Qualifications Include: Bachelor’s degree in Healthcare, Nursing, Business Administration, Law or related field required. 7 years in Healthcare risk management, quality, patient safety, or law. 2 years of leadership experience.
A provider of claims management software has a current position open for a Telecommute Utilization 1 Senior Nurse Reviewer in Sacramento. Individual must be able to fulfill the following responsibilities: Identify and develop targeted training necessary to address quality assurance (QA) issues.
Experience with Quality Programs, Case Management and Utilization Management. Experience in QM, CM and UM program design, implementation. Experience in setting, communicating and implementing strategic direction. Bachelors degree. Registered Nurse with appropriate state license.
Read and analyze medical information from charts, nursing notes and clinical criteria. Provide objective, first-level determinations. Applicants must meet the following qualifications: Must be certified/licensed with ABMS, AOA, or applicable (U. S. ) Medical Board in Addiction Psychiatry.
A company providing continuing education is in need of a Telecommute Nursing Education Content Quality Control Manager in Phoenix. Core Responsibilities Include: Interviewing, hiring, and managing content developers. Verifying the quality of product received from the content developers.
Enters clinical data into iExchange, web based application. Required Skills: A working knowledge of current standards in nursing practice, theory and the ability to read and interpret medical records. Proficiency in Microsoft Office applications and others as required.