Registered Nurse (RN) – Advocacy, Program Integrity – Med Surg Hospitalization Expert

Job not on LinkedIn

🕒 April 2

🔔 Pennsylvania – Remote

info

💵 $40 - $42 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

Apply Now
Find Similar Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

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. • Be available as a full-time consultant, approximately 37.5 hours per week; • Possess a current license to practice as a Registered Nurse issued by the Pennsylvania State Board of Nursing; or possess a non-renewable temporary practice permit issued by the Pennsylvania State Board of Nursing. • Possess a documented work history of three (3) or more years of professional experience with medical assistance, health care services or human services or any equivalent combination of experience and training; • Possess basic computer skills, including familiarity with Microsoft Office programs.

🏖️ Benefits

• Attractive Compensation plan. • Holiday and Vacation program.

Apply Now

Similar Jobs

🕒 March 24

Outsourcey

201 - 500

🤝 B2B

🛍️ eCommerce

Creative Digital Specialist managing TikTok, YouTube, and Wix content for Outsourcey. Focusing on branding and visual design while enhancing the company's digital presence.

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🕒 March 24

International Insurance Group, Inc.

51 - 200

💼 Consulting

📦 Logistics

🛡️ Insurance

Division Leader overseeing Trucking Division at International Insurance Group, driving growth and operational excellence. Leading team training and maintaining client relationships within the trucking insurance sector.

🇺🇸 United States – Remote

💵 $130k - $155k / year

⏰ Full Time

🟠 Senior

🕒 March 12

Redwood Trust, Inc.

51 - 200

💸 Finance

🏠 Real Estate

🤝 B2B

Non-QM Senior Underwriter providing expert mortgage underwriting at CoreVest. Analyzing loan conditions and working with internal and external parties for compliance and service excellence.

🇺🇸 United States – Remote

💵 $92k - $120k / year

💰 Post-IPO Debt on 2023-01

⏰ Full Time

🟠 Senior

🕒 February 26

Center Street Lending

51 - 200

🏗️ Construction

📦 Logistics

💼 Consulting

Draw Management Specialist evaluating and managing construction draw requests for residential property loans. Ensuring compliance, assessing risks, and providing exceptional service to borrowers.

🇺🇸 United States – Remote

💵 $26 - $31 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🕒 February 25

Frontline Insurance

501 - 1000

🛡️ Insurance

👥 B2C

💸 Finance

Senior Litigation Specialist at Frontline Insurance providing legal support for claims management. Involves handling homeowner claims and litigation processes.

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior