Delegation Oversight Nurse Auditor - Compliance Leader
AltaMed Health Services Corporation
AltaMed Health Services Corp. in Montebello, CA is seeking a Nurse Auditor for Delegation Oversight to perform audits ensuring delegates meet health plan requirements and NCQA, federal, and state standards. The role involves advising on corrective actions and guiding delegates to compliant practices. The ideal candidate holds an active CA nursing license (RN or LVN), with 3+ years in managed care, 2+ years in utilization management, and BLS certification. #J-18808-Ljbffr AltaMed Health Services Corporation
$68.64k - $82.37k
...that drives us forward every day. Job Overview The Delegation Oversight Nurse Auditor is responsible for performing delegation oversight... ...instructional/coaching recommendations to improve overall compliance of delegates and sub-delegates with regulatory entities...SuggestedFull timeFlexible hours$68.64k - $82.37k
...calling that drives us forward every day. Job Overview The Delegation Oversight Nurse Auditor is responsible for performing delegation oversight... ...instructional/coaching recommendations to improve overall compliance of delegates and sub-delegates with regulatory entities...SuggestedLocal areaFlexible hours- ...staffing, assignments, and 12-hour shift operations while ensuring regulatory compliance and quality improvement. This role requires a CA RN license, BLS/ACLS/PALS, at least three years ED nursing, and leadership experience. #J-18808-Ljbffr Martin Luther King, Jr....SuggestedShift work
$98.2k - $214.6k
...system. As the Utilization Management Nurse Auditor, you will conduct concurrent and retrospective... ..., clinical documentation, payer compliance, and operational and financial performance... ...with clinical and operational leaders across the health system to support utilization...Suggested- ...Job Description Job Description Medication Compliance Nurse Auditor (LVN) Regional Skilled Nursing Facilities Reports to: Regional Clinical Director and COO About the Role We are seeking a detail-oriented Licensed Vocational Nurse (LVN) to join our regional...Suggested
$55 - $57 per hour
Overview Senior Health Plan Auditor. 3-Month Contract (... ...and claims processing compliance for specialty health... ...with client delegates. Review and update the... ...Department and Delegation Oversight for monitoring and reporting... ...Solugenix is a leader in IT services, delivering...Contract workWork at office- ...Job Description The Group Leader – Analytical Sciences provides... ..., and global regulatory compliance across the product lifecycle... ...strategic analytical chemistry oversight across the enterprise Strategic... ...management, effective delegation, and budget management ~ Excellent...Flexible hours
$88.85k
...days) to receive an alert: Financial Compliance Auditor III Claims Job Category: Accounting/Finance... ...for audits of claims processed by Delegated Participating Physician Groups (PPGs),... .... Conducts sub‑delegation claims oversight audits of the PPGs, capitated hospitals...Full time- Alhambra EP, LLC is seeking a Compliance & Regulatory Audit Manager to oversee regulatory compliance, audits, and delegated oversight across the IPA/MSO environment. You will manage health plan audits, DMHC audits, pre-delegation (Pre-Del) audits, QM audits, policy and...
- ...care for unaccompanied children (UC) while maintaining strict compliance with ORR, federal, and state mandates. Key Responsibilities... ...reviews for Medical Coordinators and Assistants. Clinical Oversight: Provide direct medical care, including health screenings,...Work at office
- Panda Restaurant Group is seeking a Sr. Lease Auditor in Rosemead, California, responsible for performing complex lease audits to ensure accurate billing. This role requires conducting 200+ desktop audits and 10-20 onsite audits annually, preparing detailed audit reports...
$115.44k - $148.15k
...leading health organization is seeking a Senior Manager for Claims Delegation Audit in Monterey Park, CA. The role involves management of Claims Delegation Audits, strategy development, and ensuring compliance with regulations for Medicare and Medicaid. Candidates should...- Tallis, LLC is seeking a detail-oriented Licensed Vocational Nurse (LVN) to join our regional team as a Medication Compliance Nurse Auditor (Pharmacy Nurse). Reporting to the COO and Regional Clinical Director, you will evaluate medication administration practices across...
