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Telecommuting Clinical Quality Registered Nurse

Job is Expired
Location: Nationwide
Compensation: To Be Discussed
Staff Reviewed: Sat, Apr 14, 2018
Job Category: Healthcare, Quality Assurance
Weekly Hours: 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

COMPLETE JOB DESCRIPTION

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