RN Risk & Quality Auditor — Data-Driven Compliance
Humana Inc
Humana Inc. is seeking a qualified RN to join CenterWell Utilization Management as Risk Management Professional 2, leading quality audits and ensuring CMS/NCQA compliance across UM services. The role emphasizes audit accuracy, data analysis, and identifying risks, with Power BI dashboards and Power Apps workflows to support reporting and monitoring. You will translate findings into insights for leadership, support audit readiness, and collaborate across clinical, operational, and compliance #J-18808-Ljbffr Humana Inc
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the RN Risk & Quality Auditor — Data-Driven Compliance in Oklahoma City, OK vacancy
- ...key member of the Quality Management team, leading... .... This role blends data analysis, staff... ...outbreaks Leading risk assessments and recommending... ...compliance with CDC, CMS, Joint... ...improvement through data‑driven strategies Collaborating... ...Licensed RN in the state of Oklahoma...DataRiskTemporary work
- ...Campus, is seeking a Director of Quality/Risk Management to join our team!... ...with all regulatory, compliance, accreditation, and legal issues... ...Experience in interpretation of raw data and comparative analysis,... .... Our world‑class team of driven, passionate healthcare professionals...DataRiskWork experience placement
- ...environment where quality care meets exceptional... .... This role blends data analysis, staff... ...outbreaks Leading risk assessments and recommending... ...Ensuring compliance with CDC, CMS, Joint... ...improvement through data-driven strategies... ...Qualifications Licensed RN in the state of...DataRiskTemporary work
$1,783 - $1,897 per week
...is seeking a skilled Stepdown RN for a 12-week travel assignment... ...Current Valid RN license in compliance with state regulations Current... ...signs, and other telemetry data to detect abnormalities and respond... ..., focusing on cardiac health, risk factors, and lifestyle...DataRiskTemporary workShift workNight shiftFusion Medical Staffing
Oklahoma City, OK2 days ago- ...Overview The Quality Assurance Specialist will lead the bank's efforts to mitigate risk related to consumer and commercial lending functions... ...continually meet quality, compliance, and service standards. Work... ...to ensure HMDA and CRA data integrity, and Fair Lending,...DataRisk
Sovereign Bank
Oklahoma City, OK1 day ago - ...assumes accountability for quality patient outcomes;... ...Current registered nurse (RN) license in state of... ...interdisciplinary team. Uses data, information and... ...and complies with its Compliance & Privacy Program and Standards... ...may be an occupational risk for exposure to all...DataRiskWork experience placementImmediate start
- ...through a whole‑person, data‑driven approach. Our mission... ...proactively to reduce risk, prevent escalation, and... ...record (EHR) Participate in quality improvement initiatives... ...requirements Maintain compliance with all clinical,... ...Certification Active, unrestricted RN license Compact (NLC)...DataRiskRemote workHome office
Advanced Monitored Caregiving Inc.
Oklahoma City, OK2 days ago - ...team as a day shift, full‑time RN Supervisor Quality & Safety at INTEGRIS Health... ...Improvement Program, Risk Management, Physician Quality... ...Collect performance improvement data. Review all equipment‑related... ...interviews to validate compliance with policies and procedures...DataRiskFull timeCasual workWork at officeDay shift
$2,100 per week
...is seeking a skilled Stepdown RN for a 13‑week travel assignment... ...Current valid RN license in compliance with state regulations Current... ...vital signs, and other telemetry data to detect abnormalities and... ..., focusing on cardiac health, risk factors, and lifestyle modifications...DataRiskTemporary work- ...Certifications Required - Current RN License in the state of... ...skills and dexterity required for data entry and retrieval of... ...related duties as required. Compliance and Regulatory Responsibilities... ...There may be an occupational risk for exposure to communicable diseases...DataRiskWork experience placementLocal areaImmediate startRelocation package
- ...assumes accountability for quality patient outcomes;... ...Current registered nurse (RN) license in the state... ...interdisciplinary team. Uses data, information and... ...responsibility and ensures compliance with all such laws,... ...There may be occupational risk for exposure to...DataRiskWork experience placementLocal areaImmediate start
- ...years related experience with RN Diploma or RN Associate... ...and dexterity required for data entry and retrieval of required... ...growth. Ensures compliance and participates in quality initiatives. Other duties... ...incumbent has an occupational risk for exposure to all communicable...DataRiskWork experience placement
- ...assumes accountability for quality patient outcomes;... ...Current registered nurse (RN) license in state of... ...interdisciplinary team. Uses data, information and... ...responsibility and ensures compliance with all such laws,... ...may involve occupational risk for exposure to communicable...DataRiskFull timeWork experience placementLocal areaImmediate start
- ...interdisciplinary team. Uses data, information, and knowledge to... ...of responsibility and ensures compliance with all such laws, regulations... ...- Current registered nurse (RN) license in state of practice.... ...There may be an occupational risk for exposure to communicable diseases...DataRiskPart timeWork experience placementLocal areaImmediate startNight shift
- ...Standards of Practice. The RN effectively delegates,... ...accountability for quality patient outcomes; exhibits... ...dexterity required for data entry and retrieval of... ...Ochsner Health System Compliance & Privacy Program and Standards... ...may be an occupational risk for exposure to...DataRiskWork experience placementImmediate startRelocation packageNight shift
