Georgia Licensed Clinical Quality Nurse

Job is Expired

Location: Remote

Compensation: To Be Discussed

Reviewed: Wed, Jan 07, 2026

Job Category: Quality Assurance

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced, Management

Education Level: Some College, Bachelors

Job Summary

A company is looking for a Clinical Quality Nurse Reviewer, Sr. Specialist.

Key Responsibilities

Perform QA checks on complex clinical claim reviews
Review and analyze claim data and medical records using approved guidelines
Document determinations clearly and concisely

Required Qualifications

Active, unrestricted RN license in the U.S. and in the candidate's state of primary residence, with a current multistate compact (NLC) license required
Associate degree required; bachelor's degree preferred
5+ years clinical experience in an acute setting
3+ years medical record review/auditing experience preferred
Expert level experience applying MCG and/or InterQual criteria

COMPLETE JOB DESCRIPTION

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Job is Expired

Company Overview

Company Company Name

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