Clinical Nurse Reviewer – STAR Kids Audit Oversight
Core
Lead the coordination and execution of monthly rolling STAR Kids state audit submissions, ensuring timely, accurate, and audit-ready documentation for service coordination teams.
Role type
Senior Clinical Nurse Reviewer (Audit Oversight)
Builds
Audit-ready documentation packages and risk analysis reports for state compliance
Domain
Healthcare administration / Medicaid (STAR Kids) / Quality Assurance
Required skills
Clinical nursing knowledge, audit process management, documentation review, risk analysis, regulatory compliance, project coordination
Preferred skills
Previous auditing experience
Technologies
None stated
Responsibilities
Lead coordination of monthly STAR Kids state audit submissions; Pull, merge, and organize required documentation from multiple sources; Perform document preparation including formatting and bookmarking; Track submission timelines and maintain audit logs; Conduct comprehensive monthly reviews of service coordination charts; Identify documentation gaps and compliance risks; Provide written risk analysis reports and recommendations for quality improvement.
Seniority
Mid-level, hands-on IC