Telecommuting Clinical Quality Registered Nurse

Job ID: Available for Members

Location: Nationwide

Compensation: To Be Discussed

Posted: Saturday, April 14, 2018

Job Category: Healthcare, Nursing, Quality Assurance

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Weekly Hours: Day Shift, Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Job Summary

An insurance company has a current position open for a Telecommuting Clinical Quality Registered Nurse.

Individual must be able to fulfill the following responsibilities:

  • Identifying members requiring additional follow-up
  • Determining / verifying whether or not preventative services were rendered
  • Performing clinical quality audits across Complex Care Management

Required Skills:

  • Strong knowledge of CMS 5 Star, HEDIS, Risk Adjustment, and other Pay for Performance Programs
  • Current, unrestricted RN license in your state of residence
  • Undergraduate degree or equivalent experience
  • 5 years of experience working in a health related field