RN II - Delegation Oversight & Compliance Auditor
L.A. Care Health Plan
L.A. Care Health Plan is seeking a Delegation Oversight Clinical Auditor RN II in Los Angeles, California. The role involves ensuring compliance with Utilization Management regulations and performing various audits. Applicants must possess an Associate's Degree in Nursing and be a licensed RN in California, along with at least 7 years of clinical experience, including managed care. The position comes with a competitive salary range and a comprehensive benefits package including paid time off, tuition reimbursement, and wellness programs. #J-18808-Ljbffr
$88.85k
...Delegation Oversight Clinical Auditor RN II Job Category: Clinical Department: Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $88,854.00 (Min.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent...SuggestedFull time- Working Nurse is hiring for the RN Job: Delegation Oversight Clinical Auditor RN II in Los Angeles. This full-time position focuses on ensuring compliance with Utilization Management regulatory requirements through audits and liaisons between Plan Partners and L.A. Care...SuggestedFull time
$88.85k
RN Job: Delegation Oversight Clinical Auditor RN II Shift: Full Time Pay Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Job ID: 130... ...(UM) functions on behalf of L.A. Care (LAC) are in compliance with all UM regulatory requirements and new legislation...SuggestedFull timeShift work- ...leading healthcare organization is seeking an Appeals and Grievances Quality Assurance and Auditing Specialist II to oversee audit processes and ensure compliance with regulatory guidelines. This full-time position in Los Angeles emphasizes quality review and improvement...SuggestedFull time
- ...Working Nurse is seeking a Utilization Management Claims Review Nurse RN II in Los Angeles. This full-time position involves clinical review of medical claims to ensure services are warranted and compliant with regulations. The ideal candidate will have at least 5 years...SuggestedFull time
$30 - $33 per hour
...Title: Auditor II Location: Los Angeles CA, Jersey City, NJ, Charlotte, NC, or Dallas, TX Duration: 6+ month contract... ...Authorized to Work in the US. The Auditor II- Consumer Compliance position is a key role responsible for contributing to compliance...Permanent employmentContract workLocal areaFlexible hours$90k - $100k
...organizational processes and management systems for compliance with applicable ISO requirements... ...steps toward independent thirdparty auditor status Your Qualifications ~ Bachelor... ...in the implementation, maintenance, or oversight of ISO-based management systems...Permanent employmentFull timeContract workFreelanceLocal area- A leading health coverage provider in Los Angeles is seeking a Customer Engagement and Experience Quality Assurance Auditor II to monitor quality performance in the Contact Center. This role involves auditing processes, creating performance reports, and recommending improvements...Full time
- ...Working Nurse in Los Angeles is seeking a Clinical Policy Clinical Coder RN II to ensure accurate medical coding and compliance with regulations. The role requires collaboration with stakeholders to implement policies and oversee utilization management. The ideal candidate...Full timeShift work
$88.85k - $142.17k
...L.A. Care Health Plan is seeking a Clinical Policy Nurse RN II in Los Angeles, CA. This position involves researching and evaluating healthcare policies related to regulatory compliance and health outcomes. The ideal candidate will have over 5 years in Clinical Nursing...Full time$4,470 - $5,330 per month
...Working Title: Staff Services Management Auditor Classification: STAFF SERVICES... ...funds. This division conducts financial and compliance audits of state and local government agencies... ...Maintenance and Rehabilitation; Local Oversight - Underground Storage Tanks; Peace Officer...Permanent employmentFull timeWork at officeLocal areaRemote work- ...Description Summary An Infusion Nurse II is a licensed registered nurse... ...safety with continuity and compliance under a physician’s plan of... .... Effectively provides oversight and coordination of paraprofessionals... ...Active and unrestricted RN license in the state of practice...Local areaFlexible hours
$44.67 - $74.44 per hour
...hours per week. An Infusion Nurse II is a licensed registered nurse... ...safety, continuity and compliance under a physician’s plan of care... ...alternate care settings. Provide oversight and coordination of... ...Qualifications Active and unrestricted RN license in the state of practice...Hourly payDaily paidLocal areaMonday to Friday10 hours per weekWeekend work- ...Description Summary An Infusion Nurse II is a licensed registered nurse... ...safety with continuity and compliance under a physician’s plan of... .... Effectively provides oversight and coordination of paraprofessionals... ...Active and unrestricted RN license in the state of practice...Local areaFlexible hours
