California Licensed Nurse Auditor
A company is looking for a Clinical Quality Assurance Nurse Auditor. Key Responsibilities Evaluate clinical information and write/review various reports related to medical records and billing Perform quality assurance reviews of peer reports and ensure compliance with client specifications and regulatory standards Assist in resolving customer complaints and quality assurance issues while promoting effective utilization of company resources Required Qualifications Bachelor's degree in nursing or related field, or a minimum of five years related experience Registered Nursing license required Acute Care experience in a hospital setting Strong knowledge of medical terminology, anatomy, physiology, and treatment protocols Experience in the insurance industry preferred
A company is looking for a Clinical Quality Assurance Nurse Auditor.
Key Responsibilities
Evaluate clinical information and write/review various reports related to medical records and billing
Perform quality assurance reviews of peer reports and ensure compliance with client specifications and regulatory standards
Assist in resolving customer complaints and quality assurance issues while promoting effective utilization of company resources
Required Qualifications
Bachelor's degree in nursing or related field, or a minimum of five years related experience
Registered Nursing license required
Acute Care experience in a hospital setting
Strong knowledge of medical terminology, anatomy, physiology, and treatment protocols
Experience in the insurance industry preferred
