A company is looking for a Clinical Investigator, SIU.
Key Responsibilities Identify and conduct clinical audits into suspected fraud, waste, and abuse (FWA) Document findings, including formal reports and audit logs Participate in the development and presentation of FWA-related education for teams Required Qualifications Active, unrestricted Registered Nurse (RN) license 3+ years of direct patient care clinical experience 2+ years of experience in Medical Review, Utilization Management, or Clinical Documentation Improvement Experience conducting forensic medical audits focusing on clinical narrative validation Bonus: Relevant degrees or certifications in nursing or healthcare auditing
