Remote Solutions Delivery Clinical Review Senior Nurse

Job ID: Available for Members

Location: Nationwide

Compensation: To Be Discussed

Posted: Monday, October 08, 2018

Job Category: Healthcare, Nursing

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Employer Type: Employer

Career Level: Experienced

Job Summary

A healthcare company has a current position open for a Remote Solutions Delivery Clinical Review Senior Nurse.

Core Responsibilities Include:

  • Contributing to annual project plan to achieve all Clinical Review tasks and objectives
  • Observing and complying with policies and procedures for assigned scope
  • Completing and passing all training programs and testing for all clinical review staff

Qualifications for this position include:

  • Current, unrestricted RN or LPN license
  • 2 year degree or equivalent experience  
  • Clinical and/or Health Education experience
  • 3+ years’ of Healthcare/Health Plan experience
  • Experience with HEDIS® measures
  • 2+ years’ of proven success auditing quality programs