compliance nurse

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.
 
Nurse Reviewer – State of Illinois
 Location: Remote with on site visits across Illinois
 We are currently seeking Nurses who reside in Central Illinois - preferably in McLean and Sangamon Counties.
 
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
 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>
Education
 <ul>
<li>Bachelor’s degree preferred</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

Entera Healthcare

Job Title: Home Health Registered Nurse (RN) &ndash; Clinical Administration, Compliance &amp; Training ADON Company: Entera Healthcare Location: Illinois Job Type: Full‑Time | Hybrid (Administrative + Field Support)MUST HAVE HOME HEALTH COMPLIANCE AND MANAGMENT EXPERIENCEPosition OverviewEntera Healthcare is seeking an experienced Home Health Registered Nurse (RN) to support clinical administration, regulatory compliance, and staff training, with the ability to perform patient visits as needed. This role is designed for a senior RN who brings strong regulatory knowledge, leadership capability, and hands‑on home health experience.This position plays a critical role in maintaining clinical quality, compliance, and operational excellence.Key ResponsibilitiesClinical Administration &amp; Compliance<ul><li>Ensure compliance with Medicare Conditions of Participation and state regulations</li><li>Conduct clinical chart audits for accuracy, timeliness, and regulatory adherence</li><li>Support agency readiness for surveys, audits, and corrective action plans</li><li>Assist in maintaining clinical policies, procedures, and standards of care</li><li>Identify opportunities for quality improvement and risk mitigation</li></ul>Training &amp; Clinical Support<ul><li>Lead onboarding and training for nursing staff, including:</li><li>Documentation standards</li><li>OASIS requirements</li><li>Clinical workflows and compliance expectations</li><li>Provide ongoing education, coaching, and clinical guidance to field staff</li><li>Serve as a clinical resource for nurses regarding patient care and documentation</li></ul>Patient Care (As Needed)<ul><li>Perform home health visits as required, including:</li><li>Start of Care (SOC)</li><li>Recertification visits</li><li>Skilled and routine nursing visits</li><li>Ensure care is delivered in accordance with physician orders and care plans</li></ul>Qualifications<ul><li>Active Registered Nurse (RN) license in Illinois</li><li>Minimum 5 years of home health nursing experience</li><li>Strong knowledge of OASIS, Medicare guidelines, and home health compliance</li><li>Experience in training, precepting, or clinical oversight QAPI</li><li>Excellent organizational, communication, and leadership skills</li><li>Valid driver&rsquo;s license and reliable transportation</li></ul>Why Join Entera Healthcare<ul><li>Stable, leadership‑focused clinical role</li><li>Opportunity to influence quality, compliance, and staff development</li><li>Supportive leadership and collaborative environment</li><li>Long‑term growth opportunity</li></ul>Pay: $85,000.00 - $105,000.00 per yearBenefits:<ul><li>Dental insurance</li><li>Health insurance</li><li>Vision insurance</li></ul>Experience:<ul><li>Home health: 3 years (Required)</li><li>Compliance management: 3 years (Required)</li><li>home visit: 5 years (Required)</li></ul>Work Location: Hybrid remote in Rosemont, IL 60018

Home Health Registered Nurse (RN) – Clinical Administration, Compliance & Training ADON

