An insurance company is seeking a Telecommute Clinical Quality Registered Nurse in the Pittsburgh Area. Core Responsibilities Include: Preparing reports and records on work function activities and projects. Reviewing and analyzing reports, records, and medical documents/charts.
Must be a Registered Nurse or Licensed Clinical Social Worker. 5 years of progressive leadership responsibility. Successful management experience. Thorough and solid knowledge of health care. Experience with Accountable Care Organizations, Medicaid, Medicare and Commercial populations.