Job Summary
A managed care organization needs applicants for an opening for a Remote Registered Nurse Clinical Auditing Manager.
Core Responsibilities of this position include:
- Overseeing the quarterly clinical auditing process
- Participating and assisting in the development of protocols, policies and procedures
- On-boarding new business/teams to clinical auditing process
Skills and Requirements Include:
- Registered Nurse
- 3 to 5 years experience
- Specific clinical knowledge in Utilization Management and/or Case Management principles
- Demonstrated knowledge of plan benefit information and managed care