Developmental Disabilities Ministries

<div>Job Summary:
The Developmental Disability Nurse &ndash; Oversight provides clinical oversight and monitoring to ensure that individuals with intellectual and developmental disabilities receive quality, person-centered health services in compliance with Centers for Medicare &amp; Medicaid Services (CMS) guidelines and Department of Behavioral Health and Developmental Disabilities (DBHDD) standards. This role ensures that nursing and healthcare services delivered by providers align with regulatory expectations for safety, documentation, care coordination, and clinical best practices.
Key Responsibilities:<ul><li>
Conduct oversight visits to group homes, and other service sites to assess compliance with DBHDD and CMS standards for nursing care and health services.</li><li>
Monitor and review health-related documentation, including Health Risk Screening Tools (HRST), Individual Service Plans (ISPs), medication administration records (MARs), incident reports, and nursing care plans.</li><li>
Write a care plan that addresses ROB (Risk, Obstacles, and Barriers)</li><li>
Provide clinical assessments and make recommendations to improve care delivery and mitigate risks to individuals served.</li><li>
Ensure implementation of person-centered planning and health services coordination.</li><li>
Participate in mortality reviews, incident investigations, and quality assurance activities as required.</li><li>
Collaborate to develop and monitor corrective action plans (CAPs) when deficiencies are identified.</li><li>
Educate staff on nursing best practices, state and federal requirements, and changes in policy related to health oversight.</li><li>
Act as a liaison between healthcare professionals, and family members.</li><li>
Maintain accurate and timely oversight documentation in accordance with agency protocols.</li><li>
Stay current with CMS, DBHDD, and state regulations affecting developmental disability nursing care.</li></ul>
Qualifications:
Education and Licensure:<ul><li>
Registered Nurse (RN) licensed in the state of Georgia.</li><li>
Bachelor's Degree in Nursing (BSN) preferred; Associate&rsquo;s degree accepted with relevant experience.</li><li>
HRST Clinical Reviewer Certification (or willingness to obtain).</li></ul>
Experience:<ul><li>
Minimum of 3 years of nursing experience, including 2 years working with individuals with intellectual and/or developmental disabilities.</li><li>
Experience with Medicaid waiver services and familiarity with CMS oversight requirements.</li><li>
Prior experience in clinical quality assurance, case management, or regulatory compliance preferred.</li></ul>
Skills and Competencies:<ul><li>
Strong clinical judgment and knowledge of chronic disease management in IDD populations.</li><li>
Familiarity with CMS Quality Indicators and DBHDD Quality Management Systems.</li><li>
Excellent written and verbal communication skills.</li><li>
Ability to work independently and manage multiple oversight activities simultaneously.</li><li>
Proficiency in using electronic health records (EHR) and Microsoft Office Suite.</li></ul>
Working Conditions:<ul><li>
Frequent travel within assigned regions for onsite visits.</li><li>
Flexible work schedule may be required to accommodate operations.</li><li>
Remote documentation and administrative work may be allowed in accordance with agency policy.</li><li>
Monthly Assessments.</li></ul></div>

Part Time Agency Nurse

Saint Michael's Hospice

<div>Position Description: Saint Michael's Hospice is a small, family-owned and operated hospice that started a year ago. Were looking for an experienced Corporate Compliance Nurse who shares our heart for compassionate, patient-centered end-of-life care. This role is ideal for someone who enjoys working closely with patients and families and wants to help shape a growing hospice from the beginning.<div></div><div> 
What Youll Do:
</div><ul><li>Provide hands-on clinical care and oversight
</li><li>Support and guide the clinical care team
</li><li>Participate in care planning and interdisciplinary meetings
</li><li>Ensure quality care, compliance, and thoughtful documentation
</li><li>Be a trusted resource for patients, families, and staff
</li></ul><div>What Were Looking For:
</div><ul><li>Active RN license (as applicable)
</li><li>3+ years of hospice or palliative care experience
</li><li>Strong clinical judgment and compassionate communication
</li><li>Comfortable in a small, start-up environment
</li></ul><div>Why Join Us:
</div><ul><li>Family-oriented, supportive culture
</li><li>Opportunity to help build something meaningful
</li><li>Flexible scheduling
</li><li>Competitive pay based on experience
</li></ul><div>Apply Today:
</div><div>Send your resume and a short note about your hospice experience.</div></div><div></div>

Nurse Manager

Sinai Chicago

Job Description: 
The Clinical Nurse Coordinator role on the Inpatient Nursing Units is a critical position designed to assist
 the Nurse Manager/Director in providing administrative and critical leadership; presents self as a dedicated
 healthcare professional, patient advocate, mentor, clinical resource, and leader.
 
The Clinical Nurse
 Coordinator role is essential in improving the patient experience on the units as well as elevating quality of
 care delivery and patient safety. Under the direction of the Nurse Manager/Director, assists with orientation
 and training for new employees, ensures compliance with all regulatory agencies by enforcing policy and
 procedures, and improves patient throughput. In the absence or at the direction of the Nurse
 Manager/Director, the Clinical Nurse Coordinator will maintain the operational and clinical aspects of the
 unit. Responsibilities include, but are not limited to staff management and development, appropriate
 staffing, patient flow/throughput, quality, patient safety and patient experience. The Clinical Nurse
 Coordinator is expected to communicate and collaborate with patients, families, physicians and all other
 healthcare professional to meet optimum outcomes
 
