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Audit Rn Jobs in California (NOW HIRING)

PIH Health

RN

Whittier, CA

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 ...

sbhg

Registered Nurse - Nursing

City Of Industry, CA

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 ...

sbhg

Registered Nurse - Nursing

City Of Industry, CA

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 ...

Monterey Bay Vascular

Registered Nurse

Salinas, CA · On-site

Registered Nurse (RN) Opportunity at Monterey Bay Vascular Monterey Bay Vascular (MBV) is a multi ... Participate in emergency preparedness drills, audits, and quality improvement activities. * Assist ...

Sunmar Management Services

RN

Crescent City, CA · On-site

$60 - $65/hr

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 ...

Sun Mar Management Services

RN

Crescent City, 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 ...

Sun Mar Management Services

RN

Santa Ana, 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 ...

Sunmar Management Services

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 ...

Sunmar Management Services

RN

Los Angeles, CA · On-site

$38 - $48/hr

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 ...

Sunmar Management Services

RN

Pomona, CA · On-site

$45 - $55/hr

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 ...

Sunmar Management Services

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 ...

Sun Mar Management Services

RN

Santa Monica, 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 Per Diem ...

Sunmar Management Services

RN

Oakland, 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 ...

LA FAMILIA

Temporary Registered Nurse (RN)

Hayward, CA · On-site

$50 - $70/hr

The Registered Nurse (RN) provides clinical leadership and direct patient care for both the ... Conduct clinical audits and participate in quality improvement initiatives. * Assist with staff ...

Sunmar Management Services

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 Full-Time ...

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Showing results 21-40

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Audit Rn information

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.

What are the key skills and qualifications needed to thrive as an Audit RN?

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.

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 is the difference between Audit Rn vs Medical Auditor?

AspectAudit RnMedical Auditor
CredentialsRN license, auditing certificationsRN license, auditing certifications
Work EnvironmentHealthcare facilities, insurance companiesInsurance companies, healthcare organizations
Industry UsageHealthcare, insuranceInsurance, healthcare
Primary FocusReviewing medical records for compliance and accuracyEvaluating 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.

How to become an audit RN?

To become an audit RN, you need to first earn a nursing degree such as an Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN), then obtain a valid nursing license. Gaining experience in healthcare, understanding auditing processes, and developing strong attention to detail are essential; some roles may also require certifications like the Certified Healthcare Auditor (CHA).

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:

Audit Rn jobs near you
Infographic showing various Audit Rn job openings in California as of August 2026, with employment types broken down into 2% As Needed, 52% Full Time, 17% Part Time, and 29% Contract. Highlights an 99% Physical, and 1% Remote job distribution.

RN

Whittier, CA

PIH Health
Health Care and Social Assistance • 5 - 10K employees
Learn more about PIH Healthexternal

Full-time

Re-posted 12 days ago

PIH Health rating

8.6

Company rating: 8.6 out of 10

Based on 66 frontline employees who took The Breakroom Quiz

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

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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

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