Clinical Quality & Compliance Nurse Reviewer Talent Community

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 providers Providers serving children Older adults Individuals with traumatic brain injuries Individuals with developmental disabilities Minimum of one (1) year of experience conducting quality assurance or compliance reviews. Licensure Active Illinois Registered Professional Nurse (RN) license required. Desired Skills Strong interpersonal and relationship-building skills Excellent written and verbal communication abilities Ability to work independently and manage multiple priorities Strong analytical and critical-thinking skills Attention to detail and commitment to quality Experience using Microsoft Office and web-based applications Ability to travel regularly throughout Illinois 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 comprehensive benefits package that may include: 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-sponsored benefits 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 consideration as Clinical Quality & Compliance Nurse Reviewer positions become available. Keywords: RN Reviewer, Compliance Nurse, Clinical Reviewer, Quality Assurance Nurse, Healthcare Quality, Medicaid Compliance, Provider Compliance, Nurse Auditor, Provider Monitoring, Public Health Nursing, Illinois RN, Remote Nursing Jobs, Healthcare Compliance, Regulatory Review, Quality Improvement Nurse.