Location: SHS · MSH MSH NR LDR
 Schedule: Full Time, Nights, varies

CLINICAL NURSE COORDINATOR - L&D

Romeo Staffing Agency

Job Title: Quality Assurance Registered Nurse (QA Registered Nurse) Location: PECHS, Karachi. (Bank of Punjab Street) Timings: 6:00 PM &ndash; 3:00 AM (Monday to Friday) Job Type: Full-Time Company: Romeo Staffing Agency (RSA)About the CompanyRomeo Staffing Agency (RSA) provides healthcare staffing and compliance support to U.S.-based home health and hospice organizations. Our Karachi office operates as a back-office support hub, specializing in clinical documentation, quality assurance, HR, and administrative services. We pride ourselves on a structured work environment, strong team collaboration, and partnerships with leading healthcare providers in the United States.Position OverviewWe are looking for a detail-oriented and motivated Quality Assurance Registered Nurse (QA Registered Nurse) to join our growing QA and compliance team. In this role, you will be responsible for reviewing clinical documentation submitted by U.S.-based field clinicians, ensuring accuracy, completeness, and compliance with regulatory and agency standards.Key Responsibilities<ul><li>Review skilled nursing notes, OASIS assessments, and visit documentation for accuracy and completeness.</li><li>Identify documentation gaps, inconsistencies, and errors, and coordinate corrections with relevant teams.</li><li>Ensure all documentation meets medical necessity criteria and compliance standards (including CMS guidelines).</li><li>Maintain accurate documentation logs and generate QA reports.</li><li>Support quality improvement initiatives and participate in internal training sessions.</li><li>Collaborate with U.S.-based clinical and administrative teams to maintain documentation excellence.</li></ul>Requirements<ul><li>Bachelor of Science in Nursing (BSN/BScN) with a valid Pakistan Nursing Council (PNC) license.</li><li>Minimum 1 year of experience in nursing, quality assurance, or medical documentation.</li><li>Familiarity with U.S. home health or hospice documentation standards is a plus.</li><li>Strong English communication skills (written and verbal).</li><li>Excellent attention to detail and organizational skills.</li><li>Proficiency in MS Word, Excel, and EMR systems.</li><li>Willingness to work night shifts to align with U.S. operations.</li></ul>Why Join RSA?<ul><li>Exposure to U.S.-based healthcare systems and standards.</li><li>Professional growth and skill development opportunities.</li><li>Structured and supportive work environment.</li><li>Competitive salary package.</li></ul>Additional Requirements<ul><li>Ability to reliably commute to PECHS, Karachi or relocate before joining.</li></ul>Work LocationOn-site (Karachi)Job Type: Full-timePay: Rs80,000.00 - Rs110,000.00 per monthWork Location: In person

Quality Assurance Registered Nurse

Parkland Health

<div>Location: New Parkland Hospital 
 
Advanced Practice Provider Hospitalist- Fellow 
 
Primary Purpose 
 
The fellowship, a 12-month intensive training program, will provide opportunities for both new graduates and experienced Advanced Practice Providers to gain specialized knowledge and develop advanced skill sets necessary to provide optimal patient care in the service area of their program.
 
 
Minimum Specifications 
 
Education 
 
Physician Assistant 
<ul><li>
Bachelor's degree from an accredited college or university and successful completion of an accredited Physician Assistant Program recognized by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or its predecessors.</li></ul> 

Advanced Practice Registered Nurse 
<ul><li>
Master's degree in nursing accredited through the Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for Education in Nursing, Inc. (ACEN).</li></ul> 

Experience 
<ul><li>
None required
</li></ul> 
Equivalent Education and/or Experience 
<ul><li>
None</li></ul> 

Certification/Registration/Licensure 
 
Must have a current healthcare provider BLS for Healthcare Providers certification from one of the following 
<ul><li>
American Heart Association</li><li>
American Red Cross</li><li>
Military Training Network</li></ul> 

Must meet and maintain licensing and registration requirements as delineated by the Medical Staff Bylaws, Medical Staff Rules and Regulations, and Credentialing Policies/Procedures, if any. 
 
Physician Assistant 
<ul><li>
Current, valid Physician Assistant licensure from the Texas Board of Physician Assistants.</li><li>
Current certification as a Physician Assistant by the National Commission on Certification of Physician Assistants.</li></ul> 

Advanced Practice Registered Nurse (Nurse Practitioner) 
<ul><li>
Current RN licensure from the Texas Board of Nursing; or, valid Compact RN license.</li><li>
Current licensure from the Texas Board of Nursing as an Advanced Practice Registered Nurse (APRN) with authorization to practice as a Family, Adult, Gerontology, Adult-Gerontology, Adult-Gerontology Acute Care, Acute Care, Pediatric, Pediatric Acute Care, Psychiatric Mental Health, or Women's Health Nurse Practitioner.</li></ul> 

