Senior Compliance Nurse

Profile

Description

The Senior Compliance Nurse reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Senior Compliance Nurse work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Responsibilities

The Senior Compliance Nurse ensures mandatory reporting completed. Conducts and summarizes compliance audits. Collects and analyzes data daily, weekly, monthly or as needed to assess outcome and operational metrics for the team and individuals. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

Required Qualifications


Bachelor's degree
5 or more years of technical experience
Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action.
Must be passionate about contributing to an organization focused on continuously improving consumer experiences


Preferred Qualifications


EMR expertise (eCW preferred)
Exceptional interpersonal communication skills
Ability to work remotely with a high degree of autonomy yet function well within a larger team unit
Ability to juggle multiple priorities and projects successfully


Additional Information

Scheduled Weekly Hours

40

Company info

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