RN Quality Assurance Auditor
New
Based in the United StatesFull-TimeMiddle
Salary$85,000 to $100,000 annually, plus up to 10% annual bonus
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Job Details
- Experience
- 3+ years of experience in quality assurance, quality improvement, or clinical auditing
- Required Skills
- Data AnalysisQuality Assurance
Requirements
- Active Registered Nurse (RN) license required.
- Bachelor’s degree in nursing, healthcare administration, public health, life sciences, or a related field.
- 3+ years of experience in quality assurance, quality improvement, or clinical auditing; behavioral or mental health experience preferred.
- Strong understanding of healthcare documentation standards, clinical workflows, and quality assurance methodologies.
- Ability to work with highly sensitive, detailed, and confidential patient information with discretion and integrity.
- Strong analytical skills with the ability to interpret audit data, identify trends, and generate actionable insights.
- Excellent communication skills with the ability to present findings clearly to both clinical and non-clinical stakeholders.
- Strong organizational skills with the ability to manage multiple audits and priorities independently.
- Comfort working with healthcare systems, data tools, and developing analytical capabilities over time.
Responsibilities
- Conduct scheduled quality assurance audits of patient records, ensuring completeness, accuracy, and compliance with internal standards and regulatory requirements.
- Review clinical documentation and workflows as part of the organization’s quality improvement and quality assurance programs.
- Prepare, organize, and support records for internal and external audits, including medical director reviews and patient classification assessments.
- Identify gaps in documentation and processes, providing actionable recommendations to improve quality, efficiency, and compliance.
- Document audit findings, corrective actions, and recommendations in a structured manner to support tracking, reporting, and trend analysis.
- Communicate audit results to internal stakeholders, including leadership and clinical staff, and support follow-up on corrective actions.
- Monitor completion of remediation efforts to ensure compliance with audit recommendations and quality standards.
- Support root cause analyses (RCAs), including documentation, meeting coordination, and implementation tracking of action plans.
- Contribute to the development and refinement of audit tools, workflows, policies, and quality documentation standards.
- Analyze audit data to identify trends, performance gaps, and opportunities for continuous improvement across quality systems.
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