,. UCI Health Community Network in Orange and Los Angeles count...Show moreLast updated: 30+ days ago
  • Promoted
Care Review Clinician (RN)

Care Review Clinician (RN)

Molina HealthcarePasadena, CA, US
Full-time
Candidates who do not live in California must work Pacific daytime hours.Provides support for clinical member services review assessment processes. Responsible for verifying that services are medica...Show moreLast updated: 17 days ago
  • Promoted
RN Clinical Director, Medical / Surgical - Telemetry, Full time, Days

RN Clinical Director, Medical / Surgical - Telemetry, Full time, Days

PIH HealthWhittier, CA, US
Full-time
RN Clinical Director, Medical / Surgical - Telemetry, Full Time, Days.This RN Clinical Director is responsible and accountable for 24-hour operations within the assigned nursing unit(s) to include : p...Show moreLast updated: 8 days ago
  • Promoted
Travel RN Case Manager

Travel RN Case Manager

Care CareerMission Viejo, CA, US
Full-time
Care Career is seeking a travel nurse RN Case Management for a travel nursing job in Mission Viejo, California.Job Description & Requirements. Case managers work to facilitate patient care by as...Show moreLast updated: 3 days ago
  • Promoted
Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $2,180 to $2,319 per week in Pomona, CA

Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $2,180 to $2,319 per week in Pomona, CA

TravelNurseSourcePomona, CA, US
Full-time
TravelNurseSource is working with Fusion Medical Staffing to find a qualified ICU / Critical Care RN in Pomona, California, 91767!. Facility in Pomona, California.Fusion Medical Staffing is seeking a ...Show moreLast updated: 3 days ago