Registered Nurse
Whittier, CA · On-site
In addition to performing the full scope of an RN Case Manager, the Lead is responsible for supporting department operations, conducting audits, reinforcing regulatory compliance, leading assigned ...
Registered Nurse
Whittier, CA · On-site
In addition to performing the full scope of an RN Case Manager, the Lead is responsible for supporting department operations, conducting audits, reinforcing regulatory compliance, leading assigned ...
Develops and reports trauma audit filter information to the Trauma Operational Committee and Trauma ... Registered Nurse (RN) - Trauma Performance Benefits * Sign-On bonus
Develops and reports trauma audit filter information to the Trauma Operational Committee and Trauma ... Registered Nurse (RN) - Trauma Performance Benefits * Sign-On bonus
Charge Nurse, RN
Chula Vista, CA · On-site
$48 - $52/hr
Assign quality audits to RNs and follow up to ensure completion. Conduct daily quality checks and coach RN staff on a daily basis to ensure high quality and efficiency. * Respond to MD requests in a ...
Quick apply
Apply Early
Charge Nurse, RN
Chula Vista, CA · On-site
$48 - $52/hr
Assign quality audits to RNs and follow up to ensure completion. Conduct daily quality checks and coach RN staff on a daily basis to ensure high quality and efficiency. * Respond to MD requests in a ...
Apply Early
RN PD
San Luis Obispo, CA · On-site
$78.48/hr
Performs and documents nursing care given based on nursing diagnosis as evidenced by random audit ... Registered Nurse: CA, upon hire and * Basic Life Support - CPR, upon hire and * Advanced Cardiac ...
RN PD
San Luis Obispo, CA · On-site
$78.48/hr
Performs and documents nursing care given based on nursing diagnosis as evidenced by random audit ... Registered Nurse: CA, upon hire and * Basic Life Support - CPR, upon hire and * Advanced Cardiac ...
Registered Nurse
Daly City, CA · On-site
Registered Nurse (New grade also) Location:- San Francisco, CA Role Type:-Full Time Essential job ... Prepares and participates in health plan and program audits. * Be able to provide patient care when ...
Registered Nurse
Daly City, CA · On-site
Registered Nurse (New grade also) Location:- San Francisco, CA Role Type:-Full Time Essential job ... Prepares and participates in health plan and program audits. * Be able to provide patient care when ...
Registered Nurse
San Jose, CA · On-site
$102K/yr
Registered Nurse Reports To : Director of Clinical Services Status: Full-Time Regular, Exempt ... Assists the Clinic Manager with Audits, Reporting and Quality Improvement projects * Participate as ...
Quick apply
Apply Early
Registered Nurse
San Jose, CA · On-site
$102K/yr
Registered Nurse Reports To : Director of Clinical Services Status: Full-Time Regular, Exempt ... Assists the Clinic Manager with Audits, Reporting and Quality Improvement projects * Participate as ...
Apply Early
Audit eMARS, medication cart * Maintain accurate resident health records * Medication Management Qualifications Who You Are: * RN License that is active and in good standing * A passion to work with ...
Audit eMARS, medication cart * Maintain accurate resident health records * Medication Management Qualifications Who You Are: * RN License that is active and in good standing * A passion to work with ...
Wellness Nurse (RN)
Laguna Niguel, CA · On-site
$40/hr
Audit eMARS, medication cart * Maintain accurate resident health records * Medication Management Qualifications Who You Are: * RN License that is active and in good standing * A passion to work with ...
Wellness Nurse (RN)
Laguna Niguel, CA · On-site
$40/hr
Audit eMARS, medication cart * Maintain accurate resident health records * Medication Management Qualifications Who You Are: * RN License that is active and in good standing * A passion to work with ...
Wellness Nurse (RN)
Laguna Niguel, CA · On-site
$40/hr
Audit eMARS, medication cart * Maintain accurate resident health records * Medication Management Who You Are: * RN License that is active and in good standing * A passion to work with our amazing ...
Wellness Nurse (RN)
Laguna Niguel, CA · On-site
$40/hr
Audit eMARS, medication cart * Maintain accurate resident health records * Medication Management Who You Are: * RN License that is active and in good standing * A passion to work with our amazing ...
RN
Whittier, CA · On-site
In addition to performing the full scope of an RN Case Manager, the Lead is responsible for supporting department operations, conducting audits, reinforcing regulatory compliance, leading assigned ...
RN
Whittier, CA · On-site
In addition to performing the full scope of an RN Case Manager, the Lead is responsible for supporting department operations, conducting audits, reinforcing regulatory compliance, leading assigned ...
REGISTERED NURSE
Colusa, CA · On-site
Staff Registered Nurse (RN) DEPARTMENT: Med Surg EMPLOYEE REPORTS TO: Unit Manager SUPERVISES:N/A ... Cooperate with periodic Hospital inventory audits by submitting department equipment/supplies ...
