Job Summary
A healthcare group is searching for a person to fill their position for a Telecommute Senior Clinical Quality Registered Nurse.
Candidates will be responsible for the following:
- Reviewing and auditing contracted sub-delegates
- Assisting with report preparation and records regarding work function activities and projects
- Supporting quality improvement and utilization management programs
Skills and Requirements Include:
- Current, unrestricted AZ RN license or temporary AZ license with the ability to obtain permanent AZ RN license
- 3+ years of clinical experience as an RN or LMSW
- 1+ years of quality experience or equivalent experience
- 1+ year working in managed care or in the insurance industry
- Experience with Medicare and/or Medicaid