Remote Grievance Nurse

Location: Colorado, Georgia, Maryland, Massachusetts, Missouri, New Jersey, North Carolina, Ohio, Texas, Virginia, Washington

Compensation: To Be Discussed

Staff Reviewed: Mon, Nov 22, 2021

This job expires in: 24 days

Job Category: Healthcare

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Job Summary

A privately-held population health management solutions company has an open position for a Remote Grievance Nurse .

Candidates will be responsible for the following:

  • Conducting review of member grievances related to Quality of Care and Quality of service issues
  • Preparing reports to support CMS reporting requirements for quality topics such as Serious Reportable Adverse Events
  • Performing comprehensive and accurate documentation to ensure grievances are handled in accordance to CMS guided regulations

Must meet the following requirements for consideration:

  • Licensed Registered Nurse (RN) in the state of Missouri required, eligible for licensure in other states as required
  • Proficiency with MS Office applications including Word and Excel
  • Ability to consistently meet appeals accuracy and timeline requirements by achieving regulatory standards
  • Excellent organizational skills for prioritizing tasks to meet set deadlines

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