Remote Quality Review Nurse

Job ID: Available for Members

Location: Nationwide

Compensation: To Be Discussed

Staff Reviewed: Thu, Apr 25, 2019

This job expires in 4 days

Job Category: Healthcare, Nursing, Quality Assurance

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Additional Information: Benefits Available

Job Summary

A provider of home health benefits management services has a current position open for a Remote Quality Review Nurse.

Core Responsibilities of this position include:

  • Assisting in the clinical quality of care review process
  • Auditing medical record against Medical Care guidelines
  • Determining compliance with established standards

Qualifications for this position include:

  • Current Registered Nurse license in the state(s) of practice without restrictions
  • Strong clinical background as an RN
  • 3-5 years of Quality Management and/or UM in a managed care environment
  • Experience with medical record review, complaint review, investigation and tracking
  • Experience with data collection and analysis of indicators for monitoring and evaluation
  • Must have excellent skills working with Microsoft Office applications