$125k - $140k
...Sr. Manager - Claims Delegation Audit Department: Ops - Claims Ops Employment Type... ...Senior Claims Manager, Claims Delegation Oversight, is responsible for the management and... ...of the claims process and ensure compliance with regulations and contract requirements...Full timeContract workWork at office$45.16 - $66.4 per hour
...New Grad RN II-ER/FT/Nights Job Category: Registered Nurse Requisition Number: NEWGR... ...teaching and provides leadership by delegating and working cooperatively and collaboratively... ...rights policy; complies with the compliance program; demonstrates knowledge of role...Hourly payFull timeRelocation packageShift workNight shiftWeekend work$24 - $28 per hour
...Credentialing Specialist, Internal Auditor Primary responsibility involves auditing credentialing files after internal and Gemini processing... ...the initial, recredentialing and expirable processes for all delegated providers including allied health professional staff Enters...Hourly payWork at office$115.44k - $148.15k
Sr. Manager - Claims Delegation Audit Department: Ops - Claims Ops Employment Type: Full... ...Senior Claims Manager, Claims Delegation Oversight, is responsible for the management and... ...of the claims process and ensure compliance with regulations and contract requirements...Full timeContract workWork at office- ...Mattel is seeking a Senior Internal Auditor to support the company’s Sarbanes-Oxley (SOX) compliance program. You will conduct SOX control testing, assess effectiveness of controls, and work closely with global audit teams. Candidates should have a bachelor’s degree in...
- ...SOX Compliance Auditor (Testing) Execute SOX key control testing for the Internal Controls / SOX Compliance program. Bachelor's degree in Accounting, Finance, or a related field. 5-6 years of experience in SOX compliance and internal audit, including key control...Temporary work
- ...About the Role We are seeking an experienced SOX Compliance Auditor to support the Internal Controls and SOX Compliance program for a leading media and entertainment organization. This role is responsible for independently executing SOX key control testing, evaluating...Worldwide
- ...MW Partners is currently seeking a MW Partners is currently seeking a SOX Compliance Auditor to work for our client who is a global leader in the media and entertainment industry. Responsibilities and duties : Responsibilities include independently...
$82 per hour
...SOX Compliance Auditor PMOUNTJP00001130 * Hourly pay: $82/hr * Worksite: Leading digital streaming network (Hollywood, CA 90028 - Onsite) * W2 Employment * 40 hours/week, 1 Month Assignment A leading digital streaming network seeks an SOX Compliance...Hourly payFlexible hoursShift work$30 - $33 per hour
...Pasadena, CA, has an immediate need for temporary-to-hire Payroll Auditor. Role is on-site and only local applicants will be considered.... ...thorough audits and review of payroll records to ensure compliance with wage and hour laws, and benefits administration Validate...Hourly payTemporary workLocal areaImmediate start- ...Report (SAR) form and narrative once it has been approved by the Compliance Officer. Ensure all SAR filings are e-filed via the BSA... ...files of all BSA transmissions and documents required by IRS auditors readily available. Assist the Cage and Floor Personnel with...Work experience placement
- ...Inspyr Solutions is seeking an Auditor III for a fully remote position. The role involves assessing controls in audits, ensuring compliance with regulations, and working on various financial and operational audits. Applicants should have a degree from an accredited university...Contract workRemote work
- ...Cedars-Sinai in Los Angeles is seeking a Claims Auditor responsible for ensuring the accuracy of claims processing based on department... ...processing and 5 years of audit experience, with a focus on compliance with state and federal regulations. Join a dynamic and inclusive...
- MedPOINT Management is seeking a Hospital Claims Auditor responsible for ensuring the quality of claims processes and compliance with health plan and hospital regulations. The role involves auditing claims, conducting training, and suggesting process improvements. Candidates...Remote work
- ...integrity and validation of the coded information for external and internal affairs. This position typically reports to the Coding Compliance Manager. Minimum Qualifications Education: High school diploma or GED, required. Licenses/Certifications: Inpatient – Registered...
- ...of our customers' supply chain and pharmacy operations team. Compliance with our customers' requirements is essential to our ability to... ...provide scrubs, and related protective gear when required. The auditor will physically count and document all related products,...
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