RN Network Compliance Auditor: Regulatory Audits & Training

SCAN Health Plan; Long Beach (CA); On-site; USD 54,000 - 77,000; Full time

Benefits offered by this job

Annual bonus program

Wellness program

PTO and holidays

401(k) with employer match

Tuition reimbursement

Job summary

SCAN Health Plan in Long Beach, CA seeks an experienced RN Network Compliance Auditor to lead auditing of PCP sites for regulatory compliance and quality improvement. The role emphasizes analysis, training, and implementing corrective actions.

The ideal candidate has an RN license in CA, 2+ years of clinical experience (ER/Acute care), and preferred auditing or IPA/Medical Group background. Full-time onsite position with benefits.

Qualifications

• 2+ years of clinical experience including ER/Acute Care.
• Auditing experience preferred.
• IPA/Medical Group experience preferred.
• DHCS-CSR certification preferred or obtainable within 1 year.
• Current RN license in California.

Responsibilities

• Conduct detailed reviews, analysis, and interpretation of regulatory letters.
• Identify areas for regulatory compliance and develop implementation plans.
• Facilitate auditing of SCAN contracted PCP offices.
• Provide training on auditing and post-audit documentation.
• Discuss audit outcomes with providers and ensure corrective actions.

Skills

Clinical auditing

Regulatory compliance

QA processes

Care quality improvement

Education

Associate's Degree in Nursing

Bachelor's Degree in Nursing

Job description

SCAN Health Plan in Long Beach, CA seeks an experienced RN Network Compliance Auditor to lead auditing of PCP sites for regulatory compliance and quality improvement. The role emphasizes analysis, training, and implementing corrective actions.

The ideal candidate has an RN license in CA, 2+ years of clinical experience (ER/Acute care), and preferred auditing or IPA/Medical Group background. Full-time onsite position with benefits.