State Licensed Clinical Audit Lead

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 risks to program integrity and assesses nursing processes for efficiency

Maintains documentation of nursing program activities and produces regular reports on compliance and quality metrics

Required Qualifications

Minimum Bachelor's Degree

Current, active, and non-restricted RN licensure required

Coding certification preferred

Minimum of 5-7 years of relevant experience; 8-11 years preferred

Healthcare experience with utilization reviews and knowledge of Medicare / Medicaid regulations preferred