Multi-State Licensed Nurse Consultant

Job Summary

A company is looking for a Quality Management Nurse Consultant - Remote.

Key Responsibilities

• Audit clinical criteria, policy procedures, and compliance for the Medicaid and Duals Program
• Maintain clinical review skills through annual IRR and collaborate with leadership for process improvement
• Work Monday to Friday from 8:00am to 5:00pm

Required Qualifications

• Current unrestricted multi-state RN license
• 3+ years of clinical experience
• 2+ years of Utilization Management experience
• 2+ years of experience with MS Office Suite and navigating multiple systems
• Associates Degree required; Bachelor's preferred