Must have an active certification as a Nurse Practitioner by one of the following 
<ul><li>
Family Nurse Practitioner (FNP) by American Nurses Credentialing Center (ANCC) or American Academy of Nurse Practitioners Certification Program (AANPCP)</li><li>
Adult Nurse Practitioner (ANP) by ANCC or AANPCP</li><li>
Gerontology Nurse Practitioner (GNP) by ANCC or AANPCP</li><li>
Adult-Gerontology-Primary Care Nurse Practitioner by ANCC or AANPCP</li><li>
Adult-Gerontology-Acute Care Nurse Practitioner by ANCC or American Association of Critical-Care Nurses Certification Corporation (AACNCC)</li><li>
Acute Care Nurse Practitioner (ACNP) by ANCC or AACNCC</li><li>
Pediatric Nurse Practitioner - Primary Care (PNP-PC or PPCNP) by Pediatric Nursing Certification Board (PNCB) or ANCC</li><li>
Pediatric Nurse Practitioner - Acute Care (PNP-AC) by PNCB</li><li>
Psychiatric Mental Health Nurse Practitioner (PMHNP) by ANCC</li><li>
Women's Health Nurse Practitioner (WHCNP) by the National Certification Corporation.</li></ul> 

Advanced Practice Registered Nurse (Certified Nurse Midwife) 
<ul><li>
Current RN licensure from the Texas Board of Nursing; or, valid Compact RN license.</li><li>
Current licensure as an Advanced Practice Registered Nurse (APRN) with authorization to practice as a Nurse Midwife by the Texas Board of Nursing.</li><li>
Must have active certification as a Certified Nurse Midwife (CNM) by the American Midwifery Certification Board (AMCB) or its predecessor.</li></ul> 

Advanced Practice Registered Nurse (Clinical Nurse Specialist) 
<ul><li>
Current RN licensure from the Texas Board of Nursing; or, valid Compact RN license.</li><li>
Current licensure from the Texas Board of Nursing as an Advanced Practice Registered Nurse (APRN) with authorization to practice as a Clinical Nurse Specialist.</li></ul> 

Must have an active certification as described below by one of the following 
<ul><li>
Adult Clinical Nurse Specialist (CNS) by ANCC or AACNCC</li><li>
Psychiatric Mental Health Clinical Nurse Specialist (CNS) by ANCC or AACNCC</li></ul> 

Skills or Special Abilities 
<ul><li>
Provides care to assigned patient population in accordance with the current State of Texas Nurse Practice Act and/or Texas Medical Board Rules, as applicable to licensure, established protocols, multidisciplinary plan of care, and clinical area-specific standards.</li><li>
Must have effective verbal and written communication skills.</li><li>
Must demonstrate knowledge of Parkland policies, structure, procedures, and mission.</li><li>
Must demonstrate patient-centered behaviors.</li></ul> 

Responsibilities 
<ul><li>
Performs clinical practitioner duties in the designated specialty area. Obtains histories, performs physical exams, makes assessments, and orders tests to adequately assess and determine diagnoses and plan of care.</li><li>
Records health history, findings, treatment, and recommendations accurately, clearly, and concisely.</li><li>
Manages time effectively to ensure optimal use of patient and provider resources.</li><li>
Consults appropriately with supervising physicians and refers patients as necessary to ensure optimal patient outcomes.</li><li>
Includes patients and/or families in determining the plan of care, when appropriate.</li><li>
Educates patients and families to ensure self-management, follow-up, and compliance with established treatment.</li><li>
Supports interdisciplinary collaboration to ensure continuous quality care and to promote positive health outcomes with a focus on good customer service and patient satisfaction.</li><li>
Stays abreast of the latest developments, advancements, and trends in the practice field by attending seminars/workshops, reading professional journals, and actively participating in professional organizations.</li><li>
Participates in PHHS education activities.</li><li>
Maintains and implements knowledge of all applicable rules, regulations, policies, laws, and guidelines that impact the respective APP fields.</li><li>
Develops effective internal controls that promote adherence to applicable state/federal laws, and the program requirements of accreditation agencies and federal, state, and private health plans.</li><li>
Maintains current professional certifications and licensure as required by the organization and the APP's governing body. Seeks advice and guidance as necessary to ensure proper understanding.</li><li>
Timely completion of all assigned modules and yearly PHHS obligations as defined by the corporate compliance department.</li><li>
Identifies work processes and flows for the assigned department. Suggests appropriate changes to improve work effectiveness, productivity, and efficiency that support the overall goals of PHHS or the area.</li><li>
Consistently provides quality customer service to internal and external PHHS customers.</li></ul> 

Job Accountabilities 
<ul><li>
Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland.</li><li>
Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure.</li><li>
Integrates knowledge gained into current work practices.</li><li>
Maintains knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the area.</li><li>
Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans.</li><li>
Seeks advice and guidance as needed to ensure proper understanding.</li></ul> 

Requisition ID: 986180</div>

Advanced Practice Provider Hospitalist- Fellow

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