California Licensed Facility Review Nurse

Job Summary

A company is looking for a Facility Site Review Nurse (Remote).

Key Responsibilities

• Conducts timely facility reviews and follows up with network practitioners to ensure compliance with DHS requirements and NCQA standards
• Collaborates with practitioners to assist in meeting federal, state, and local regulations and accrediting agency standards
• Maintains and updates the Site Review Database and participates in internal reviews to ensure consistency in processes

Required Qualifications

• Completion of an accredited Registered Nurse (RN) Program or Bachelor's in Nursing
• Minimum 3 years of clinical experience
• Active, unrestricted State Registered Nursing (RN) license in good standing
• Preferred: Bachelor of Science Degree in Nursing
• Preferred: 1+ year of experience in Managed Care