nurse auditor

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.
<br><br>
Nurse Reviewer – State of Illinois
<br><b>Location:</b> Remote with on site visits across Illinois
<br>We are currently seeking Nurses who reside in Central Illinois - preferably in McLean and Sangamon Counties.
<br><br>
Position Overview
<br>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.
<br><br>
Duties & Responsibilities
<br><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
<br><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
<br>Experience
<br><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
<br><ul>
<li>Bachelor’s degree preferred</li>
</ul>
Certification
<br><ul>
<li>Active Illinois Registered Professional Nurse (RN) license required.</li>
</ul>
Working Conditions
<br><ul>
<li>Remote work with 2–3 on site provider visits per week throughout the state of Illinois.</li>
</ul>
Benefits (Through SSO)
<br>SSO offers a competitive benefits package that supports your health, financial well being, and long term growth, including:
<br><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
<br>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.
<br><br>
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.
<br><br>
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.
<br><br>
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

Citymax Hotels by Landmark Group

<div>
 <p>
  The Assistant Income Auditor is responsible for assisting the Income Auditor in examining and verifying financial records to ensure accuracy and compliance with company policies and regulatory requirements. This role involves daily revenue audits, preparation of audit reports, and coordination with other departments to resolve discrepancies. The ideal candidate will have a keen eye for detail, strong analytical skills, and a solid understanding of accounting principles.
 </p>
 <p>
  <strong>
   Responsibilities:
  </strong>
 </p>
 <ul>
  <li>
   Assist in conducting daily revenue audits and ensure all revenue is recorded accurately.
  </li>
  <li>
   Verify and reconcile daily sales reports and deposits.
  </li>
  <li>
   Prepare and distribute daily and monthly revenue audit reports.
  </li>
  <li>
   Coordinate with other departments to investigate and resolve discrepancies.
  </li>
  <li>
   Assist in maintaining accurate and organized records of all income-related transactions.
  </li>
  <li>
   Support the Income Auditor in preparing for internal and external audits.
  </li>
  <li>
   Assist in identifying areas for process improvement and implementing solutions.
  </li>
  <li>
   Ensure compliance with all company policies and regulatory requirements.
  </li>
 </ul>
 <p>
  <strong>
   Qualifications:
  </strong>
 </p>
 <ul>
  <li>
   Bachelor&rsquo;s degree in Accounting, Finance, or a related field.
  </li>
  <li>
   At least 1-2 years of experience in auditing or accounting.
  </li>
  <li>
   Strong understanding of accounting principles and financial regulations.
  </li>
  <li>
   Proficiency in accounting software and MS Office, particularly Excel &amp; Opera
  </li>
  <li>
   Excellent analytical and problem-solving skills.
  </li>
  <li>
   Attention to detail and strong organizational skills.
  </li>
  <li>
   Ability to work independently and as part of a team.
  </li>
  <li>
   Strong communication and interpersonal skills.
  </li>
 </ul>
 <p>
 </p>
</div>


