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Clinical Nurse Reviewer – STAR Kids Audit Oversight
CVS Health Careers. Lead the coordination and execution of monthly rolling STAR Kids state audit submissions .
Posted 11/5/2026full-timeRemote • Texas • United StatesJuniorMid-Level💰 $60,522 - $129,615 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in STAR Kids audit processes, ensuring compliance and quality improvement through effective documentation management and risk analysis. Proficient in coordinating audits and collaborating with teams to enhance service coordination and maintain audit readiness.
Highest-signal resume keywords
Active Texas RN LicensureSTAR Kids MDCP ExperienceAuditing ExperienceDocumentation ComplianceRisk Analysis
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Audit CoordinationDocumentation ManagementCompliance TrackingQuality ImprovementRisk Reduction Strategies
Soft Skills
CollaborationCommunicationAttention to Detail
Certifications & Qualifications
Texas RN Licensure
Industry Keywords
STAR KidsService CoordinationAudit ReadinessCompliance RisksDocumentation Gaps
About the role
Key responsibilities & impact- Lead the coordination and execution of monthly rolling STAR Kids state audit submissions
- Pull, merge, and organize required documentation from multiple sources to meet state audit requirements
- Prepare documents, including formatting and bookmarking, in compliance with state standards
- Track submission timelines, ensure deadlines are met, and maintain audit documentation logs
- Serve as the subject matter expert for STAR Kids audit processes, providing guidance and updates to internal teams
- Conduct comprehensive monthly reviews of STAR Kids service coordination charts for documentation compliance and audit readiness
- Identify documentation gaps, compliance risks, and trends across service coordination records
- Provide written risk analysis reports and develop targeted recommendations for quality improvement
- Collaborate with service coordination supervisors and quality teams to implement corrective actions and process improvements
- Maintain audit readiness month-over-month by developing proactive risk-reduction strategies
Requirements
What you’ll need- Active and Unrestricted Texas or Compact RN Licensure
- 2 Years STAR Kids MDCP Experience
- Must reside in Texas
- Previous auditing experience (preferred)
- Associate Degree in Nursing
Benefits
Comp & perks- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being
- CVS Health bonus, commission or short-term incentive program eligibility in addition to base pay