Registered Nurse (RN) – Advocacy, Program Integrity, Long Term Living Expert

Job not on LinkedIn

🕒 January 7

🔔 Pennsylvania – Remote

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💵 $40 - $42 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Logo of The CKHobbie Group

The CKHobbie Group

11 - 50 employees

Founded 1970

🏥 Healthcare

📦 Logistics

🏭 Manufacturing

Healthcare • Logistics • Manufacturing

The CKHobbie Group is a staffing firm that has been providing employment solutions for over 50 years. Based in Allentown, PA, the company specializes in matching qualified individuals with job opportunities across various sectors, including manufacturing, logistics, and healthcare. The CKHobbie Group believes that the right people are an employer's strongest asset and focuses on enhancing client productivity through effective talent acquisition and staffing services.

📋 Description

• Conduct clinical reviews and ensure quality, appropriateness, and compliance with healthcare standards. • Support program integrity efforts by identifying trends, risks, and opportunities for improvement. • Advocate for beneficiaries, with a strong focus on protecting and improving care for vulnerable populations. • Apply nursing judgment to analyze medical records, documentation, and billing data. • Collaborate with interdisciplinary teams, providers, and stakeholders to promote best practices. • Contribute to quality improvement initiatives that strengthen healthcare delivery across Pennsylvania.

🎯 Requirements

• Active, unrestricted Registered Nurse (RN) license. • Strong clinical background with the ability to apply nursing judgment analytically. • Interest in advocacy, quality improvement, and healthcare program integrity. • Excellent written and verbal communication skills. • Ability to work independently while managing multiple priorities. • Comfort with technology and electronic medical records. • Experience in utilization review, case management, quality improvement, compliance, or claims review is a plus—but not required.

🏖️ Benefits

• Attractive Compensation plan. • Holiday and Vacation program.

Apply Now

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