Qureos Mentor

Staffing Solutions Organization LLC (SSO)

Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, which is a reflection of our clients and the people they serve.
 
Provider Compliance Supervisor (RN Supervisor)
 Location: Illinois (Remote)
 
Position Overview
 The Provider Compliance Supervisor oversees a statewide team of Nurse Reviewers responsible for ensuring provider compliance, quality assurance, and timely completion of all project deliverables. This role requires strong clinical expertise, supervisory experience, and the ability to lead remote teams in a fast paced environment.
 
Duties & Responsibilities
 <ul>
<li>Supervise and manage a statewide team of Nurse Reviewers, including training, coaching, performance evaluations, and corrective action.</li>
<li>Ensure all reviews and work activities are completed within contractual timelines and meet quality standards.</li>
<li>Develop, implement, and maintain standard operating procedures (SOPs) for all project deliverables.</li>
<li>Conduct quality assurance reviews and provide feedback to improve accuracy and consistency.</li>
<li>Support completion of reviews and conduct on site provider visits as needed.</li>
<li>Utilize technology and web based systems to manage, track, and monitor all assigned work.</li>
<li>Monitor and reassign tasks to ensure efficient operations and timely on site coordination.</li>
<li>Maintain strict HIPAA compliance and confidentiality standards.</li>
<li>Perform other related duties as assigned.</li>
</ul>
Required Skills
 <ul>
<li>Strong critical thinking abilities with the capacity to synthesize complex information.</li>
<li>Excellent organizational and multitasking skills.</li>
<li>Strong interpersonal skills with the ability to relate to diverse populations and use professional customer relations techniques.</li>
<li>Effective active listening and interviewing skills.</li>
<li>Computer proficiency, including MS Word, Excel, Outlook, and web based applications.</li>
<li>Ability to foster collaboration across all levels of staff and leadership.</li>
<li>Ability to work independently in a remote environment and as part of a team.</li>
<li>Strong verbal and written communication skills.</li>
<li>Proficiency in basic math and data accuracy.</li>
<li>Ability to assess employee performance and provide targeted training.</li>
<li>Demonstrated sound decision making, attention to detail, initiative, and accountability.</li>
<li>Commitment to professional development for self and others.</li>
</ul>
Qualifications
 Education
 <ul>
<li>Bachelor’s degree in Nursing (BSN required)</li>
</ul>
Experience
 <ul>
<li>4+ years of experience working with:</li>
<li>Critical care providers, public health providers, or providers serving children, older adults, individuals with traumatic brain injury, or individuals with developmental disabilities.</li>
<li>2+ years of experience managing quality assurance activities such as provider monitoring, Medicaid/third party billing, or provider training.</li>
<li>2+ years of clinical experience in settings such as home health, community health, hospitals, private practice, long term care, mental health, community based programs, or programs serving special populations.</li>
</ul>
Certification
 <ul>
<li>Active Illinois Registered Professional Nurse (RN) license required.</li>
</ul>
Working Conditions
 <ul>
<li>Remote work with required on site visits within Illinois.</li>
</ul>
Supervisory Responsibility
 <ul>
<li>Responsible for supervising a statewide team of Nurse Reviewers.</li>
</ul>
Benefits (Through SSO)
 At SSO, we invest in your well being, financial stability, and long term growth.
 
Benefits include: 
<ul>
<li>Medical, dental, and vision insurance</li>
<li>401(k) with discretionary employer match</li>
<li>Paid time off and holidays</li>
<li>Flexible spending accounts</li>
<li>Additional employee perks</li>
</ul>
Compensation for roles at Staffing Solutions Organization LLC (SSO) varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience. As required by applicable law, SSO provides a reasonable range of compensation for this role. In addition, SSO provides a range of benefits for this role.
 
Applicants must be authorized to work in the U.S. This position is not eligible for work authorization sponsorship (including H-1B sponsorship) by SSO and under the federal laws relating to the F-1 STEM EAD program, this position is not eligible to support a STEM EAD extension application.
 
All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, marital status, age, national origin, protected veteran status, or disability. Staffing Solutions Organization LLC is an E-Verify participant.

Provider Compliance Supervisor

Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, which is a reflection of our clients and the people they serve.
 