Assistant Income Auditor

Pecbr

<p><b>Job Title:</b> Financial Auditor</p><p><b>Company:</b> Pecbr LLC<br/><b>Location:</b> Al Luqta Street, Building 89, Al Rayyan, Doha, Qatar<br/><b>Salary:</b> QAR 32,000 per month</p><p>Job Overview</p><p>Pecbr LLC is seeking a skilled and detail-oriented <b>Financial Auditor</b> to join our team in Doha, Qatar. This role is ideal for a finance professional with expertise in auditing, compliance, risk assessment, and financial reporting.</p><p>The Financial Auditor will be responsible for evaluating financial records, ensuring regulatory compliance, identifying risks, and supporting improvements in internal controls and financial processes.</p><p>Key Responsibilities</p><ul><li>Conduct financial audits and reviews of accounting records and transactions.</li><li>Assess internal controls, compliance procedures, and risk management practices.</li><li>Identify discrepancies, inefficiencies, and areas for process improvement.</li><li>Prepare audit reports, findings, and recommendations for management.</li><li>Ensure compliance with accounting standards, policies, and regulations.</li><li>Support internal and external audit processes.</li><li>Review financial statements and verify accuracy of supporting documentation.</li><li>Assist in fraud prevention, risk assessments, and control evaluations.</li><li>Collaborate with departments to strengthen financial governance practices.</li></ul><p>Qualifications</p><ul><li>Bachelor&rsquo;s degree in Accounting, Finance, Auditing, or related field.</li><li>Proven experience in auditing, compliance, or financial controls.</li><li>Strong knowledge of accounting principles, audit standards, and risk assessment.</li><li>Proficiency in accounting systems and audit tools.</li><li>Excellent analytical, investigative, and reporting skills.</li><li>Strong attention to detail and professional judgment.</li><li>CPA, CIA, or equivalent certification is a plus.</li></ul><p>What We Offer</p><ul><li>Competitive salary of <b>QAR 32,000 per month</b></li><li>Professional development opportunities</li><li>Collaborative and professional work environment</li><li>Opportunity to contribute to strong financial governance</li></ul><p><b>Pecbr LLC is an equal opportunity employer.</b></p><p>نوع الوظيفة: دوام كامل</p><p>الراتب المدفوع: QAR٣٢٬٠٠٠٫٠٠&nbsp;لكل شهر</p><p>موقع العمل: بشكل شخصي</p>

Financial Auditor

Ascendion

<div><div><div><h1 class="jobSectionHeader"><b>About Ascendion
</b></h1><p>Ascendion is a full-service digital engineering solutions company. We make and manage software platforms and products that power growth and deliver captivating experiences to consumers and employees. Our engineering, cloud, data, experience design, and talent solution capabilities accelerate transformation and impact for enterprise clients. Headquartered in New Jersey, our workforce of 6,000+ Ascenders delivers solutions from around the globe. Ascendion is built differently to engineer the next.
</p><p><b>Ascendion | Engineering to elevate life
</b></p><p>We have a culture built on opportunity, inclusion, and a spirit of partnership. Come, change the world with us:
</p><ul><li>Build the coolest tech for the world&rsquo;s leading brands
</li><li>Solve complex problems &ndash; and learn new skills
</li><li>Experience the power of transforming digital engineering for Fortune 500 clients
</li><li>Master your craft with leading training programs and hands-on experience
</li></ul><p>Experience a community of change makers!
</p><p>Join a culture of high-performing innovators with endless ideas and a passion for tech. Our culture is the fabric of our company, and it is what makes us unique and diverse. The way we share ideas, learning, experiences, successes, and joy allows everyone to be their best at Ascendion.<br>
