Job Summary
A staffing agency is seeking a Remote Quality Medical Care Reviewer.
Candidates will be responsible for the following:
- Auditing and reviewing case manager and provider documentation
- Conducting ongoing activities which monitor quality of care standards
- Conducting reviews of Quality of Care and Critical/Adverse Incidents
Applicants must meet the following qualifications:
- Bachelor level clinician (RN) or Master level clinician (LCSW, LPC, LMHC, MFT)
- Experience with clinical documentation, chart reviews, Utilization Management/care coordination functions
- Experience with healthcare/critical phone monitoring
- Experience working with total quality improvement or a behavioral healthcare background
- Detail-oriented, analytical, and proficiency with computers