Telecommute Licensed Clinical Quality Nurse Auditor

This job has been removed

Location: Nationwide

Compensation: Salary

Staff Reviewed: Sat, Oct 02, 2021

This job expires in: 7 days

Job Category: Quality Assurance

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Job Summary

A global healthcare company has an open position for a Telecommute Clinical Quality Nurse Auditor.

Core Responsibilities of this position include:

  • Verifying that service providers were in network, or that a gap in network coverage was present
  • Prioritizing services for medical chart review (e.g., high volume or high cost services)
  • Identifying and reporting quality of care concerns appropriately

Skills and Requirements Include:

  • 2+ years of experience in medical necessity or utilization management / review
  • Experience in auditing or training of clinical teams
  • Excellent written and verbal communication skills
  • Experience with clinical criteria (MCG or InterQual)
  • Experience in data analysis and reporting

COMPLETE JOB DESCRIPTION

The job description is available to subscribers. Subscribe today to get the full benefits of a premium membership with Virtual Vocations. We offer the largest remote database online...

BECOME A PREMIUM MEMBER TO UNLOCK FULL JOB DETAILS & APPLY

  • ACCESS TO FULL JOB DETAILS AND APPLICATION INFORMATION
  • HUMAN-SCREENED REMOTE JOBS AND EMPLOYERS
  • COURSES, GROUP CAREER COACHING AND RESOURCE DOWNLOADS
  • DISCOUNTED CAREER SERVICES, RESUME WRITING, 1:1 COACHING AND MORE
  • EXCELLENT CUSTOMER SUPPORT FOR YOUR JOB SEARCH