</p></div><div><br>
<div><h2 class="jobSectionHeader"><b>About the Role
</b></h2><ul><li><b>Job Title: </b>Internal Auditor
</li><li><b>Location: </b>Sacramento, 95826
</li></ul><h2 class="jobSectionHeader"><b>Key Responsibilities
</b></h2><ul><li>Work collaboratively with IT audit team and management to determine and establish appropriate audit scope and control objectives for the areas under review. Evaluate the systems of control to determine the areas of highest risk using accepted risk management techniques. Develop audit plans that utilize allocated hours and resources to address high exposure areas within audit scope.
</li><li>Design and execute IT audit programs to validate relevant control objectives, document the results, and report to management regarding the adequacy of their internal controls.
</li><li>Provide assistance and training to other operational and compliance audit staff members in the technical aspects of IT systems and controls.
</li><li>Perform and coordinate follow-up testing to determine if management has taken action to mitigate risks identified.
</li></ul><p><b>Location: Sacramento, CA - Hybrid
</b></p><p><b>Salary Range: </b>The salary for this position is between $85,000 - $88,000 annually. Factors which may affect pay within this range may include geography/market, skills, education, experience, and other qualifications of the successful candidate.
</p><p><b>Benefits: </b>The Company offers the following benefits for this position, subject to applicable eligibility requirements: [medical insurance] [dental insurance] [vision insurance] [401(k) retirement plan] [long-term disability insurance] [short-term disability insurance] [5 personal day accrued each calendar year. The Paid time off benefits meet the paid sick and safe time laws that pertains to the City/ State] [10-15 day of paid vacation time] [6 paid holidays and 1 floating holiday per calendar year] [Ascendion Learning Management System]
</p></div></div><h2 class="jobSectionHeader"><b>Want to change the world? Let us know.
</b></h2><p>Tell us about your experiences, education, and ambitions. Bring your knowledge, unique viewpoint, and creativity to the table. Let&rsquo;s talk!</p></div></div><div></div>
<br><div><div><h4 class="jobSectionHeader"><b>Preferred Skills
</b></h4><div><div>Auditor
<ul><li><div>Internal Auditor
</div></li><li><div>Staff Auditor
</div></li></ul></div></div></div><div><h4 class="jobSectionHeader"><b>Job details
</b></h4><div><div><h6 class="jobSectionHeader"><b>Job ID
</b></h6><p>331996
</p></div><div><h6 class="jobSectionHeader"><b>Job Requirements
</b></h6><p>Auditor
</p></div><div><h6 class="jobSectionHeader"><b>Location
</b></h6><p>Sacramento, California, US
</p></div><div><h6 class="jobSectionHeader"><b>Recruiter
</b></h6><p>DEEPAK
</p></div><div><h6 class="jobSectionHeader"><b>Email
</b></h6><p>deepak.agrawal@ascendion.com
</p></div></div></div><div><h4 class="jobSectionHeader"><b>About Ascendion
</b></h4><div><h6 class="jobSectionHeader"><b>Ascendion is a full-service digital engineering solutions company. We make and manage software platforms and products that power growth and deliver captivating experiences to consumers and employees.
</b></h6><p>Our engineering, cloud, data, experience design, and talent solution capabilities accelerate transformation and impact for enterprise clients. Headquartered in New Jersey, our workforce of 6,000+ Ascenders delivers solutions from around the globe. Ascendion is built differently to engineer the next.</p></div></div></div>

