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New York Licensed Quality Auditor
Job Summary
A company is looking for a Quality Improvement Auditor (Clinical).
Key Responsibilities
- Lead clinical audits for provider medical records to assess performance and compile reports with clinical recommendations
- Conduct case reviews to evaluate clinical performance in the provider network and provide written summaries and recommendations
- Perform quantitative and statistical analysis of performance data, including service utilization and quality of care trends
Required Qualifications
- Bachelor's degree in nursing or a related field, or equivalent experience
- Current clinical license (LPN, RN, etc.)
- 3+ years of nursing or quality improvement experience
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COMPLETE JOB DESCRIPTION
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