REGISTERED NURSE
Colusa, CA · On-site
Staff Registered Nurse (RN) DEPARTMENT: Med Surg EMPLOYEE REPORTS TO: Unit Manager SUPERVISES:N/A ... Cooperate with periodic Hospital inventory audits by submitting department equipment/supplies ...
REGISTERED NURSE
Colusa, CA · On-site
Staff Registered Nurse (RN) DEPARTMENT: Med Surg EMPLOYEE REPORTS TO: Unit Manager SUPERVISES: N/A ... audits by submitting department equipment/supplies report within required time frame.
REGISTERED NURSE
Colusa, CA · On-site
Staff Registered Nurse (RN) DEPARTMENT: Med Surg EMPLOYEE REPORTS TO: Unit Manager SUPERVISES: N/A ... audits by submitting department equipment/supplies report within required time frame.
REGISTERED NURSE
Colusa, CA · On-site
Staff Registered Nurse (RN) DEPARTMENT: Med Surg EMPLOYEE REPORTS TO: Unit Manager SUPERVISES:N/A ... audits by submitting department equipment/supplies report within required time frame.
Quick apply
Apply Early
REGISTERED NURSE
Colusa, CA · On-site
Staff Registered Nurse (RN) DEPARTMENT: Med Surg EMPLOYEE REPORTS TO: Unit Manager SUPERVISES:N/A ... audits by submitting department equipment/supplies report within required time frame.
Apply Early
Registered Nurse
San Jose, CA · On-site
$35 - $50/hr
Elite Clinical Network is seeking a compassionate and detail-oriented Registered Nurse (RN) to join ... Participate in monitoring visits, audits , and site initiation or close-out visits as necessary.
Registered Nurse
San Jose, CA · On-site
$35 - $50/hr
Elite Clinical Network is seeking a compassionate and detail-oriented Registered Nurse (RN) to join ... Participate in monitoring visits, audits , and site initiation or close-out visits as necessary.
RN
Los Angeles, CA · On-site
Audits clinical records for accuracy and completeness of comprehensive resident assessments ... Clear/Current Registered Nurse license in the state of California. Full-Time/Part-Time PRN Shift ...
RN
Los Angeles, CA · On-site
Audits clinical records for accuracy and completeness of comprehensive resident assessments ... Clear/Current Registered Nurse license in the state of California. Full-Time/Part-Time PRN Shift ...
The Registered Nurse is the treatment team member who is responsible for overseeing all nursing ... Audit Medical Records to ensure all orders have been implemented. * Provide medication education ...
The Registered Nurse is the treatment team member who is responsible for overseeing all nursing ... Audit Medical Records to ensure all orders have been implemented. * Provide medication education ...
RN
Barstow, CA · On-site
Audits clinical records for accuracy and completeness of comprehensive resident assessments ... Clear/Current Registered Nurse license in the state of California. Full-Time/Part-Time Full-Time ...
RN
Barstow, CA · On-site
Audits clinical records for accuracy and completeness of comprehensive resident assessments ... Clear/Current Registered Nurse license in the state of California. Full-Time/Part-Time Full-Time ...
RN
Los Angeles, CA · On-site
Audits clinical records for accuracy and completeness of comprehensive resident assessments ... Clear/Current Registered Nurse license in the state of California. Full-Time/Part-Time Part-Time ...
RN
Los Angeles, CA · On-site
Audits clinical records for accuracy and completeness of comprehensive resident assessments ... Clear/Current Registered Nurse license in the state of California. Full-Time/Part-Time Part-Time ...
RN
Riverside, CA · On-site
Audits clinical records for accuracy and completeness of comprehensive resident assessments ... Clear/Current Registered Nurse license in the state of California. Full-Time/Part-Time Full-Time ...
RN
Riverside, CA · On-site
Audits clinical records for accuracy and completeness of comprehensive resident assessments ... Clear/Current Registered Nurse license in the state of California. Full-Time/Part-Time Full-Time ...
RN
Norwalk, CA · On-site
Audits clinical records for accuracy and completeness of comprehensive resident assessments ... Clear/Current Registered Nurse license in the state of California. Full-Time/Part-Time Full-Time ...
RN
Norwalk, CA · On-site
Audits clinical records for accuracy and completeness of comprehensive resident assessments ... Clear/Current Registered Nurse license in the state of California. Full-Time/Part-Time Full-Time ...
