Clinical Quality & Compliance Nurse Reviewer Talent Community
- Compensation
- Not disclosed
- Location
- IL, US
- Work setup
- Not specified
- Seniority
- Not specified
- Employment
- Not specified
- Experience
- Not specified
- Category
- Healthcare
- Posted
Skills
Nice to have
- Strong interpersonal and relationship-building skills Excellent written and verbal communication abilities Ability to work independently and manage multiple priorities Strong analytical and critical-t
- Work Environment Future positions are expected to be primarily remote with regular travel to provider locations across Illinois, typically involving 2-3 on-site visits per week. Benefits SSO offers a
- Medical, dental, and vision insurance 401(k) with discretionary employer match Paid time off and holidays Flexible spending accounts Employee discount and wellness programs Additional company-sponsore
- Interested in Future Opportunities? If your background aligns with the qualifications above, we encourage you to apply and join our talent community. Your application will be reviewed and retained for
Full description
Clinical Quality & Compliance Nurse Reviewer Talent Community
Remote (Illinois) | Future Opportunities
Location: Remote with travel throughout Illinois
Anticipated Salary Range: $73,000 - $83,000 annually
Join Our Talent Pipeline
Staffing Solutions Organization (SSO) is proactively building a pipeline of qualified candidates for future Clinical Quality & Compliance Nurse Reviewer opportunities throughout Illinois.
While there is not an immediate opening at this time, we anticipate future hiring needs for this role and encourage interested professionals to apply. By joining our talent community, you'll have the opportunity to be considered as positions become available and be among the first candidates contacted when openings arise.
About the Role
The Clinical Quality & Compliance Nurse Reviewer is responsible for conducting provider compliance reviews to ensure adherence to state regulations, quality standards, and program requirements. This position involves on-site provider visits, documentation reviews, compliance assessments, and collaboration with providers to support quality improvement initiatives.
Successful candidates are independent, detail-oriented healthcare professionals with strong analytical, communication, and relationship-building skills.
Typical Responsibilities
Build and maintain effective working relationships with providers and stakeholders.
Conduct provider compliance reviews and assess adherence to applicable regulations and program requirements.
Coordinate and conduct on-site provider visits throughout Illinois.
Review provider documentation, policies, procedures, and business practices.
Conduct interviews and gather information to support compliance determinations.
Document findings and prepare professional summaries of review activities.
Identify areas of non-compliance and recommend corrective actions or improvement opportunities.
Analyze trends and emerging compliance issues.
Maintain strict confidentiality and HIPAA compliance.
Utilize electronic systems and web-based applications to document and manage review activities.
Provide recommendations and status updates to leadership.
Preferred Qualifications
Education
Bachelor's degree required.
Nursing degree preferred.
Experience
Minimum of two (2) years of clinical experience working with:
Critical care providers
Public health providersProviders serving children