Nurse Compliance Auditor
Company: Jwch Institute
Location: Bell Gardens
Posted on: April 1, 2026
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Job Description:
Position Purpose: Under the direct supervision of the Director
of Quality Assurance, the Licensed Nurse is responsible for
supporting the compliance functions of the Quality Assurance and
Performance Improvement department of JWCH. The responsibilities
include: Maintaining defined review schedule for JWCH agency by (1)
doing preparatory work for the audit including developing a scope
of work, (2) reviewing the documentation, (3) preparing reports,
(4) doing any necessary follow-up reviews and (5) ensuring that
appropriate collected data are securely kept and maintained. Serve
as a resource to clients in answering compliance questions from
Internal Audit and Audit Advisory Services and assisting as
necessary in their audit process. Essential Duties and
Responsibilities : Conduct Compliance Reviews Complete compliance
reviews within established parameters and initiate and carry out
all assigned reviews according to defined departmental policies and
processes. Reviewing medical records and documents to abstract
clinical data for HEDIS reporting. Integrating electronic and
hardcopy data into reports. Preparing and presenting HEDIS
compliance reports to health facility managers. Training and
advising clinicians and care team staff on HEDIS compliance.
Keeping abreast of HEDIS measures. Apply communication skills by
coordinating patient services and requests, including addressing
patient phone calls, telephone encounters, and patient portal
queries as well as to follow up with patients after their
appointments, provide appointment reminders, to follow-up on missed
appointments, etc. Adheres to all clinic policies and procedures,
as well as applicable state, federal, and other regulatory
guidelines Maintains all necessary licensure, certification(s),
including BLS. Attends annual fire and safety classes Attends and
participates in all assigned meetings, reports, and/or committees
Performs other duties as assigned. Education and Qualifications Ex
State-approved licensing and registration as a nurse (RN, LPN, or
LVN) Current CPR (BLS) Certification Bilingual (in Spanish)
preferred Extensive experience with HEDIS database entries and
reporting. In-depth knowledge of abstracting clinical data and
evaluating HEDIS compliance. Advanced knowledge of medical
terminology, coding, and procedures. Extensive experience in
interpreting and reporting HEDIS information, as well as training
staff. Excellent organizational and communication skills. Ability
to work with people of diverse cultural, educational, social, and
economic backgrounds. Ability to work independently and a
self-starter with minimal supervision Computer proficiency
Experience utilizing an Electronic Medical Records (EMR) system is
highly desirable *All JWCH, Wesley Health Centers workforce members
are recommended to be fully vaccinated against COVID-19. Employee
Benefits: At JWCH Institute, Inc., we believe in taking care of
those who take care of others. If you work 30 hours per week,
you’ll enjoy competitive pay and a robust benefits package that
includes: Medical, Dental, Vision Monthly employer-sponsored
allowance for assistance with health premiums. Funded Health
Savings Account (up to deductible) to assist with carrier-approved
medical expenses. Paid time off (vacation, sick leave) and 13 paid
holidays. 401(k) Safe Harbor Profit Sharing plan. Mileage
reimbursement. Short- and long-term disability plans (LTD/STD).
Life insurance policy & AD&D, and more! Become part of a team
where your work matters. Apply today and help us change lives, one
patient at a time. Wesley Health Centers JWCH Institute is an Equal
Opportunity Employer
Keywords: Jwch Institute, Rowland Heights , Nurse Compliance Auditor, Healthcare , Bell Gardens, California
