Nursing Chart Audit & Compliance Lead

Reliant Management; Anaheim (CA); On-site; USD 90,000 - 110,000; Full time

Job summary

Reliant Management in Anaheim, CA seeks an Administrative Nurse to ensure accurate chart documentation across facilities. The role emphasizes audits, review of resident care records, and collaboration with staff to resolve discrepancies while keeping HIPAA compliance at the forefront.

The successful candidate will have a California RN or LVN license and at least 2 years of clinical nursing experience, preferably in long-term care, with strong attention to detail and effective communication

Qualifications

• Current California RN or LVN license in good standing.
• Minimum of 2 years of clinical nursing experience, preferably in long-term care or skilled nursing.
• Prior experience in chart auditing, MDS review, or nursing administration strongly preferred.
• Strong knowledge of nursing documentation standards, Title 22, and CMS regulations.
• Excellent attention to detail and organizational skills.
• Effective communication skills and ability to work independently and with remote teams.

Responsibilities

• Conduct regular audits of nursing documentation and medical charts for accuracy and regulatory compliance
• Review resident care records to ensure completeness and consistency with policies and procedures
• Collaborate with facility staff and leadership to address documentation issues or discrepancies
• Provide feedback, training, and support to improve charting practices and adherence to standards
• Stay current on regulatory updates (CDPH, CMS) to inform audit processes and documentation expectations
• Assist with preparing facilities for surveys and inspections
• Maintain confidentiality and HIPAA compliance at all times

Skills

Chart auditing

CMS regulations knowledge

Attention to detail

Communication skills

Independent work

Remote collaboration

Education

California RN or LVN license

Job description

Reliant Management in Anaheim, CA seeks an Administrative Nurse to ensure accurate chart documentation across facilities. The role emphasizes audits, review of resident care records, and collaboration with staff to resolve discrepancies while keeping HIPAA compliance at the forefront.

The successful candidate will have a California RN or LVN license and at least 2 years of clinical nursing experience, preferably in long-term care, with strong attention to detail and effective communication