Bachelor's degree in HealthCare, Nursing, Publich Health, Health Administration or directly related field. Required 7 years of experience in quality improvement. Required 5 years of experience in managed care. Required 4 years of management experience. Some licensing required.
A staffing agency is seeking a Remote Quality Improvement Nurse in Creve Coeur. Must be able to: Develop and implement quality improvement interventions. Resolve deficiencies impacting plan compliance. Perform data analytic and reporting activities. Required Skills: High School or GED.
A staffing agency has a current position open for a Telecommute HEDIS Review Nurse in Wilmington. Core Responsibilities of this position include: Reviewing medical records and charts for all HEDIS measures.
A full service staffing and recruitment firm is in need of a Remote Nurse Coding Specialist Clinical Investigator in Houston. Individual must be able to fulfill the following responsibilities: Perform clinical coverage review of CPT and HCPCS coded claims.
3+ years clinical nursing experience. Registered Nurse (RN) Ability to analyze documentation of clinical care. Excellent written and verbal communication skills; is a critical thinker and has excellent time management skills. All other requirements necessary for this position.
Candidates will be responsible for the following: Clinical and staffing oversight of nursing staff and non-clinical coordinators. Educating clinical staff. Managing training of new employees, both clinical and non-clinical. Qualifications Include: Current unrestricted RN license.
A healthcare company is in need of a Telecommute Medicare Quality Consultant Registered Nurse in Pensacola. Core Responsibilities Include: Assisting members to obtain preventive screenings and review for adherence with prescribed medications.
A medical billing company has an open position for a Virtual Utilization Management and Clinical Review Registered Nurse. Individual must be able to fulfill the following responsibilities: Work collaboratively with interdisciplinary and healthcare team members.
Applicants must meet the following qualifications: 5 years working with continuous quality improvement processes. 5 years interpreting regulations and assessing plan impact. 5 years in Leadership. Bachelor's Degree in Nursing or Public health-related field.