Rhode Island State Licensed Quality Management RN Consultant

Job is Expired
Location: Nationwide
Compensation: To Be Discussed
Staff Reviewed: Wed, Sep 06, 2023

Job Summary

A healthcare company is looking for a Rhode Island State Licensed Quality Management RN Consultant.

Key Responsibilities:
  • Review and evaluate clinical information and documentation
  • Apply appropriate clinical criteria and policies for member and provider issues
  • Coordinate clinical resolution with internal/external clinician support
Required Qualifications:
  • Current, valid, and unrestricted state Registered Nurse (R.N.) license
  • Bachelors of Science in Nursing (BSN) or related healthcare field is a plus
  • 10+ years of clinical nursing experience as a Registered Nurse
  • 1+ years of recent experience in Case Management, Utilization Management, or Quality Management at a health plan or other managed care organization
  • Computer skills including Microsoft Word, Excel, database use, and basic data entry

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