Talent.com
RN Clinical Auditor

RN Clinical Auditor

VirtualVocationsLaredo, Texas, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.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

serp_jobs.job_alerts.create_a_job

Auditor • Laredo, Texas, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Senior Manager of Clinical Innovation

Senior Manager of Clinical Innovation

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Manager of Clinical Innovation & Design.Key Responsibilities Design, prototype, and refine new clinical workflows and care pathways Partner with data teams to d...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Clinical Auditor with RN License

Clinical Auditor with RN License

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Auditor 2.Key Responsibilities Performs audits of medical records for denials review, defense audits, disallowed charges, and utilization reviews Completes an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
California Licensed Clinical Appeals RN

California Licensed Clinical Appeals RN

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Appeals RN, fully remote, requiring 4 or 5 workdays per week with weekends required.Key Responsibilities Review medical records and verify if requested service...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
North Carolina RN Coordinator

North Carolina RN Coordinator

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for an RN Coordinator - Utilization Review Behavioral Health Remote PRN Days.Key Responsibilities Identify clinical, financial, and psychosocial needs of patients and guide t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Texas Licensed Clinical Review Nurse

Texas Licensed Clinical Review Nurse

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Review Nurse - Concurrent Review.Key Responsibilities Perform concurrent reviews to assess member health and appropriate level of care Review quality and cont...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Clinical Trials Associate

Clinical Trials Associate

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Trials Associate to manage clinical trials administration and support clinical research studies. Key Responsibilities Support Clinical Operations teams in compl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Certified Outpatient Coding Auditor

Certified Outpatient Coding Auditor

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time +1
A company is looking for a Facility Outpatient Coding Auditor (Full & Part-Time, Remote).Key Responsibilities : Perform internal audits on facility outpatient coding records to ensure accuracy and...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Maryland Licensed Clinical Appeals RN

Maryland Licensed Clinical Appeals RN

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Appeals RN to work on post-service appeals for Medicare-based claims remotely.Key Responsibilities : Review provider post-service appeals for Medicare and Retir...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
CPA Licensed Audit Manager

CPA Licensed Audit Manager

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for an Auditor - Manager (Healthcare).Key Responsibilities Deliver external assurance services and provide business advisory support to healthcare clients Lead teams and man...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Ohio Licensed Clinical Documentation Director

Ohio Licensed Clinical Documentation Director

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for an Associate Director, Clinical Documentation Integrity.Key Responsibilities Oversee the Clinical Documentation Improvement (CDI) program and manage the CDI team Provide...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Ohio Licensed Clinical Outcomes Manager

Ohio Licensed Clinical Outcomes Manager

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Outcomes Manager - Population Health.Key Responsibilities Conducts regular in-person and virtual rounds to provide status reports and insights to providers and...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Texas Licensed Clinical Genetics Reviewer

Texas Licensed Clinical Genetics Reviewer

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for Board Certified Physician Reviewers in Clinical Genetics with a Texas license.Key Responsibilities Evaluate medical records and provide clinical summaries Engage in peer...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Massachusetts Licensed Clinical Director

Massachusetts Licensed Clinical Director

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Registered Nurse - Clinical Director (remote).Key Responsibilities Oversee hiring and training of Registered Nurse Assessors Conduct retrospective quality reviews of c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Colorado Licensed Clinical Documentation Specialist RN

Colorado Licensed Clinical Documentation Specialist RN

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Documentation Specialist RN.Key Responsibilities Conducts concurrent reviews of clinical documentation in medical records to ensure compliance and accuracy for...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
RN Clinical Appeals Nurse

RN Clinical Appeals Nurse

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Appeals Nurse to manage clinical denials and appeals related to medical necessity and level of care. Key Responsibilities Manage and communicate clinical denial...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Indiana Licensed Clinical Supervisor RN

Indiana Licensed Clinical Supervisor RN

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Supervisor - RN - Full-time (Remote U.Key Responsibilities Lead and oversee all Utilization Management (UM) activities, ensuring accuracy and timely completion...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Iowa Licensed RN Case Manager

Iowa Licensed RN Case Manager

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for an RN Case Manager to provide comprehensive case management services remotely.Key Responsibilities : Provide telephonic case management and utilization review for assigned...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Healthcare Clinical Evaluator MD

Healthcare Clinical Evaluator MD

VirtualVocationsLaredo, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Part Time Healthcare Clinical Evaluator SME, MD Required.Key Responsibilities Review prior authorizations (PAs) under the EPSDT program to determine medical necessity ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days