Humana·5 days ago
5 days ago
Internal Audit – Nurse Auditor
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What you'll do
- serve as a clinical subject matter expert, supporting audit projects and consulting across healthcare operations
- evaluate operational processes and provide recommendations for process improvements
What they're looking for
- rn license
- clinical nursing background
- experience in healthcare quality assurance
Summarised by NextRaise from the employer’s description, which follows in full below.
Full description from employer
We are seeking an Internal Audit – Nurse Auditor to serve as a clinical subject matter expert, supporting audit projects and consulting across healthcare operations. The role involves evaluating operational processes and providing recommendations for process improvements. Ideal for candidates with strong clinical backgrounds and experience in healthcare quality assurance.
Skills
- rn license
- clinical nursing
- internal audit
- utilization management
- care management
- population health management
- healthcare operations
- regulatory compliance
- quality management
- risk assessment
- process improvement
- clinical documentation review
- internal controls evaluation
- cms regulations
- ncqa standards
- urac standards
- microsoft office suite
- report preparation
- stakeholder communication
- case management
- utilization review
- compliance monitoring
- healthcare administration
- audit planning
- audit reporting
Company
Humana
Nationwide, United States of America
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