California Licensed Clinical Quality Nurse

Job Summary

To ensure high standards of patient care, the part-time California Licensed Clinical Quality Nurse will investigate quality of care issues, conduct case reviews, and develop corrective action plans in a contract role based in Oakland, CA.

Key responsibilities

• Analyze quality of care issues from internal and external sources
• Conduct thorough investigations of cases to identify quality concerns and determine appropriate levels of review
• Prepare cases for physician committees and manage assigned caseloads to meet documentation requirements

Required qualifications

• Associate's or Bachelor's degree in Nursing
• Current unencumbered RN license
• At least 3 years of case management experience
• Previous quality review experience
• Experience in health plan or IPA environments