Nurse Reviewer – Illinois
 Location: Remote with on site visits across Illinois
 
Position Overview
 The Nurse Reviewer conducts provider compliance reviews to ensure adherence to state regulations, quality standards, and program requirements. This role includes conducting onsite visits, evaluating documentation, and determining provider compliance. The Nurse Reviewer works independently, exercises sound judgment, and provides recommendations that guide provider improvement and support statewide oversight efforts.
 
Duties & Responsibilities
 <ul>
<li>Build and maintain effective relationships with providers and users to support high quality customer service.</li>
<li>Evaluate providers for compliance with applicable state and program regulations.</li>
<li>Coordinate and schedule on site provider visits; clearly communicate visit requirements.</li>
<li>Conduct compliance interviews with providers and gather all necessary information.</li>
<li>Review provider documentation, policies, and business practices for regulatory alignment.</li>
<li>Collect, organize, and submit documentation supporting compliance findings.</li>
<li>Utilize technology and web based systems to convert paper documentation to electronic format.</li>
<li>Conduct in person assessments of provider sites to evaluate compliance with oversight requirements.</li>
<li>Summarize on site visit findings accurately and professionally.</li>
<li>Exercise independent judgment to evaluate compliance and make final determinations based on documented evidence.</li>
<li>Identify deficiencies and recommend appropriate next steps to support provider improvement.</li>
<li>Analyze trends in non compliance and identify gaps in provider business processes.</li>
<li>Provide timely recommendations and updates to the Supervisor.</li>
<li>Maintain HIPAA standards and confidentiality at all times.</li>
<li>Perform other duties as assigned.</li>
</ul>
Required Skills
 <ul>
<li>Strong interpersonal skills with the ability to relate well to staff and providers.</li>
<li>Active listening and effective communication skills.</li>
<li>Proficiency in MS Word, Excel, Outlook, and web based applications.</li>
<li>Process oriented and results driven work approach.</li>
<li>Ability to foster teamwork and collaborate across levels of management and staff.</li>
<li>Ability to work independently and within a team environment.</li>
<li>Excellent written and verbal communication skills and customer service techniques.</li>
<li>High accuracy, strong attention to detail, and commitment to quality.</li>
<li>Proven ability to meet deadlines and follow strict standards.</li>
<li>Ability to travel regularly to provider sites across Illinois.</li>
</ul>
Qualifications
 Education
 <ul>
<li>Bachelor’s degree in any field (Nursing preferred)</li>
</ul>
Experience
 <ul>
<li>Minimum 2 years of clinical experience working with critical care providers, public health providers, or providers serving children, older adults, individuals with traumatic brain injury, or individuals with developmental disabilities.</li>
<li>Minimum 1 year of experience conducting quality assurance reviews.</li>
</ul>
Certification
 <ul>
<li>Active Illinois Registered Professional Nurse (RN) license required.</li>
</ul>
Working Conditions
 <ul>
<li>Remote work with 2–3 on site provider visits per week throughout the state of Illinois.</li>
</ul>
Benefits (Through SSO)
 SSO offers a competitive benefits package that supports your health, financial well being, and long term growth, including:
 <ul>
<li>Medical, dental, and vision insurance</li>
<li>401(k) with discretionary employer match</li>
<li>Paid time off and holidays</li>
<li>Flexible spending accounts</li>
<li>Additional employee perks</li>
</ul>
Keyword Search Terms
 Nurse Reviewer, RN Reviewer, Provider Management Specialist, Compliance Nurse, Healthcare Quality Review, Provider Compliance, Medicaid Compliance, Clinical Reviewer, Illinois RN, Site Visit Nurse, Healthcare Auditor, Public Health Nursing, QA Nurse, Provider Monitoring.
 
Compensation for roles at Staffing Solutions Organization LLC (SSO) varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience. As required by applicable law, SSO provides a reasonable range of compensation for this role. In addition, SSO provides a range of benefits for this role.
 
Applicants must be authorized to work in the U.S. This position is not eligible for work authorization sponsorship (including H-1B sponsorship) by SSO and under the federal laws relating to the F-1 STEM EAD program, this position is not eligible to support a STEM EAD extension application.
 
All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, marital status, age, national origin, protected veteran status, or disability. Staffing Solutions Organization LLC is an E-Verify participant.

Nurse Reviewer

Join Staffing Solutions Organization LLC (SSO) and explore 2   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Staffing Solutions Organization LLC (SSO)

About Company

Provider Compliance Supervisor

Nurse Reviewer