Posting Note: Phoenix Children's is seeking a part-time Clinical Nurse Auditor to join our team! **This opportunity is open to Arizona-based candidates only!!**
This candidate will be required to have a current Arizona Registered Nurse (RN) license, Basic Life Support (BLS) certification through the American Heart Association, and a valid Arizona Department of Public Safety (AZDPS) Fingerprint Clearance Card, in addition to meeting the job description requirements of the role.
This part-time position follows a rotating schedule, working 2 days one week and 3 days the next. Training will be conducted on a full-time, on-site schedule at the Phoenix Children's Main Campus to ensure a successful onboarding experience.
If you are a detail-oriented nurse with a passion for quality, compliance, and improving patient care, we encourage you to apply!
This position provides comprehensive assessment, coordination, implementation and reporting of complex clinical data. This position audits medical records on behalf of hospital clients for denials review, defense audits, disallowed charges and retrospective or concurrent reviews. The Clinical Nurse Reviewer assesses the patient’s plan of care and progress of the patient throughout an acute care admission. The intensity of assessment is situational and appropriate based on payer requirements.
This position works independently receiving supervision of work activities from the Manager Case Manager.
This position does not supervise other positions.