Rn Jobs in Pittsburgh, PA

About The Position

Requirements

• Bachelors degree or equivalent clinical certification
• 5+ years of progressive clinical, audit, or compliance experience
• OR High School Diploma/GED and seven years of related work experience.
• Demonstrated expertise in healthcare operations
• Strong executive communication and influence skills
• Superior computer skills, including experience in MS Office tools: Word, Excel, Outlook PowerPoint, CoPilot and SharePoint
• Strong understanding of risk analysis and process improvement.
• Willingness to travel, as needed
• Clinical and regulatory subject matter expertise
• Audit planning, execution, and reporting leadership
• Strong written and verbal communication
• Risk assessment, process improvement, and root cause analysis
• Excellent project management skills
• Sound professional judgment and discretion

Nice To Haves

• RN, LPN, CHC, CPC, CIA, Six Sigma or CPMA preferred

Responsibilities

• Lead operational, clinical, and regulatory audits
• Contribute to risk assessments and the annual audit plan
• Evaluate enterprise level clinical controls and governance structures
• Provide advisory support for new clinical initiatives, acquisitions, and regulatory changes
• Assist and train other auditors
• Coordinate with and assess Compliance, Legal, Quality, and Revenue Cycle (all second lines of defense functions)
• Present audit results to senior and executive leadership
• Identify systematic trends and surface emerging risks across multiple locations
• Use operational, clinical, and revenue cycle data and workflow design knowledge in the audit process