Audit Rn information
What is the difference between Audit Rn vs Medical Auditor?
| Aspect | Audit Rn | Medical Auditor |
|---|---|---|
| Credentials | RN license, auditing certifications | RN license, auditing certifications |
| Work Environment | Healthcare facilities, insurance companies | Insurance companies, healthcare organizations |
| Industry Usage | Healthcare, insurance | Insurance, healthcare |
| Primary Focus | Reviewing medical records for compliance and accuracy | Evaluating medical claims and documentation for reimbursement |
Both Audit Rn and Medical Auditor roles require RN licensure and similar certifications. While Audit Rn focuses on reviewing medical records for compliance, Medical Auditors primarily evaluate medical claims and documentation for reimbursement purposes. They often work in similar environments within healthcare and insurance industries, but their specific responsibilities differ slightly, with Audit Rn emphasizing clinical record accuracy and Medical Auditors concentrating on claims processing.
What is an Audit RN?
An Audit RN is a Registered Nurse who specializes in reviewing medical records and healthcare documentation to ensure accuracy, compliance, and quality of care. They work with healthcare providers, insurance companies, or auditing firms to verify that billing and coding practices meet regulatory standards. Audit RNs also identify discrepancies, provide education to staff, and help implement improvements to clinical documentation or billing processes. Their role is crucial in preventing fraud, reducing errors, and optimizing reimbursement for healthcare organizations.
How does an Audit RN typically collaborate with other departments during an audit process?
An Audit RN works closely with departments such as billing, coding, quality assurance, and clinical teams to review medical records for accuracy and compliance. This role often involves clarifying documentation with providers, discussing findings with coders, and providing feedback to nursing staff on best practices. Effective communication and teamwork are crucial, as the Audit RN ensures that all parties understand audit results and any necessary corrective actions. This collaborative approach helps maintain high standards of patient care and regulatory compliance throughout the organization.
What are the key skills and qualifications needed to thrive as an Audit RN, and why are they important?
To thrive as an Audit RN, you need a solid background in clinical nursing, knowledge of healthcare regulations, and experience with medical record review, typically supported by an RN license and clinical experience. Familiarity with coding systems (ICD-10, CPT), utilization review software, and electronic health records (EHRs) is commonly required. Attention to detail, analytical thinking, and effective communication are standout soft skills for this role. These competencies ensure accurate audits, regulatory compliance, and clear reporting that support organizational integrity and patient care quality.
What are popular job titles related to Audit Rn jobs in California? For Audit Rn jobs in California, the most frequently searched job titles are:
What job categories do people searching Audit Rn jobs in California look for? The top searched job categories for Audit Rn jobs in California are:
What cities in California are hiring for Audit Rn jobs? Cities in California with the most Audit Rn job openings:
PIH Health rating
8.5
Based on 64 frontline employees who took The Breakroom Quiz
17th of 877 rated healthcare providers
Job description
The Lead, RN Case Manager is an experienced RN Case Manager who provides clinical and operational support to the Care Management leadership team. In addition to performing the full scope of an RN Case Manager, the Lead is responsible for supporting department operations, conducting audits, reinforcing regulatory compliance, leading assigned performance improvement projects, and ensuring standardization and quality in utilization review, care coordination, and discharge planning. Provides real-time guidance to team members, supports onboarding and competency development, leads quality and documentation audits, participates in throughput initiatives, and assists in implementing workflows and education to support safe and timely transitions of care. Manages the Student Internship and Preceptor Program for RN case management students, serving as liaison to academic partners and coordinating onboarding, preceptor assignments, and ongoing education.
PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram.
Required Skills
• Demonstrated ability to provide consultation and instruction to staff regarding their assessment, intervention, planning and evaluation of cases.
• Contributes to staff performance annual evaluation, performs staff annual competencies evaluations, provides staff orientation and training.
• Strong working knowledge of CMS Conditions of Participation for Discharge Planning and Utilization Review, InterQual/MCG criteria, payer requirements, and hospital policies.
• Knowledge with regulatory agency requirements, policies, and protocols.
• Demonstrate leadership and organizational skills.
• Independent performer and manages multiple assignments in a fast-paced environment.
• Strong critical thinking and problem-solving skills to identify and resolve problems and or escalate barriers to support throughput.
• Excellent communication and writing skills
Required Experience
• Current California license as current California RN license
• Bachelor’s degree of Science in Nursing
• 3 or more years of work experience as a case manager in hospital inpatient healthcare setting
• Evidence of continuing education and obtain ACM (Accredited Case Manager) within 3 years of hire.
Address
12401 Washington Blvd.
Salary
57.04-94.11
Shift
Days
Zip Code
90602
What PIH Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About PIH Health
Sourced by ZipRecruiter
* PIH Health is a nonprofit health and wellness network serving Los Angeles and Orange Counties. Our integrated system consists of 747 beds at two acute care hospitals and a multi-specialty medical group. * Strong community reputation * 2014, 2015 Favorite Workplace * Innovative, transparent, family-like culture
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Whittier, CA, US
Year founded
1959