California Licensed QI Nurse

Job Summary

A company is looking for a RN, QI Nurse to join their team remotely.

Key Responsibilities:

• Review health plan grievances and assign severity levels and issue codes
• Create documentation of quality of care findings and ensure timely resolution of member grievances
• Assist in the Quality Medical Director and Peer Review processes by gathering information and coordinating interventions

Required Qualifications:

• Current and valid, unrestricted California RN license
• 2+ years of clinical experience in an IPA, medical group, hospital, or health plan setting
• Proficient with Microsoft Word, Excel, and PowerPoint
• Ability to work PST hours