Job Title: Compliance Specialist Nurse (Delegation Oversight RN)
Location: Hybrid – Onsite Tuesday to Thursday, Remote Monday & Friday
Employment Type: Contract (Temp-to-Perm Potential)
Schedule: Monday–Friday, 8:45 AM – 4:30 PM
Job Summary:
We are seeking a Compliance Specialist Nurse (RN) to oversee delegated vendor activities (UM, CM, Appeals) and ensure compliance with regulatory and accreditation standards including NCQA and Medicare Part C & D. This role involves auditing, reporting, and presenting findings to the Delegation Oversight Committee.
Key Responsibilities:
Qualifications:
Interview Process:
One virtual interview round leading to an offer.
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