A health insurance company needs applicants for an opening for a Telecommute Compliance and Auditing Nurse. Individual must be able to fulfill the following responsibilities: Review utilization management activities. Ensure adherence to policies, procedures, and regulations.
Facilitate and monitor the transition of care for assigned patient. Skills and Requirements Include: Ability to travel 50% by own automobile to assigned local practices. Active RN License in Maryland AND D. C. 3+ years clinical acute care Nursing experience.
Core Responsibilities of this position include: Ensuring assigned Measure outcomes meets quality expectations. Acting as the Subject Matter Expert (SME) in development of the content. Conducting regular meetings with the QA/SR staff during production. Qualifications for this position include: