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

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🕒 April 2

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

💵 $40 - $42 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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The CKHobbie Group

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 1970

👥 HR Tech

🎯 Recruiter

HR Tech • Recruitment • Staffing

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.