RN - Quality Assurance

Providence, Rhode Island

All Medical Personnel
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Specialty: RN - Quality Assurance

Job Description

Responsible for review and evaluation of clinical information and documentation

Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider issues.

Independently coordinates the clinical resolution with internal/external clinician support as required.

Data gathering requires navigation through multiple system applications

Qualifications

Current unrestricted state nursing license

3 years of clinical experience required- Managed Care/Medicare experience preferred

BSN Preferred

Ability to work independently

Benefits

Day 1 Health benefits (Health/Vision/Dental)

Weekly Pay

Direct Deposit

Travel reimbursement

State License reimbursement


Listed pay packages are based on weekly gross amounts.

Please reference Job number: 136648

Date Posted: 17 May 2024
Job Expired - Click here to search for similar jobs