New Jersey Licensed Quality Auditor Nurse

Job Summary

A company is looking for a Quality Auditor Nurse.

Key Responsibilities

• Audit clinical documentation for accuracy and compliance with regulatory standards
• Conduct audits aligned with HEDIS measures and CMS-CAPs for Medicare and Medicaid requirements
• Analyze audit results, identify error trends, and prepare reports for internal teams and leadership

Qualifications & Requirements

• Must reside in NJ, PA, NY, CT, or MD
• Familiarity with electronic health records (EHR) and audit tools
• Experience with HEDIS, NCQA standards, and CMS regulations
• Registered Nurse (RN) with an active NJ or Compact RN license