- ...running effectively and efficiently and in compliance to all set standards, ensuring optimal... ...of simple (minor) equipment. Assign/delegate tasks to the right team members to ensure... ...Minimum 1 year of experience as a team leader, (school or workplace) a must Bilingual...Interim roleImmediate startShift work
- The Financial Compliance Auditor III Claims at L.A. Care Health Plan audits claims processed by delegated groups and contracted plans, ensuring compliance with federal and state regulations and contract terms. You will test and report on timeliness and accuracy, and mentor...Contract work
- ...and ensure superior customer service. You will manage inventory, safety compliance, and store conditions while driving sales and efficiency. This role requires strong leadership, operational oversight, and a focus on people development. The position involves P&L...Night shiftWeekend work
- Panda Restaurant Group is seeking a Scheduling Compliance Manager in California to oversee complex HR initiatives, focusing on Predictive... ...strong program governance, change management, and data-driven oversight to improve associate experience and drive business...
- ...Pharmacy Supervisor to oversee outpatient pharmacy services, ensure compliance with regulations, and manage a team of pharmacists and... ...of outpatient experience. Responsibilities include operational oversight, supporting staff development, and collaborating with clinical...Full time
- ...seeking a Grants Administrator I to support federal discretionary grant programs across pre-award and post-award activities, ensuring compliance and timely completion of requirements. You'll coordinate grant processes, develop guidance, and prepare reports while liaising...
- ...Dental Auditor The Dental Auditor ensures clinical quality, regulatory compliance. This role conducts clinical audits and reviews, identifies risks and trends, and partners with internal teams and providers to drive corrective actions and continuous improvement....Full timeWork at officeMonday to Friday
- Astrana Health Management is seeking a Sr. Internal Auditor in Alhambra, CA to handle SOX compliance, audit planning, and execution. This full-time role requires expertise in financial audits and strong communication skills. The ideal candidate will have 3+ years of experience...Full timeWork at office2 days per week3 days per week
- ...of our customers' supply chain and pharmacy operations team. Compliance with our customers' requirements is essential to our ability to... ...scrubs, and related protective gear when required. The auditor will physically count and document all related products, medications...
$101.8k - $208.2k
...Manager will be responsible for being a leader on IT General Controls/IT Audit, IT SOX,... ...expectations, evaluate the performance of staff IT auditors, provide feedback and participate in... ...for this role is 01/31/2027. In compliance with federal law, all persons hired will...Local areaWorldwide- UCLA Health is seeking an Utilization Management Nurse Auditor in Los Angeles to support clinical review, audit, and quality improvement... ...teams to strengthen medical necessity determinations and payer compliance. Strong data skills and Epic proficiency are essential. #J-1...
- University of California - Los Angeles Health is seeking an Utilization Management Nurse Auditor to provide clinical review, audits, and quality improvement support across the health system. You will conduct concurrent and retrospective reviews, support denials appeals,...
- Keck Medicine of USC in Los Angeles is seeking a Coding Compliance Auditor to perform 2nd level reviews of coded accounts, ensuring CPT, ICD-10-CM, and HCPCS accuracy with proper documentation support. You will generate audit reports, analytics, and education materials...
- Wilshire Law Firm in Los Angeles is seeking a Liens Auditor to review case files, assess lien status, verify trust balances, and ensure... ...the Lien team to improve workflows while maintaining IOLTA compliance. The role demands strong attention to detail, organizational skills...
$24.84 - $26.15 per hour
Career Opportunities with Volunteers of America Los Angeles A great place to work. Careers At Volunteers of America Los Angeles Current job opportunities are posted here as they become available. VOALA Helping Our Most Vulnerable Change Their Life Stories Volunteers of ...Hourly payContract workWork experience placementWork at officeLocal area- Wilshire Law Firm is seeking a Liens Auditor in Los Angeles to review and audit case files for lien status and trust balances, identifying discrepancies for timely resolution. You will maintain audit notes, support internal reviews, and collaborate with cross-functional...
$80k - $85k
...Specialist in Huntington Park, California. You will conduct clinical quality assurance reviews of mental health programs, ensuring compliance with regulations and standards, and provide training to staff. The ideal candidate possesses a Master's degree in counseling or...Full time
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