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RN - Quality Assurance
3 months ago
Job Description
Responsible for review and evaluation of clinical information and documentation
Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider issues.
Independently coordinates the clinical resolution with internal/external clinician support as required.
Data gathering requires navigation through multiple system applications
Qualifications
Current unrestricted state nursing license
3 years of clinical experience required- Managed Care/Medicare experience preferred
BSN Preferred
Ability to work independently
Benefits
Day 1 Health benefits (Health/Vision/Dental)
Weekly Pay
Direct Deposit
Travel reimbursement
State License reimbursement
$1500 Referral bonus program
Listed pay packages are based on weekly gross amounts.
Please reference Job number: 136648
Additional Information
All Medical Personnel provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. About Us: All Medical Personnel is a national leader in healthcare staffing recognized by Staffing Industry Analysts (SIA) as one of the nation's largest healthcare staffing firms. Our goal is to simplify the process with a flexible and personalized approach. Our clients range from local, regional and national healthcare organizations throughout the United States. Learn more about us at allmedical.com.