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