Auditor

Hoag Health System

<div><p><b>Primary Duties and Responsibilities
</b></p><p>The Claims Auditor is responsible for performing pre-payment and post-payment audits ensuring financial and processing accuracy, compliance with regulatory and health plan requirements of claims processed.
</p><p>The Claims Auditor is responsible for auditing and confirming accuracy of the loading of:
</p><ul><li>Fee schedules
</li><li>Provider contracts
</li><li>Payor contracts
</li><li>Benefits
</li><li>Code changes
</li><li>System enhancements</li></ul></div>
<br><div><p><b>Education and Experience
</b></p><ul><li>High School Diploma or equivalent
</li><li>5 years of experience in a medical claims processing environment
</li><li>Knowledge of HMO/managed care regulatory guidelines
</li></ul><p><b>Preferred:
</b></p><ul><li>Experience with Epic Tapestry system
</li><li>3 years experience in claim audits, revenue recovery, or claims system configuration
</li></ul><p><b>License Required
</b></p><p>N/A
</p><p><b>License Preferred
</b></p><p>N/A
</p><p><b>Certifications Required
</b></p><p>N/A
</p><p><b>Certifications Preferred
</b></p><p>N/A</p></div>

Claims Auditor: Hoag Clinic Claims & Enrollment

Laser Emotions Systems

<p>Job Opportunity: Financial Auditor</p><p><b>Location:</b> Doha, Qatar<br/><b>Company:</b> Laser Emotions Systems</p><p>About Us</p><p>Laser Emotions Systems is a technology-driven company based in Doha, specializing in innovative digital solutions and enterprise systems. We are committed to operational excellence, transparency, and financial integrity. As we continue to grow, we are seeking a meticulous <b>Financial Auditor</b> to join our team and ensure compliance, accuracy, and accountability across our financial operations.</p><p>Role Overview</p><p>The <b>Financial Auditor</b> will be responsible for conducting internal audits, reviewing financial records, and ensuring compliance with regulatory standards. This role requires strong analytical skills, attention to detail, and the ability to provide actionable insights to management.</p><p>Key Responsibilities</p><ul><li>Plan and execute internal audits of financial systems and processes.</li><li>Review financial statements, records, and transactions for accuracy.</li><li>Assess internal controls and recommend improvements.</li><li>Ensure compliance with Qatari regulations and international accounting standards (IFRS).</li><li>Identify risks and provide recommendations for mitigation.</li><li>Collaborate with finance and management teams to strengthen financial practices.</li><li>Prepare audit reports and present findings to senior leadership.</li><li>Support external auditors during annual audits.</li></ul><p>Qualifications</p><ul><li>Bachelor&rsquo;s degree in Accounting, Finance, or related field; CPA, ACCA, or CIA certification preferred.</li><li>4&ndash;7 years of experience in auditing or financial control.</li><li>Strong knowledge of IFRS and local regulatory requirements.</li><li>Proficiency in ERP systems and auditing tools.</li><li>Excellent analytical, communication, and problem-solving skills.</li><li>Ability to work independently and manage multiple priorities.</li><li>Fluency in English; Arabic is a plus.</li></ul><p>Why Join Us?</p><ul><li>Be part of a growing technology company in Doha.</li><li>Play a key role in ensuring Laser Emotions Systems&rsquo; financial transparency.</li><li>Competitive salary and benefits package.</li><li>Opportunities for professional development and career advancement.</li><li>Supportive, collaborative, and innovation-driven work culture.</li></ul><p>نوع الوظيفة: دوام كامل</p><p>موقع العمل: بشكل شخصي</p>

The Certification International

<p>نبحث عن مراجع رئيسي (Lead Auditor) فريلانس مؤهل ومتواجد في مصر، للعمل معنا أونلاين (عن بُعد)، ممثلاً لشركة TCI كجهة مانحة لشهادات الجودة.</p><p>المجالات المطلوبة:</p><p>أنظمة الإدارة المتكاملة (IMS)</p><p>(ISO 9001 &ndash; ISO 14001 &ndash; ISO 45001)</p><p>أمن المعلومات واستمرارية الأعمال</p><p>(ISO 27001 &ndash; ISO 22301)</p><p>أنظمة سلامة الغذاء</p><p>(ISO 22000 &ndash; HACCP &ndash; FSSC 22000)</p><p>(ISO 50001)</p><p>We are seeking a qualified freelance Lead Auditor based in Egypt to collaborate with us remotely (online), representing TCI, a certification body for quality management systems.</p><p>Required expertise in:</p><p>Integrated Management Systems (IMS)</p><p>(ISO 9001 &ndash; ISO 14001 &ndash; ISO 45001)</p><p>Information Security &amp; Business Continuity</p><p>(ISO 27001 &ndash; ISO 22301)</p><p>Food Safety Management Systems</p><p>(ISO 22000 &ndash; HACCP &ndash; FSSC 22000)</p><p>(ISO 50001)</p><p>نوع الوظيفة: دوام كامل, دوام جزئي</p><p>موقع العمل: عن بُعد</p>

LEAD AUDITOR

Search 3739+ Nurse auditor jobs near you this May. New roles added regularly across leading industries. Apply today.

3739 nurse auditor jobs Near Me

Nurse Reviewer

Assistant Income Auditor

Financial Auditor

Auditor

Claims Auditor: Hoag Clinic Claims & Enrollment

Financial Auditor

LEAD AUDITOR