Job Summary
An insurance company has a current position open for a Telecommute Quality Review Audit Specialist Registered Nurse in Nashville.
Core Responsibilities Include:
- Performing staff quality audits to ensure execution in quality and clinical outcomes
- Performing weekly, monthly and/or quarterly quality reviews as directed to support each function
- Prioritizing audits that support the business objectives
Position Requirements Include:
- Travel 25% of the time
- Minimum of 3 years of clinical practice experience
- Working knowledge of Microsoft Word, Excel & Access, SharePoint, and Lync
- RN License Required
- Strong knowledge of CMS guidelines, Clinical Coverage and Quality Policy & Procedures
- Strong knowledge of Health Services organization and related systems