- ...Assumes accountability for quality patient outcomes,... ...Current registered nurse (RN) license in state of... ...interdisciplinary team. Uses data, information, and... ...responsibility and ensures compliance with all such laws,... ...incumbent has an occupational risk for exposure to all...DataRiskPart timeWork experience placementLocal areaImmediate start
- ...assumes accountability for quality patient outcomes;... ...Current registered nurse (RN) license in state of... ...interdisciplinary team. Uses data, information, and... ...responsibility and ensures compliance with all such laws,... ...may be an occupational risk for exposure to communicable...DataRiskWork experience placementLocal areaImmediate startNight shift
$43.03 - $62.5 per hour
Position Summary The RN Appeal Administrator will be responsible... ...denial trends, and reports data on return on investment to the... ...knowledge to reduce financial risk caused by concurrent and retrospective... ...complex patient billing and compliance information. Compensation...DataRiskHourly payFlexible hours- ...trending and analysis of clinical quality issues and in a collaborative... ...and dexterity required for data entry and retrieval of patient... ...of responsibility and ensures compliance with all such laws, regulations... ...incumbent has no occupational risk for exposure to communicable...DataRiskLocal area
- ...assumes accountability for quality patient outcomes;... ...interdisciplinary team. Uses data, information, and... ...Current registered nurse (RN) license in state of... ...body fluids and tissue; risk of communicable diseases... ...medications and waste. Legal and Compliance The employer maintains...DataRiskWeekend work
- ...in Oklahoma City is seeking a Quality Assurance Specialist to lead efforts in mitigating risk related to consumer and commercial... .... The role involves ensuring compliance with quality standards, executing... ...with banking software and data analysis. A Bachelor's degree in...DataRisk
- ...Standards of Practice. The RN effectively delegates,... ...accountability for quality patient outcomes; exhibits... ...dexterity required for data entry and retrieval of... ...and ensure compliance with all such laws, regulations... ...There is an occupational risk for exposure to communicable...DataRiskWork experience placementLocal areaImmediate startNight shift
$115k - $155k
...eager to deliver high-quality care across both medical... ...serve patients in our High Risk Advanced Behavioral... ...Documentation, Quality, and Compliance Ensure accurate and... ...systems—including AI‑driven solutions—that support... ...technology, leveraging data‑driven platforms, electronic...DataRiskFull timeWork from homeFlexible hoursShift work$115k - $155k
...needs by performing timely risk assessments, safety planning... ...Diagnosis and Documentation, Quality, and Compliance Ensure accurate and appropriate... ...systems and technology‑driven workflow enhancements Demonstrates... ...information about how your data is processed, please contact...DataRiskFull timeFlexible hoursShift work$69.5k - $101k
...considered to be the highest risk members those who are homeless... ...patient knowledge, motivation, and compliance with treatment through... ...use of assessments, real‑time data, motivational interviewing techniques... ...1997, WellSense provides high‑quality health plans and services that...DataRiskFull timeTemporary workWork experience placementWork at officeHome officeFlexible hours$84.14k - $126.21k
...Manager - Nursing Field (RN CM) will ensure that all members... ...a care plan which ensures quality medical care for the... ...present (as appropriate) high risk members at... .... Regard for confidential data and adherence to corporate compliance policy. Working Conditions...DataRiskWork at officeRemote work- ...pharmacovigilance activities, ensuring compliance with all regulatory... ...who can ensure high-quality, timely submissions to regulatory... ..., including core data sheets, labeling, and risk management plans, are essential... ...in a high-growth, science-driven environment....DataRisk
Confidential
Oklahoma City, OK5 days ago $84.14k - $126.21k
...dedicated to delivering high-quality, affordable healthcare.... ...Manager - Nursing Field (RN CM) will ensure that all members... ...(as appropriate) high risk members at... ...Regard for confidential data and adherence to corporate compliance policy Working Conditions...DataRiskWork at officeRemote work$198k - $368k
...industries. Our growth is driven by delivering real... ...our communities. With qualities like those, it's no wonder... ...seeking a Director, Security Compliance to join our Digital... ...-level knowledge of risk, compliance, and information... ...complex technical data and convey it to non-technical...DataRiskTemporary workH1bLocal areaKPMG
Oklahoma City, OK2 days ago$2,100 per week
...Nursing is seeking a travel nurse RN PCU - Progressive Care Unit... ...Current Valid RN license in compliance with state regulations Current... ...signs, and other telemetry data to detect abnormalities and respond... ..., focusing on cardiac health, risk factors, and lifestyle...DataRiskWeekly payTemporary workFor contractorsShift workFusion Medical Staffing-Nursing
Oklahoma City, OK3 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN Risk & Quality Auditor — Data-Driven Compliance. Be the first to apply!
Related searches
- rn manager Oklahoma City, OK
- icu rn Oklahoma City, OK
- part time clinic rn Oklahoma City, OK
- clinic registered nurse rn Oklahoma City, OK
- prn rn Oklahoma City, OK
- registered nurse office Oklahoma City, OK
- fema rn Oklahoma City, OK
- aesthetic rn Oklahoma City, OK
- rn case manager Oklahoma City, OK
- new grad rn work from home Oklahoma City, OK