Guide-Health

Registered Nurse (RN) Clinical Compliance Auditor- Remote Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealthleverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealthempowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients. The Clinical Compliance Auditor II is responsible for ensuring Guidehealth’s clinical operations, utilization management activities, and delegated services comply with regulatory requirements, client contractual obligations, and internal clinical standards. This role...

Guidehealth is seeking a Remote RN Clinical Compliance Auditor II to lead advanced auditing of utilization management, PHM plans, and delegated services. The role emphasizes independent judgment, regulatory compliance, and collaboration with Clinical Leadership. The position is full-time and remote, with a salary range of $82,000 to $87,000 per year, based on experience and skills. A senior clinical compliance expert, you will mentor staff and drive continuous improvement. #J-18808-Ljbffr