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